Revenue Cycle Professional
Resume:
Lona DeAllie Swaby
***********@*****.***
HEALTHCARE REVENUE SERVICES LEADER
Extensive experience in Patient Access / Patient Financial Services / Revenue Cycle Operations.
Demonstrated capabilities include strategic planning and operational performance best practices supporting clinical practice, revenue cycle, optimized reimbursement, patient experience, contracting and credentialing.
Expertise interfacing with information technology in facilitating system implementations, workflow, and work process refinement.
Skilled in program, project, business and client relationship management, staff training, and mentoring of personnel.
Developed and promoted cultures of quality, compliance and continuous performance improvement and have shared expertise on regional and national levels.
Proven record of maintaining Days Sales Outstanding
ICD-10 and CPT implementation
Led all reporting between operations and revenue for 2.3M worth of Grant funding
PROFESSIONAL EXPERIENCE
Colonial Management Group Orlando FL
Responsible for the revenue in 73 clinics located in 13 States, rendering services to patients in need of substance abuse. Directed All revenue Cycle billing office functions to maximize cash flows optimize internal /external client relations. Ensured the effectiveness/ compliance and quality of processes and operations and identified ways to improve cash collections. Implemented standardized revenue cycle monthly and quarterly educational updates. Monitored billing and collection patterns by payer and made corrective recommendations to be implemented across the organization. Oversaw, cross trained and mentored 6 direct and 36 in direct reports.
Director of Revenue Cycle and New Product Line 2016 - 2020
Reduced Days Sales Outstanding from 79 to 35
Implemented reports that looked at percentage of revenue by location and payer
Secured Third party contracts with Jail, Grants and Third-Party Insurance increasing the company footprint in the third-party marketplace by 200%
Redesigned Revenue Cycle department, Implemented Insurance Verification and Cash posting teams.
KPI Monitoring – Days to Bill, Days Sales outstanding, Days to Post, Denial rate
Develop Fee schedules
Develop Revenue Cycle CARF Auditing Process
Revenue Cycle training on Charge trigger and capture
Manage the DAP note Project
Manage training and development of new product line, to include but not limited to credentialing
Report revenue leakage
Provide contract analysis
Contracting & Credentialing
Lona DeAllie Swaby
Physician Billing Orlando FL
Consulting for multi-disciplinary physicians’ offices overseeing the Billing office.
Designed operationalized and monitored key revenue cycle performance metrics
Facilitated provider enrollment and credentialing process
Documentation audit for quality and maximization of services
Consultant 1997 - 2018
Oversee the management of labor costs, inventory levels and production planning for all departments. .
Improved customer experience – Time in line reductions, improved statement quality
Audit Review
Training- eligibility, front desk and back office Billing and Collection, Denial management, ICD 10 & CPT requirements.
Planned Parenthood WPB FL
Responsible for the revenue of 19 locations across FL region, providing services the underprivileged and underserved population.
Director of Revenue 2013 - 2016
Reduce DSO
Contract negotiation and provider credentialing
Increase POS cash collection by 35%
Refined Workflow to accept third party insurances
Coordinated strategic planning and development of a new Patient Access Department, retooling, training, and integrating operation staff to incorporate within a finance model. Designed workflow and process to simultaneously meet quality, customer experience, financial and compliance goals and best practices Training on EOD closing practices
CPT & ICD training to Clinic staff to maximize revenue
Access MediQuip Lake Mary FL
Responsible for the billing and collection of implantable devices and new technology Services
Director of Revenue and Vendor Management 2011-2013
Identified gaps in surgery center contracts and obtained LOA or contract to bill for services to the insurance company where there was no provision for reimbursement with the Ambulatory surgery center or hospital
Benefit exploration – verification and eligibility
Billing and collection
Cash posting
Denial management
EDUCATION / CERTIFICATION
BS, Healthcare Administration, 2007, Suffield University, Twin Falls ID
PROFESSIONAL ACKNOWLEDGEMENTS/CERTIFICATIONS
Certificate in Creative Leadership, May 2018, Center for Creative Leadership, Greensboro NC
References available upon Request
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