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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