MIKE SELTZER

**** ***** *** *********, ** *****

ad2dxm@r.postjobfree.com 513-***-**** Cell

EXPERIENCE

Seltzer Holdings LLC – 12/2014-4/2021

President / CEO

Sports Bar

Over 1 million in gross sales per year which was a 25% increase over previous owner

Marketing and social Media gave larger visibility

Increased profitability by 15%

Sold business end of March 2021

Assurex Health – Mason, OH – Position eliminated during the sale of business 3/2015-5/2016

Director of Billing and Collections

Molecular Diagnostic Laboratories

Revenue of over 100MM

Hired 30 people both FT and Temp staff because increase in revenue

Increased cash flow by 22% and reduce DSO by 10 days.

Head of multiple departments billing & collection, cash posting, & documentation;

Monthly presentation to executive team regarding payor & cash collections analysis,

Working with compliance department on conducting audits to ensure company, Federal and State standards were being adhered too.

Worked with payors / clients on all audits which would include traditional Medicare A & B, MED D, Medicaid and Commercial payors.

Developed P & P for long & short term goals for Appeals for new DNA testing for payors.

Position eliminated because of combining positions prior to sale.

Omnicare – Cincinnati, OH – Division shut down during sale of business 12/2013 - 3/2015

Divisional Sr Billing Manager

Long Term Care Pharmacies

Created multiple teams (billing, adjudicator), Intake, & business analyst, 20 people.

Team increased profitability of scripts by a min of 20%. budget analysis, reject analysis, intake analysis, and P & L

Worked with Sr Director / VP on presenting monthly reports showing root causes of issues. Presented trends why claims were rejected / intake issues which could causes lower revenue and profitability.

Working with compliance department on conducting audits to ensure company, Federal and State standards were being adhered too. Worked with payers / clients on all audits which would include traditional Medicare A & B, MED D, Medicaid and Commercial payors.

Centralized by region for all adjudication claims / Intake process. We saw immediate savings with lower cost and increase controls in which in turn reduce mistake and increase cash collections.

Left position to move closer to my home. Reduce commute by 1HR,

Carepoint Partners, Cincinnati, OH – Business Sold 6/2011 -12/2013

Vice President of Reimbursement

Oversaw 100MM in revenue

2 Business lines for reimbursement – Home Infusion & Specialty Pharmacy

Regional reimbursement staff, reimbursement, cash application with 10 direct reports.

Oversaw due diligent team for examine AR of companies looking at buying for collectability.

Implanted of transferring over 30MM of AR of 5 companies into existing system

Prepared monthly power point and presented to the executive team showing monthly / YTD revenue, cash and DSO trends.

Developed P&P for billing, collections, cash posting and admission.

Developed company’s hardship program.

Developed audit tool for internal audits and oversaw external audits. External audits would include Medicare, Medicaid and Commercial payors.

Decreased DSO from 68 to 62, reduce handle time from internal transfers of cash from 30 days to 1, and reduced reject electronically claims on average were 48 -72 hours to the new vendor it was less 24 on average.

Had company-wide monthly calls with entire reimbursement and admission staff to go over new policies and any changes to Medicare, Medicaid or any new / old Commercial plan

Left company for personal reasons

Consolidated Health Services, Cincinnati, OH 7/2010 – 6/2011

Director of Reimbursement

Oversaw 4 Business lines – Home Health, HME, Home Infusion, & Patient Transport.

Billing, collections, cash posting, (7 direct reports, 75 in-direct, 2 offices).

Reimbursement analysis & budget.

Hired new vendor to increase productivity for electronic billing, credit cards and patient statements.

Review commercial contracts, CMS 855, Medicaid, worked with sales and operations with processes and procedures.

Oversaw 130MM in revenue from all lines.

Developed strategy for collections to streamline work flow.

Recruited away for opportunity to become VP to large regional player.

