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Customer Service Office

Location:
Douglasville, GA
Posted:
December 10, 2019

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Resume:

DWAYNE F. TAYLOR

**** **** *** *****

Douglasville, GA 30135

404-***-**** (Cellular)

PROFESSIONAL SUMMARY

Results-oriented business professional seeking a challenging career opportunity whereby with a diverse background supported with over fifteen years of health care management, revenue cycle, vendor management, cash forecasting, management, consulting, customer service and change management.

EMPLOYMENT SUMMARY

Mission Health Communities – Tampa, FL January 2019 – Present

Regional Director of Revenue Management

Responsible for the revenue management and accounts receivable oversight for eleven nursing facilities within the states of Georgia, Tennessee and Alabama to include the billing and collection practices/guidelines ensuring timely and accurate billing.

Implements best practices to ensure increased cash receipts and impacting the bottom line of the nursing facilities.

Enforces collection practices/guidelines and compliant approval for revenue adjustments, bad debt adjustments and bad debt write-offs.

Evaluates and monitors business office operations in accordance with established standards.

Ensures the integrity and confidentiality of all patient financial date.

Audits and trains collection activity for patient carriers.

Reviews facility systems used for financial record keeping including the issuing of receipts.

Prepares and presents ad-hoc financial reports for senior leadership.

Facilitates the month-end close for eleven nursing facilities to include proper and accurate postings of cash and being able to identify any discrepancies with reason.

Hires all support staff for the business office.

Acts as subject matter expert for critical areas in Accounts Receivable including resolving issues.

Monitors the Medicare Bad Debt process from beginning to end.

Responsible for the Quality Assurance Process Improvement Program to ensure compliance and accuracy.

JTS Health Partners – Atlanta, GA July 2017 – March 2019

Director of Revenue Cycle Consultant

Worked closely with the Chief Financial Officer to develop and implement strategic plans for handling multiple clients and minimizing risk with aged receivable accounts. Provided leadership and direction to Billing and Coding Manager, payment posting teams, collections managers, education and development of CBO. Monitored all key performance indicator reports, including staff quality and productivity. Worked with clients to implement best practices regarding revenue cycle management. Identified problems by examining medical data and analyzing revenue. Performed all human resources activities to include interviewing, budgeting, compensation, development and performance appraisal management. Established individual team member goals to promote training processes ensuring maximization of the staff. Designed methods to increase revenue through loss prevention, cash acceleration and denial management. Coordinated efforts with various healthcare organizations to streamline operational activities.

Peachford Behavioral Health – Atlanta, GA November 2016 – April 2017

Director of the Business Office

Organized and conducted business office in accordance with facility standards. Implemented procedures for filing reimbursement claims. Managed a team of financial counselors, insurance verifiers, collectors and billers. Maintained proper documentation with regards to cash receipts, revenue, facility census, bad debt and adjustments. Verified financial coverage of all patients after admissions. Coordinated initial financial contract content if not completed at the time of admission. Prepared and distributed all reports to senior leadership. Managed all accounts receivable functions for the facility. Performed all human resources tasks for the team.

DWAYNE F. TAYLOR

Page 2

Prime Healthcare Southern Regional Medical Center - Riverdale, GA May 2016 – September 2016

Director of Physician Practice Consultant

Reported to the Chief Financial Officer of the entity. Served as Director for the Physicians Group. Ensured policies and procedures are implemented for efficient and effective management of all programs. Designed and recommended continuous process improvement initiatives. Monitored all physician’s employment agreements and compensation packages. Monitored key performance indicators and implements performance improvements. Worked with vendors to ensure coding and follow up is being performed in a timely and efficient manner. Reviewed and supervised all internal systems for handling cash, recording mail receipts, writing checks and any other income generations. Responsible for credentialing of physicians with managed care companies. Managed all bank account relationships.

Southern Regional Medical Center - Riverdale, GA September 2013 – May 2016

Director of Revenue Cycle – Revenue Operations

Reported directly to the Chief Financial Officer. Overseen all functions relating to the organization. Managed the month-end close process. Developed and implemented key performance metrics for the department. Monitors all physician’s employment agreements and compensation packages. Monitor key performance indicators and implements performance improvements. Managed the EDI functions as they related to electronic claims submission. Ensured the maximization to utilize all EDI capabilities to enhance cash flow. Directed the daily operations of billing, cash posting, follow up and

customer service teams with forty staff associates. Worked in conjunction with the Director of Revenue to oversee the

entire RCM staff and structure. Interacted with IT related channels to ensure technology is interfacing properly with client systems and processes. Established and maintained controls for all cash collected and posted in the Patient Accounting System.

Southern Regional Medical Center - Riverdale, GA April 2010 – September 2013

Revenue Cycle Manager

Tenet Healthcare – Dallas, TX

Staff Account at Spalding Regional Medical Center February 2008 – April 2010

National Cash Process Specialist at Corporate Office March 2007 - January 2008

Supervisor, Reimbursement, Support and Customer Service at Regional Office September 1998 - March 2007

EDUCATIONAL SUMMARY

Keller Graduate School of Management, Atlanta, GA

Pursing Master of Business Administration with Concentration in Healthcare

John Marshall Law School, Atlanta, GA

Juris Doctorate of Law

The City College of New York, NY

Bachelor of Arts Degree in Sociology

PROFESSIONAL AFFILIATIONS

Association for Financial Professionals

American Management Association

Healthcare Financial Management Association

TECHNICAL SKILLS SUMMARY

Microsoft Office, Meditech, IDX, Epremis, Mckesson, Accuro Healthcare Solutions (IMACS), Kronos, Medefinance, Visual Info, Clientline, AS400, Change Healthcare and Passport Onesource, SSI, Cerner and Point Click Care



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