Debby Rance, BS, CPC, CMOM

*** *. *******, ********* ** 74501. E-mail: ad3kgq@r.postjobfree.com, Cell # 918-***-****

Chief Operating Officer with 25 years’ experience in hospital owned clinics, rural health, and private practice environment. Responsible for directing and administering the day-to-day activities of hospital departments in accordance with established policies to provide high quality healthcare services. Responsibilities include ensuring economical and efficient performance of departments, revenue cycle management and meeting revenue goals within budgetary guidelines, Payer Contracting. Familiar with, and have extensive experience in all concepts, practices, and procedures relating to new clinic set up, practice operation, billing & collections, credentialing & multi-facility management.

ACCOMPLISHMENTS

• Contracted with 96% of insurance carriers on Guam for occupational medicine and workmen’s compensation services, resulting in a $4.6 mil venture for the Health Center.

• Worked with insurance company sales director to begin selling workmen’s compensation policies, creating $12 mil sales for the company.

● Created central scheduling team which increased appointment volumes by over 1000 appointments per month (average 31% per provider)

● Central Scheduling was also responsible for increased surgeries and deliveries due to increased provider availability. We saw an immediate 15% increase in these services.

● Increased revenue by 42% - keeping appointment schedules at >95% of capacity

● Designing practice management protocols and revenue cycle management protocols

Mobilized a Centralized Billing Office comprised of highly trained billers and coders. This team trained front line receptionists on clean claim requirements, resulting in reduced AR days from 70 + down to < 28

● Revenue Cycle Management. Reduced front end errors by 22%

● Revenue Cycle Management, Maintaining AR over 90 days to < 8%. The MGMA benchmark for this metric is 25%.

● Trained CBO staff in coding with all staff achieving Coding Certification within one year

● Improved financial reporting, providing physicians and mid levels with weekly KPI reports. ● Reduced no show rates from >20% to less than 8%

● Added a very successful new line of business - Occupational Medicine - resulting in annual net revenue of $560,000

● Increased OB/GYN ancillaries bringing in an additional annual revenue of over $2,000,000

● Negotiated with IHS (Apache Mescalero Tribe) to bring Obstetrical and women’s services to tribal clinic; providing midwives to improve prenatal health care and reduce newborn complications

●Payer contracts that bridged gaps in work comp claims for the payers and brought in significant revenue for our facility

● Physician recruiting and onboarding of 18 providers in 6 months

PROFESSIONAL EXPERIENCE

CCOM Medical Group

Muskogee. OK Oct 2017 to Dec 2019

Chief Operating Officer Community Health Systems

● Privately owned multi specialty clinic with 22 Providers, urgent care, sleep center, reference lab, radiology, cardiology testing and nuclear medicine testing.

McAlester Regional Medical Center McAlester OK

Director of Practice Management Dec 2014 to Oct 2017

● Hospital owned clinics with 13 locations, with 42 providers, 1 Urgent Care, and a Rural healthcare Center.

● Physician practice analytics & quality reporting metrics

● Managing hospital Wound Care Center

● Residency Program management

● Hospitalist program management

● Physician recruiting. Recruited 18 providers

● Establishing staffing and HR protocol

● Establishing LLC

● Revenue Cycle Management. PQRS, Meaningful Use, PCMH

Community Health Systems

Midwest Regional Medical Center, Midwest City, OK

Area Practice Administrator July 2007-July 2014

• Hospital owned clinics with 46 providers - 13 locations, 1 Urgent Care

• Staff of 140 with 13 direct reports

• Physician recruiting

• Additional duties include cash management, oversight of clinic operations, financial reporting, new clinic start up, billing for RHC, staff training and development

Abilene Regional Medical Center

Director of Revenue Cycle & Clinic Operations Abilene, TX

• Employed physician group of 33 Providers in 24 locations with Urgent Care Center • Staff management - over 120 FTEs

**Requested by Divisional VP to provide interim leadership in Florida - Temp Position North Okaloosa Medical Center Crestview, FL

• Established organizational structure for newly formed employed physician group. • Network consisted of 24 physicians in 11 locations, with a Rural Health Center, Walk in Clinic. • New start up of 9 new practices.

• Established Central Scheduling process that was adopted by the entire Division. This new concept enabled providers to be more productive and reduced FTE’s by 10%

• Mobilized a Centralized Billing Office and established a training program that enabled all CBO • staff to become Certified Coders.

• Instituted monthly, routine coding audits and training designed especially for Physicians

TakeCare Insurance Company / FHP Pacificare Tamuning, Guam

Health Center Manager July 2006 to July 2007

• Insurance company (FHP/Pacificare) owned medical clinic with 24 providers in 6 locations • Responsible for clinic operations in Asia for an insurance company that owns facilities in Guam and Saipan.

• Staff of 230 employees on both islands

• Managed the following departmental operations: emergency room, radiology, pharmacy, vision center, internal medicine, OB/GYN, pediatrics, visiting specialists, billing dept, surgical center, occupational medicine, tourist healthcare, and more.

• Physician recruiting

• Served on several committees for the insurance company, including company strategic planning initiatives and governing board.

Community Health Systems

Cleveland Regional Medical Center Cleveland,Texas

Director of Physician Practice Mgmt Dec 1995 to July 2006

• Hospital owned practices with 21 locations, 16 primary care providers and 5 specialists • Opened new practices in OB/GYN cardiology, orthopedics, and ENT

• HR duties including hiring all staff - both clinical and clerical

• Securing building leases for new physicians,

• New start up: setting up offices and ordering clerical and clinical supplies and equipment and office furniture, set up lab and radiology services, established all office procedures, insurance and collection procedures

• Negotiated insurance contracts

• Established and successfully sustained clinic budgets

• Reduced overtime hours and dependence on prn staff

• Conducted staff training and orientation

PROFESSIONAL MEMBERSHIPS

MGMAAmerican College of Medical Practice Executives

National Association of Female Executives Prof Assoc of Health Care Office Mgmt National Assoc. of Notary Publics American Red Cross Volunteer Board of Directors - Gift of Life Air Transportation Charity

EDUCATION / LICENSES

Bachelor Degree in Healthcare Services

Associate Degree in Early Childhood Education and Psychology

Certified Coding Specialist

Certified Medical Office Manager

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