Rightsource Specialty Pharmacy (Humana), Cincinnati, OH – Position moved to AZ 6/2009-7/2010

Finance Manager

Startup company to 100MM because of association with Humana.

Hired entire staff of over 30 people in 4 different areas.

Develop P & P for billing, collections, cash posting & patient Assistant Programs (PAP).

Presented to executive team monthly /YTD revenue, cash, P& L review, DSO trends.

Developed forecasting model 1, 3 & 5 years as well as developed staffing model for each department.

Developed specific changes to new system to help with productivity of all departments, reports., increase cash collections and decrease DSO.

Reviewed both manufacturer and payer contracts for approval.

Ultimately lowered our COG.

Left position to be become head of CHS entire revenue management.

Fresenius Medical Care, Philadelphia, PA – Regional office closed 11/2008-6/2009

Director of Reimbursement

Billing, collections, cash posting, central verification (7 direct reports, 206 in-direct, 4 offices).

Billing and collection, cash application, reimbursement analysis, budget;

Oversaw 78MM in revenue per month.

Review contracts, worked with sales and operations with processes and procedures.

Reduced DSO from 92 days to 80 days;

Reduced operating costs over 10% by reducing OT by 70% and new staffing structure. Maximized electronic billing to over 94% of all payers from 84%.

Developed strategy for collections to streamline work flow.

Developed matrix in all areas for staff to increase productivity.

Regional office closed almost all staff was laid off

CURASCRIPT IP Louisville, KY – Business sold and closed location 4/2007- 11/2008

Vice President Revenue Management

Admissions, billing, collections, cash posting, quality, audit, (8 direct, 215 in-direct).

Billing, collection, cash application, reimbursement analysis, budget.

Coordinated with contract and sales, processes, procedures.

Reduced bad debt reserve from 10% to 4.5%;

Maximized electronic billing, increased cash flow by $750,000 per month; Cash collection increase of $1,000,000 per month compared to prior year;

Reduced DSO from 235 days to 180 days in less than seven months;

Streamlined efficiencies and reduced payroll by improving the process and work flow;

Increased Gross profit by reducing bad debt reserve and OT.

Company sold to Walgreens and executive was not going to be retained

WALGREENS HEALTH SERVICES Cincinnati, OH 2000-2007

Corporate Director of Admissions/Reimbursement, Home Care (2005-2007)

Admissions, reimbursement, billing centers, call center for compliance programs, training, (7 direct, 150 in-direct reports).

Billing, collection centers, cash application, reimbursement analysis, budget.

Major medical, Rx benefits, compliance, quality, best practices and systems.

Implemented team development and leadership, coordinated of internal departments and external parties;

One of two project leaders on new phone system for Home Care division.

Reduced DSO in multiple offices: 180 to 120 in California; 132 to 101 in Wisconsin, which resulted increased EBDITA

Developed training tools used by customer service which reduced upfront errors;

Developed audit tools for front and back-end processes to identify patterns of inefficiencies.

Member of the design team for new admission & billing system.

Left for opportunity with fellow employee who was named president

Director, Specialty Pharmacy (2003-2005)

Increased operational efficiencies and staff productivity.

Managed patient adherence programs with 300,000 over direct mailings per month.

Increased awareness of our programs throughout the Walgreen’s organization and external MCOs

Staffing resources closely maintained as revenue increased. Participated on new computer and phone system project team.

Director, Admissions & Reimbursement – Specialty Pharmacy (2000-2003)

Developed all policies and procedures. I

Implemented new admissions & billing system for Specialty Pharmacy.

DSO was 38 days for major Medical billing.

Write offs were less than .5% of net revenue.

From 1992 – 2000 worked for Abbey Home healthcare, Jewish Hospital Healthcare Services, Caretenders, Apria and West Mar Healthcare

EDUCATION / MILITARY

B.A., Political Science, University of Cincinnati

United States Naval Reserves and Army (Honorable Discharge)

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