Project Management
Resume:
WHAT YOU NEED TO KNOW
Proven track record of project management leadership and demonstrated knowledge of all aspects of the Revenue Cycle
Demonstrates proficiency in medical practice and hospital operations combined with expertise in the Billing, Collection and follow-up of medical claims
Highly qualified revenue cycle operations resource capable of assuming the responsibilities of any practice management or hospital Senior Revenue Cycle Management role
Solid track record of Community Benefit management and partner organization development
Detailed knowledge and experience in streamlining organizational structures to maximize efficiency and maintain the infrastructure necessary for the organization to provide the highest levels of care to the patient population
CORE COMPETENCIES
Revenue Cycle Management in Hospital and Physician Practice Settings
Operation and Process Improvement
Project Management
Hospital Finance
Central Billing Office
Managed Care Contracts Negotiation
Practice Management
Revenue Integrity Management
Financial Analysis
Interim Management in Hospital and Physician Practice Settings
Soarian Financials Physician Practice Management
PROFESSIONAL EXPERIENCE
Atwater Solutions
July 2019 – Present
Senior Consultant
Provided Project Management oversight for multiple key hospital projects
Provided Finance support to three affiliated hospitals within a large California Health System
Developed the budget for three affiliated hospitals within a large California Health System
Presented Finance results to Senior leadership for the three affiliated hospitals within a large California Health System
Assisted in the entry, documentation, and approval of multiple millions of dollars in capital expenditures
Provided Finance representation for Capital request team meetings
Evaluated department staffing levels and productivity as a part of a workforce optimization effort
Developed productivity standards detailed through a Worked Hours per Unit of Service methodology
Atos Digital Health Solutions Consulting
Jan 2017 – July 2019
Senior Consultant
Provided Project Management for multi-million dollar projects for a California health system
Managed process improvement projects involving all aspects of the revenue cycle
Managed Community Benefit Department within a large California Health System
Evaluated grant request proposals for three affiliated hospitals
Managed partner organization relationships for the affiliate hospitals
Awarded grants to partner programs aligned with the health needs as defined by the Community Health Needs Assessment (CHNA)
Coordinated the development of the 2019-2022 CHNA
Managed IRS required reporting for the affiliate hospitals
Developed internal community benefit programs for the facilities
Performed Workforce Optimization analysis
Provided financial analysis supporting the budget process
Cerner Corporation / Siemens
Oct 2010 – Jan 2017
Project Management
May 2015 – Jan 2017
Responsible for managing quality projects throughout the lifecycle at RevWorks sites
Ensured world-class service by coordinating cross-functional teams to deliver successful project outcomes
Leveraged technical knowledge and applied expertise in all aspects of the revenue cycle in order to successfully complete projects
Managed multiple projects that have a distinct beginning and end
Worked with the project team and client to determine project scope and requirements
Served as liaison between RevWorks and client to ensure all targets and requirements are met
Monitored and reported project and/or team performance against specified goals and objectives, ensuring that the project is delivered on time
Understood project impact to the existing and required workflow
Assigned and tracked appropriate training plans for end users
Identified risks and created risk mitigation plans when necessary
Able to articulate how the project relates to client's organizational strategy and initiatives
Managed project to ensure on time delivery without sacrificing high quality standards
Utilized and promoted the use of PMO standardized documents and established processes
Principal Consultant
Mar 2015 – May 2015
Following the acquisition of Siemens Strategic Consulting Group by the Cerner Corporation I continued to perform the same duties as detailed below
Principal Consultant, Revenue Cycle
Oct 2010 – Feb 2015
Provided project management for an extended INVISION optimization project at a 400+ bed county facility in California
Served as interim director of a hospital Patient Financial Service Department, responsible for improving the accounts receivable net collections from 93% to 99%
Provided interim director leadership during a Patient Accounting Department re-design project resulting in an increase in cash on hand of $27 Million for a Pennsylvania-based hospital
Assisted a hospital-owned physician practice in the development of an internal business office, including development of a policy and procedure manual governing all revenue cycle processes
Developed current state and future state process flows for a 300+ community hospital in Indiana including recommendations for process improvement
Managed a revenue cycle assessment project for a 450+ bed facility identifying and, over the following six months, realizing an eight million dollar cash acceleration opportunity for the client
Developed a Financial Clearance Unit with all required work flows and policies/procedures for a large health system in Ohio
Performed compliance audits to ensure that vendors meet or exceed the various regulatory agency requirements for the protection of sensitive patient information
Developed policies and procedures to dictate activities in Financial Clearance, Scheduling, Medical Necessity, Point of Service Collections, and Charge Audit/Reconciliation for a large community hospital
Conducted current state interviews as part of a IT Adoption Center project for a health system in Hawaii
Managed a current state / future state project for a Siemens customer implementing Physician Practice Management software
