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Operations Director

Location:
Rolla, MO
Posted:
December 13, 2020

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Resume:

Bryon Taylor II

239-***-****, adim7n@r.postjobfree.com

Professional Summary

Veteran consultant and liaison, with over 10 years of experience in negotiating and communicating complex concepts in a clear concise manner across multiple platforms. Progressive leadership experience with significant exposure to matrix operating structures coupled with repeated success guiding sizeable, cross-functional teams. Proven leader of strategic initiatives to achieve organizational goals and objectives, responding quickly and appropriately to the client’s needs while maintaining clear alignment with the corporate mission and objective. Experience with developing, monitoring, and reporting portfolio & performance benchmarking analyses to sub-LOB management. Consistently called upon to motivate and manage the performance of direct reports by setting and delivering on performance targets, objectives, KPIs and training plans. Proven success leading company-wide operational functions, facilitating large-scale projects from inception to successful completion, while maintaining abreast of emerging trends, business models and leveraging new technology. Recognized as a cultural and diversity leader throughout the organization

Highlights of Expertise

Strategic Business Planning

Cost Reduction and Avoidance

Cash Flow Optimization

A/R Analysis

Process Redesign

Conflict Resolution

Contract Development / Negotiations

Budget Administration / Management

Payroll Management

Medicare/Medicaid Services/HCAPH

Reorganization Management

Leadership Communication/Training

Account Management

Outcome Liaison

Professional Experience

Phelps Health, Rolla, MO. 2019 – Present

Coordinates the overall functions of the Medical Group Business Office to ensure maximization of cash flow while improving patient, physician and other customer relations.

DIRECTOR REVENUE CYCLE

Build relationship with physician and physician office team. Plans, directs and supervises revenue cycle systems and operations. Provides analysis and oversight of revenue cycle process with appropriate benchmarks and quality indicators, ensures compliance oversight of all billing/coding and state and federal guidelines. Provides leadership and development of revenue cycle staff, analysis of staffing and general expenses to meet budget for the department. Develops and implements policies and procedures to ensure that the clinical revenue cycle is effective and properly utilized. Ensures that performance appraisals are completed within designated time frames. Coaches staff to improve professional development. Counsels staff as appropriate in a timely manner and submits proper documentation.

6. Interacts with vendors and various departments that impact the revenue cycle management results.

Relationship Development: Identify key stakeholders, collaborate with physician’s and their staff to integration and implement of new systems, process and procedures. Leverage benchmarking tools to provide usable data for identifying opportunities. Oversight includes the mentoring of service line directors. Identify new initiatives that connect to mission and vision of organization. Drive key strategic issues and develop productive partnerships.

Performance Improvement: Incorporate Six Sigma methodology and LEAN strategy to create and enhance performance metrics. Develops and oversees strategic and business plans to coordinate forecast, budget and revenue opportunities. Manage service delivery project plans, support and lead implementation of new software for metrics and utilization. Report ongoing monthly progress to all levels of leadership. Engage department leadership, promoting transparency and to identify and craft targeted initiatives. Develop reporting standard cadence and recommendations.

Operation Strategist: Lead operational Single Billing Office Epic implementation. Design unification plan. Develop budget plan and strategy, analyzing gaps and set planning initiative. Validate training, facilitate staff development and coordinate the operations function. Responsible for team development, implementation planning and execution, while holding to budget. Collaborate with physician to enhance revenue cycle and coding efficiency. Collect, analyze and apply data to develop short and long-term goals needs.

System Integration: Lead system integration and implementation of new EMR technology and transformation. Develop processes, procedures and training manual, as well as, streamline initiatives. Recommend and establish interface relationships and collaborate with EMR team to perform Gap Analysis and execute implementation.

Legacy Partners 2, Fort Myers, FL. 2018 – 2019

Consulting Firm specializing in LEAN Operations, Business Relations, Growth and Development, Steering Committee, Human Capital Management, Marketing, Board Development and engagement.

