Patient Access Office Manager

KERRY F. LUCIANI

OBJECTIVE

To productively operate in a challenging environment where my management, financial, information systems and interpersonal skills are to be fully utilized.

EDUCATION

Masters Business Administration, Finance - Golden Gate University San Francisco, California Bachelor of Science, Industrial Engineering- California Polytechnic State University, San Luis Obispo, California WORK EXPERIENCE

Electrical Sales, The Home Depot, Apr 2020 – Present Successor Trustee - The Frank D. Luciani & Josephine M. Luciani Living Trust Jun 2019 – Dec 2020 Director Business Intelligence, Healthcare Resource Group, Oct 2013 – March, 2019 Key responsibilities include:

- High level analytics. Included but not limited to Client Cash projections, Reimbursement (Provider Contract Mgmt.), Accounts Receivable, Denial Management, Revenue Cycle workflow (A-Z), plus others as necessary,

- Research. Subject matter expert in Value Based Payment (VBP), Medicare MACRA, Telehealth, statistical forecasting plus other areas of critical expertise,

- Programming/Report Writing - Implement Microsoft Business Intelligence “SSRS” report development best practice. Revenue Cycle Manager, Community Health Association of Spokane (A Medicaid Provider), Jan 2012 – Sep 2013 Key responsibilities include:

-Supervised the Business Office and Patient Access,

-Analysis and recommendations to Management on initiatives to increase revenue among CHAS’ lines of business. Integrally included in implementation of the Patient Protection and Affordable Care Act (PPACA), Revenue Cycle Mgmt. Director - Providence Health & Services/ CFO Spokane Cardiology, PS, Jul 2008 – Dec 2011 Responsible for staff segmented into the Pre-Arrival, Coding & Charge Entry areas. Key responsibilities include:

- Patient Access – Referral capture, insurance verification, point of service collection, charge capture/entry, financial counseling,

- Receivable Management- Edit resolution; front end claim management, denial management, patient communication, A/R strategy (front end related) & bad debt strategy.

CFO/Business Office Manager

Key responsibilities included the following:

- Practice Pre-Billing, Pre-Authorization, Billing, Follow Up, Self Pay and Collections (FDCPA),

- Chief Provider Contract Negotiator with third-party payer negotiations (National payers and Blues) and Contract follow up,

- Involvement with multiple other Revenue Cycle enhancements (from Reception to Collections),

- In conjunction with CEO/Physicians, preparation of annual budget within established timelines,

- Oversee timely filing of federal, state and third party reports as required. Health Care Econ Mgr., Premera Blue Cross of WA/AK, 2001 – Jun 2008 COMPUTER EXPERIENCE Major Software Microsoft SMS, SSRS, Microsoft Office Suite, + many others REFERENCES Gladly furnished upon request.