Managed a large transformational services project for a health system implementing Soarian Financials and Physician Practice management
Provided project management expertise during the implementation of charge master management software for a California-based health system
Assessed physician practice revenue cycle processes to identify performance improvement opportunities for a New York-based Siemens customer/health system
Conducted revenue cycle assessments for numerous hospitals and health systems, documenting recommendations to enhance the alignment of people, processes and technology for improved results
Developed and implemented customized web-based revenue cycle training material for a Philadelphia-based Academic Health System
Catholic Healthcare West
2008 – 2009
Manager, Revenue Integrity
Revenue Integrity (RI) Manager is responsible for the development of a system wide revenue integrity program designed to identify and rectify potential gaps in the revenue cycle
RI Manager develops all gross revenue activities, including RVU review and education, Charge Audit staff, report preparation, department audits and reconciliation procedures for the all CHW system facilities
Responsible for the development and implementation of a charge reconciliation process and QA monitoring tool. In addition, this position provides corporate support to facility-based revenue projects by performing audits of the charge capture process
Implemented bill analyzer software in 22 of the systems 42 hospitals in the first six months of employment
Identified $4 million in net revenue opportunities during the implementation phase of the software
Performed a revenue integrity assessment on 22 system hospitals to determine any potential gaps in the revenue cycle
Initiated the development of a comprehensive revenue integrity program designed to strengthen the charge capture process
Collaborated with Patient Financial Services Departments to improve the billing process and to develop additional billing edits
Worked with the Patient Access Departments to ensure that the registration process supports the stated revenue integrity goals
IMA Consulting
2001 – 2008
Consulting Manager
Provided Project Management for multiple projects for internal and external customers delivering the clients with successful projects on time
oWayfinding improvement project
oMulti-million dollar Operating Room refurbishment project
oMobile ultrasound cart implementation in 7 seven hospital health system
Performed long-term interim management roles as the: Director of Revenue Cycle; Director of the Central Business office (CBO); Director of Patient Financial Services; Director of Perioperative Services; and Physician Practice Administrator in several complex acute care health systems and academic medical centers
oReduced A/R by 27% while reducing bad debt by 44% in a recent eleven month engagement
oImproved collection of net revenue percentage from 92% to 98% over ten months
oIncreased revenue cycle efficiency by improving processes for pre-certification, medical necessity, and insurance verification
oReduced staffing levels through increased efficiencies and leveraging system capabilities
Utilized continuous quality improvement techniques to improve the client's financial position, streamline operations, improve efficiencies, and establish performance benchmarks for all departmental functions
oRe-engineered the Patient Accounting Department structure to improve account resolution efficiency
oEstablished productivity standards for all revenue cycle positions
oEstablished target benchmarks for productivity based on national statistical data
oRecommended appropriate staffing levels to align the departments with industry best practice
Prepared, implemented, and managed the annual budgets for multiple hospital departments
oPrepared cost-benefit analysis to justify new positions, capital equipment, and reorganization of existing positions
oGenerated variance reports to detail the causes of any deviation from budgeted expenses
oCollaborated with managers of subordinate departments in developing the budget for the next fiscal year
oUtilized staffing matrices to determine the appropriate levels to meet budgeted labor costs
Developed comprehensive policies and procedures manuals to document changes implemented in each department's daily work flow
oCreated and documented new departmental processes in order to improve overall effectiveness
oDocumented existing processes to establish a single manual containing all policies for use as a reference for current employees and a training tool for new hires
Collaborated with all levels of management and line staff to determine the current state of operations and develop action plans for improvements in the revenue cycle
oPerformed assessments of processes within the critical revenue cycle areas of Patient Accounting, Patient Access, Charge Capture, Care Management, and Health Information Management
oDeveloped process improvement recommendation based upon industry best practice
Developed monitoring and feedback loops to report on project status to the key stakeholders within the organization
oPerformed project management role for multiple projects concurrently
oDeveloped presentations and marketing materials to report project achievements to the executive leadership of each organization
oPerformed quality assurance functions for multi-million dollar projects
Collaborated in operation improvement activities on a hospital wide basis
oDetermined the effectiveness of each hospital department by benchmarking operations over a three-year period and applying these results to a third party benchmark
oDeveloped action plans to align departmental operations with industry expectations
oImplemented action plans and monitored success to determine if additional adjustments were required
Previous Career Development
1984 – 2000
Outpatient Surgical Center Management
Plastic Surgery Practice Management
Hospital Credit and Collection Management
EDUCATION
Master’s Degree in Public Health – University of Massachusetts
Bachelor of Science degree in Healthcare Administration – Bellevue University
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