PRINCIPAL / VP OPERATIONS

Specialize in LEAN operations leadership position working with all levels of organization to facilitate efficiency and effectiveness. Stay informed of trends and new technology. Facilitate optimization of operations, drive key strategic issues, revenue enhancement and budgeting; by fostering communication, stakeholder involvement, system implementation and adaptive protocols. Manage business relations, marketing plans and media engagement furthering the mission and outreach of the organization.

Board Development: Identify key stakeholders, coordinating the integration and implementation of new systems and process. Promote and leveraging existing CRM tools to provide accurate usable information for tracking, reporting, acquisitions and identifying growth opportunities. Oversees the Business Development Council for the facility. Oversight includes the mentoring of service line directors. Identify new initiatives that connect to mission and vision of organization. Drive key strategic issues, develop new partnerships and manage decision making matrix.

Performance Improvement: Promote best practice through LEAN strategy and connected services. Utilize performance metrics to coordinate forecast, budget and revenue opportunities. Develops and oversees strategic and business plans to develop an Integrated Delivery System. Create and manage market leading campaign reporting working with key stakeholders. Manage service development project plans; Support implementation of new offers during pilot phase. Pursues growth opportunities and reports monthly on progress to local and corporate leadership. Engage department leadership, prospective partnerships to identify and craft targeted initiatives. Developed reporting standard cadence and recommend change activity.

Operation Strategist: Serve as champion working with leadership to analyze gaps, identify strategy and set planning initiative. Provide solutions to identify and craft strategic plans to close the gap, validate training, facilitate staff development and secure growth opportunity. Coordinate the operations function and provide direction and structure for delivery of key projects. Responsible for team development, implementation planning and execution, while holding to budget. Grow volume through physician and service line development. Identify competition, maintain and advance market position. Ability to collect, analyze and apply data to develop short and long-term goals needs.

Brand Development: Implement connected partnership and strategy to position organization through leveraging opportunity and multi-channel media relations. Website review and optimization, analyzes and maintains multiple sources of data to assist in market assessment, monitoring referrals and identifying growth opportunities for inpatient and ambulatory service lines. Reports monthly on competitor updates and market conditions. Actively collaborate achieving desired outcome and promote win-win scenario for client development 2B2 growth strategy and strong partnerships. EPIC Implementation Liaison for Medical Office Group Billing office.

System Integration: Led system integration of new technology and streamline initiatives. Leveraging new technology to deliver value operations efficiency and cost savings. Establish network interface and analysis team that performed Gap Analysis and implementation. EPIC ARCR Certified in Revenue Integrity and Resolute billing. Super-user for multiple systems including:

EPIC

Matrix

Lawson

ADP

DELTA

Designed Super-User education

Created training materials

Generated implementation guide

Lee Health System, Fort Myers, FL. 2012 - 2018

Provide executive-level leadership with accountability for all business operations servicing five counties, 7 direct reports, 250+ indirect staff. Including 12 month operational experience with behavioral health community partner Acadia Health.

DIRECTOR OF OPERATIONS 2017 -2018

Park Royal Hospital (Acadia Health), Fort Myers, FL.

Facilitated business office turnaround and revenue recovery through development of system and protocols. Led and directed a team of 10 overseeing all areas of revenue cycle. Analyze statistical and historical data to manage and provide strategic support for operational planning. Coordinate and manage business relations internal and external with utilization review, intake operations and cycle management. Leadership position reporting to the CFO. Leveraged interpersonal skills and advanced knowledge of regulatory, reimbursement, financial analysis and business planning skills.

Revenue Cycle Management: Responsible for coordinating the production of analysis and reports around regional activity and achievements to regional and executive leadership team, partnering closely with Finance on fiscal reporting. Revenue recovery, managing claim follow up and rebilling. Utilization review and correction of posting and adjustment errors. AR management with weekly KPI reporting. Identifying denial management weakness and eligibility verification and authorization process. Negotiated effectively in a manner to achieve the desired outcome and promote strong partnership. Staff training and resolving RTP (Return to Provider) claims and process NOE (Notice of Elections) in CMS system.

