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Financial Analyst Medical

Location:
St. Cloud, FL
Salary:
120000
Posted:
September 13, 2019

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Resume:

George Tirlokhi

Kissimmee, Florida - ©321-***-**** - adacfb@r.postjobfree.com

(h) 407-***-****

Revenue Cycle and Finance leader

Served as the VP of revenue cycle for a large health system ($640 million) for the last 5 years, which includes the central billing office and regional team. Mentored by industry experts (PwC, GE, and E&Y) at prestigious institutions –Mount Sinai and NYU of NY and Lakeland Regional Health System of FL

Improved collections by $10 million in the first year of the last company and to 99% of net revenue annually

Reduced bad debt to < 1% or $5 million

Achieved DSOs < 40 days due to cash acceleration and denials reduction

Increased Medicaid pending conversions by 30% and POS collections by 25% or $12.5 million

Oversaw over 400 practice acquisitions and 100 divestures at a national level

Rebuilt RCM team for several organizations in my career.

Prepared and presented monthly KPI package to the CFO and other board members

Implemented a denials prevention program across multiple states

Implemented and optimized RCM systems, tools, clearinghouses, and KPI dashboard (trending)

Directed the revenue operations for two (2) CBOs for a large multi-specialty group of 350 physicians within a $1.3 billion integrated delivery healthcare system.

Managed 3 capital budget cycles at NYU Medical Center

Executive Master of Science in Finance and Administration

Achieved Certified Patient Accounts Managers certification with AAHAM

Worked with EPIC, Siemens, Medetech, Allscript, GE, Ontario, Cerner, and PCC

Worked with SSI, E-Solutions, Waystar, Ability, Availity, Emdeon, and e-Premis

Active member with MGMA, HFMA, and FHCA

Work Experience

08/2014 – Present Vice President of Revenue Cycle Management Lake Mary, FL

Apex HealthCare Systems acquired Skyline Health System’s portfolios of businesses 5/1/2018

Skyline Healthcare System 8-14-2014 – 5/2018

Led the revenue cycle operations (front end and back end) including the CBO in Orlando for a large post-acute health system (NR $640 million and 10,000+ Beds) of 200 long-term care and 3 Acute hospitals in 7 states. Reports up the CFO with 10 direct reports and 50 staff.

Restructured, grew, and mentored leadership team, systems, processes in the field (multi-state), and CBO

Oversaw over 400 practice acquisitions and 100 divestures

Implemented and converted multiple billing platforms to Point Click Care (PCC) and implemented claims, rejections, denials, and new AR tool ZirMed

Implemented scorecard and metrics, daily flash report, and collector’s productivity measurement including AR analytics tool, Prime View

Streamlined credentialing and payer contracts at a national level

07/2013 – 08/2014 Health First Medical Group Melbourne, FL

Director of Professional Revenue Cycle

Directed the revenue operations for two (2) CBOs for a large multi-specialty group of 350 physicians within a $1.3B integrated delivery healthcare system. Led, directed, and managed the implementation of the complete revenue cycle overhaul. Reported up the CFO and had 160 staff.

Successfully rebuilt HFMG practice management platform with 10 additional modules

Simultaneously converted the Misys billing database to GE group management

Merged two (2) CBOs, realizing a net savings of $1M annually

01/2010 – 07/2013 Mount Sinai Health System New York, NY

Director of Transplant Revenue Cycle

Directed the revenue cycle operations (CBO and front-end) for an inter-disciplinary transplant institute with annual gross revenues in excess of a $200M and over 200 providers. Reported up the Administrator.

Re-engineered its EMR and front-end revenue cycle process by converting to EPIC program resulting in reduction of net annual denials of $1.2M and accelerated cash flow by reducing charge lag from 31 days to six (6) days

Developed metrics and scorecards related to abdominal transplantation service lines

Negotiated and acquired revenue /cash producing managed, international, and global contracts. MCO and Bundled payment initiatives.

04/2007 – 01/2010 Lakeland Regional Medical Center Lakeland, FL

Assistant Director of Patient Accounting

Managed the day-to-day operation for the CBO of an acute care hospital generating $1.8B annual gross revenue. Reported up the VP of RCM with 5 direct report and 60 staff.

Implemented Ontario System, Artiva for AR management

Ensured unbilled, DNFB, and KPIs were above industry standards

Oversaw ongoing development of technology

Engaged payer liaisons to resolve AR, intervened when KPIs are at variance

Managed vendor and agency relationships

Supported VP of RCM initiatives and projects

Governed the CBO according to statistics, variances, and exceptions

05/2005 – 04/2007 NYU Medical Center New York, NY

Director of Capital Finance

Implemented capital budget and planning tool, StrataCap

Successfully completed three (3) capital budget cycles

Developed tracking database for operating and capital leases

Reconciled asset management database to general ledger

01/2000 – 05/2005 Mount Sinai Health System New York, NY

Director of Transplant Revenue Cycle

05/1998-01/2000

Financial Analyst

Education

Executive Master of Science in Finance and Administration, Finance Baruch College

Bachelor of Business Administration, Accounting Baruch College

Certified Patient Accounts Manager, American Association of Healthcare Administrative Management



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