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Reimbursement Manager Corporate Director

Location:
Franklin, TN, 37064
Salary:
80000
Posted:
August 13, 2021

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Resume:

ROBERT M. LONIS, CPA

Murfreesboro, Tennessee ****0

adn548@r.postjobfree.com 931-***-****

PROFESSIONAL

OBJECTIVE

Seeking a position with a progressive, high quality, healthcare provider which provides the opportunity to utilize my operating and financial skills and offers professional growth and development as well as geographic stability; Looking to be an integral member of an executive team that is collaborative, transparent, fully engaged, and demonstrates the relentless pursuit of excellence. Looking to leverage my 35+ years in senior healthcare management to augment the leadership team in achieving its strategic and operational goals.

PROFILE

Proven change agent, adaptable, views change as opportunity to progress

Enthusiastic leader and mentor with empowerment minded management philosophy

EXPERIENCE

10/15 – Present

10/2015-Present

LINCOLN COUNTY HEALTH SYSTEMS

Fayetteville, Tennessee

Chief Financial Officer – Lincoln Health System 59 Acute Beds

240 LTC Beds

Responsible for Financial accounting systems and reporting, overseeing Revenue Cycle management including Case management, preparation of Productivity reports for Manpower efficiency monitoring, Strategic planning and Operational and Capital budgeting, Supply chain management,financial analysis, Decision Support, direct oversight of Accounting functions: AP, AR,and Treasury Management, Information Systems, Food Services, Insurance Risk Management, Reimbursement/Managed care, Operational contracting administration, annual external audits. Provides technical support for Administrator of Affiliated Operations (LTC, HH, HHA, Rehab) for all financial analysis and operational assessments. Served 5 months as Acting System CEO March 2017-July 2017.

11/06 – 05/2015

12/2012-05/2015

10/07 – 12/2012

METROPOLITAN NASHVILLE HOSPITAL AUTHORITY

Nashville, Tennessee

Chief Financial Officer – Nashville General Hospital 150 beds

Responsible for Financial accounting systems and reporting, overseeing Revenue Cycle management including Case management, preparation of Productivity reports for Manpower efficiency monitoring, Strategic planning and budgeting, Supply chain management,financial analysis, direct oversight of Accounting functions: AP, AR,Treasury Management and Payroll, Reimbursement/Managed care, Operational contracting administration, annual external audits. Served 5 months as Acting CEO Feb 2014-July 2014.

Director of Finance

Responsible for overseeing all of the accounting functions, preparation of financial statements and reports, financial reporting to outside agencies, financial analysis, budgeting, direct oversight of AP, AR, Treasury management, and Payroll functions,point person for annual external audits.

11/06 – 9/07

Financial Consultant

Led implementation efforts for Cost Accounting System as well as Financial Reporting System.

6/94 – 10/06

MAURY REGIONAL HEALTHCARE SYSTEMS

Columbia, Tennessee

10/95 – 10/06

Corporate Director of Finance

Responsible for strategic planning, professional service arrangements, labor management and overall financial efficiency of three entities within the system. Direct oversight of Corporate Reimbursement to ensure reimbursement strategies are developed and implemented to maximize net revenues at these facilities. Provides technical support for Administrator’s at all facilities for financial analysis and operational assessments.

Prepares annual operating budgets and assists facilities in capital budget development. Performed all Due Diligence and legal wrap-ups for hospital acquisitions/leases. Served as Board member for two hospitals and Finance Committee Chairman of PPM joint venture corporation with two Nashville hospitals. Direct Administrative oversight of freestanding ambulatory care center JV with local surgeons.

6/94 - 10/95

CFO/Assistant Administrator – Maury Regional Hospital 275 Beds

Direct responsibility for accounting, patient accounting, third party reimbursement, medical records, information systems and acquisition analysis. Developed capital/operating budgets and expanded Decision Support Services to facility management.

7/83 - 6/94

COLUMBIA/HCA HEALTHCARE CORPORATION

(Formerly Humana, Inc.)

Chief Financial Officer 323 Beds

Medical Center Hospital, Huntsville, Alabama

Direct responsibility for accounting, patient account services, third party reimbursement, medical records, utilization management, and materials management, manage care contracting, direct contracting, staffing, and acquisition analysis.

Director of Administrative Services

Humana Mid-South Regional Office, Mobile, Alabama

Responsibilities included: review and approval of all professional relations agreements, outside service and maintenance agreements, and managed care contracts; regional and facility capital planning, budgeting and approval; review and approval of all physician managed practice arrangements and agreements; and, miscellaneous third party contractual relations.

Regional Reimbursement Manager

Humana Mid-South Regional Office, Mobile, Alabama

Responsible for the following areas: Florida Cost Containment Board strategies, compliance and review; implementation and monitoring of discount programs for twenty-four acute-care hospitals; review of HMO/PPO contractual arrangements, utilization review management; development of cost-based reimbursement strategies; capital expenditure review; and financial reporting and summarization of third party disallowance’s and discounts.

Chief Financial Officer 250 Beds

Beaumont Medical Surgical Hospital, Beaumont, Texas

Direct responsibility for patient account services, accounting, communications, data processing, medical records, reimbursement, PPS strategies, accounts receivable controls, and materials management.

Controller 315 Beds

Medical Center Hospital, Huntsville, Alabama

Managed patient accounting, accounting, data processing, communications, internal audits, and accounts receivable controls.

Financial Specialist

Medical Center Hospital, Huntsville, Alabama

Completed Humana’s financial management training program.

9/81 - 5/83

Graduate Assistantship

The University of Alabama, Tuscaloosa, Alabama

Duties entailed working as an operational consultant for small businesses with the Small Business Administration.

6/80 - 8/81

Staff Auditor

Coopers and Lybrand, Syracuse, New York

EDUCATION

The University of Alabama, Tuscaloosa, Alabama

Masters of Business Administration, May 1983

Major: Finance/Accounting GPA: 2.8 Scale: 3.0

LeMoyne College, Syracuse, New York

Bachelor of Science, Summa Cum Laude

Major: Accounting GPA: 3.9 Scale: 4.0

Clarkson College, Potsdam, New York

Major: Accounting GPA: 3.5 Scale: 4.0

PROFESSIONAL

LICENSES, AND

CERTIFICATION

Certified Public Accountant

New York State, License #47457, Issued July 1, 1983.

Member of AICPA, HFMA, and Tennessee Hospital Association.

Completed Series 22 and 63 SEC Broker’s Examinations. Formerly held Insurance Broker’s License #151266, issued by the New York State Insurance Department.

PROFESSIONAL REFERENCES:

Jason Boyd CEO

Tristar Horizon Medical Center

Dickson TN 37055

O: 615-***-****

Reginald Coopwood M.D. CEO

Regional One Health

Memphis, TN

O: 901-***-****

William R Walter Retired CEO

Maury Regional Health System

Columbia, TN

H: 931-***-****



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