Continuous Improvement: Developed and maintained relationships with market leaders. Engaged department leadership to identify and craft targeted initiatives. Set and Coordinated end user feedback to partners, execute strategic plan and provide for design integration. Reported out standard cadence and recommend change activity. Monitor and control accounts receivables. Developed the monthly operational metric scorecards in order to monitor the overall health of the business. Provided guidance & recommendations to peers. Developed advanced and predictive (leading and lagging indicators) measures by sourcing, acquisition and integration of business data to drive business success. Closely oversaw Business Office relations, contract negotiation to ensure organizational goals are met. Utilized performance metrics to coordinate forecast, budget, and business growth and revenue opportunities. Developed and trained on billing and Revenue cycle process and guides of operations.

Staff Development: Partnered with HR to qualify need; recruit, hire, train and develop staff. Coordinated the integration and implementation of new system startups for Lawson, ADP, Florida Blue, worker’s compensation and (JB Dev) badging systems. Leveraged CRM tool for tracking, reporting and opportunity. Managed and Monitor the overall program effectiveness by leveraging lessons learned to drive process improvement of the overall process of reporting. Built, developed and managed teams capable of carrying out service initiatives and growth development. Trained staff in revenue cycle, claims management and rebilling process. Excellent communication and presentation skills both verbal and written; with a track record of strong metrics-driven performance improvement. Consistently used data to create accountability structures and drive success.

Strategist: Provided financial leadership and day to day financial management. Set meaningful KPI for monitoring status success and drive growth. Collaborated with Corporate development, form valuations and equity formulation. Facilitated evaluations, negotiations, project implementations and structuring transactions. Worked with department leadership to assist with performance management tools, analyze gaps in succession planning model, identified and crafted strategic plans to close the gap, validate training, facilitate staff development, succession planning and secure growth opportunity.

DIRECTOR OF OPERATIONS 2012 -2017

Leadership position reporting to Vice President, responsible for developing relationship ensuring business development and growth of Post-Acute business entity. Facilitated business office turnaround and revenue recovery through development of system and protocols. Led and directed a team of 10 overseeing all areas of revenue cycle. Analyze statistical and historical data to manage and provide strategic support for operational planning. Coordinate and manage business relations internal and external with utilization review, intake operations and cycle management. Leadership position reporting to the CFO. Leveraged interpersonal skills and advanced knowledge of regulatory, reimbursement, financial analysis and business planning skills.

Revenue Cycle: Led revenue cycle and collections process improvement, clearly identified KPI through billed and unbilled claims. Internal controls assessing, monitoring and preventing issues with posting, cash receipts, compliance procedures. Provided recommendations regarding staffing levels, job descriptions, current duties, documentation flow and tracking mechanisms. Harmonized billing and collection process reviews performed in conjunction with an operational review (intake, case management, eligibility, authorization, quality & education, performance improvement, clinical supervision, OASIS processing, orders processing, medical records and documentation auditing). Monitored month end revenue cycle account management: Unbilled Claims, Episodic Revenue and Deferred Revenue Calculations, Reconciliation Receivables System, Review of Key Statistics to Validate Transactions, Collection Status of Overdue Claims. Revenue recovery, managing claim follow up and rebilling. Utilization review and correction of posting and adjustment errors. AR management with weekly KPI reporting. Identifying denial management weakness and eligibility verification and authorization process. Negotiated effectively in a manner to achieve the desired outcome and promote strong partnership. Staff training and resolving RTP (Return to Provider) claims and process NOE (Notice of Elections) in CMS system.

Strategic Partner: Provided financial leadership and day to day operations. Partnered/consulted with executive team and matrix leaders to foster and craft the 5-year strategic/operational plan. Developed and lead a strong operational management team, fulfilled organizational goals of providing efficient and quality billing, financial services; ensured and facilitated the organizational areas of financial operations, information systems/communications, and fleet operations. Locating qualified sales representatives, agents, distributors and partners. Provided forward thinking initiative that developed process map and logically adaptive progress flow for fleet management that was implemented throughout the organization.

Leadership: Provided direct executive-level management of large departments experience, managing 5 divisions with multiple departments, including functional strategic and financial planning. Maintaining on time delivery standards and exceeding customer survey expectations. Coach leaders to higher levels of accountability and execution.

System Implementation: Directed EPIC design, integration and implementation team for five (5) Post-Acute units (Home Health, Infusion, SNF, Rehabilitation and DME) from inception to completion, including delivery on customer survey expectations. Developed policy and procedures that incorporated LEAN methodology PDCA that ensured successful go-live, reduced hospital operating cost and increased revenue.

Client Optimization: Proactively identified and engaged client base, engaged leadership and built multi-dimensional approach to identify pain points, align people to strategy and implement resolution. Managed billing system for Medicare part B, private and commercial insurers. Negotiated contracts and created milestones and vision that translated into long-term success and 15% YOY growth.

Business Development: Cultivated and grow new business base, created/developed comprehensive marketing campaign with multi-year commitments. Located, selecting and developing new opportunities and business relationships. Oversaw Business Development opportunities (based on size, demographic, product and perceived need). Managed profitable turn-around of existing products; instrumental in growth of several freestanding entities. Conducted multiyear budget analysis/research/forecast to determine best use of limited financial resources and to ensure consistent cash flow.

Human Capital Management: Initiated successful training programs both formal and informal to foster peer to peer learning. Enhance internal relations and efficiency; turn programs into seminars and present at multiple locations; Collaborating with all levels of the organization; managing through influence. Initiating continuous improvement projects that directly impacted ROI (LEAN Methodology).

Financial Acumen: Consistently delivered excellent communication and presentation skills both verbal and written; with a track record of strong metrics-driven performance improvement. Used data to create accountability structures and drive success. Monitored and controlled accounts receivables. Closely oversaw Business Office functions to ensure cash collection goals were met, and net revenue is properly stated Facilitated $1.9 million recovery in qualified CMS reimbursement and introduced strategies that simultaneously secured cost recovery of $850,000. Analyzed statistical and historical data to develop tactical and strategic operational plans. Coordinated and managed business operations for five departments; top revenue producing department maintained and operating budget of $250 million.

Consultant Services, Fort Myers, FL. 2009-2012

Performed analysis of existing marketing and advertising plan to identify cost improvement opportunities, formulate marketing strategies, and implement matrix.

BUSINESS MANAGER

Maximized earning potential through market research, analysis, and strategic planning.

Market Insight: SMART Marketing, performed analysis of existing marketing and advertising plan to identify cost improvement opportunities, formulated marketing strategies, increased revenue and profits, created marketing goals and strategies, reviewed pricing matrix and competitor comparison. Developed marketing material and roadmap of implementation timeline and strategy, as well as, continuous improvement recommendations.

Segmentation & Strategy: Analyzed trends and performance, pipeline management, evaluated strategic goals & growth priorities (revenue, margin and other parameters). Enabled, coordinated and synchronized go to market actions. Developed compelling and articulate presentations to review sales strategy to stakeholders.

B2B Pricing Strategy: Developed pricing standards/levels tied to segment strategies & value delivered to business. Worked with others to develop communication and processes to roll-out execution.

Influence and Collaboration: Built and sustained collaborative relationships at multiple levels within organizations to maximize success before during and after implementation. Built trust by utilizing fundamental of LEAN training and methodology (including other cross-functional teams) focused on the success of the entire company.

Education

Hodges University

Master Degree, Business Administration / Management – Strategy/Business Development – Cum Laude

2009

Hodges University,

Master Degree, Public Administration / Healthcare – Policy/Business Development – Honors

2010

University of Phoenix

Bachelor of Science, Business/Supply Chain/Marketing - Honors-Dean’s List

2002

Held Securities Licenses: Series 6, 26, 63 - 2005

Systems: EPIC, Cerner, Salesforce, Matrix, Ability EASE, Encore, Delta, Workforce, SSI, KRONOS, Oracle, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Lawson, Google Ads, Nextraq.



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