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Director of Revenue Cycle

Location:
Youngstown, OH
Salary:
$100,000.00
Posted:
January 31, 2023

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Resume:

Cindy Fasline, CPC

*** **** *****, ********, **** 44405

330-***-****

Email: adu1zu@r.postjobfree.com

Summary: Proven, high-energy Revenue Cycle Director. I am a highly competent healthcare leader experienced in all aspects of revenue cycle management. I have a 30+ year track record of proven success and advancement. I am highly motivated and results driven with high level analytical skills. Strategic problem-solver who envisions smart solutions and executes with determination across all levels of the organization. Leader with extensive expertise in implementing systems and process flows for billing, coding, A/R follow-up, denials management, cash application, charge entry and customer service. Ability to develop and implement revenue enhancement initiatives in both hospital and physician settings.

Skill Highlights:

Vast knowledge of payor regulatory requirement and rules

EMR software functionality

Various practice management software programs

CPT, HCPCS and ICD-10 coding

HIPPA compliance

Excellent managerial techniques

Complex problem solving

Strong communication skills

Excellent customer service skills

Human Resources

Multi-specialty experience

KPI, budget and new client proforma experience

Experience

July 12, 2004 – January 23, 2023

Director of Operations and Reimbursement, Odyssey Health Systems, LLC

Responsible for day-to-day billing operations for large, outsourced billing and consulting firm. Experienced in multi-specialty professional and facility fee billing across multiple states. Provide direction and leadership to 120+ staff members across two states in addition to global resources. Proactively monitor KPI metrics for optimal performance and best practices.

Accomplishments

Designed and implemented written policy and procedures across all departments

Developed KPI metric data across RCM platform utilizing MGMA and HFMA benchmarks

Key member of senior implantation team to convert Orthopedic hospital to Cerner

Lead team throughout new client implementations

Successful onboarding of new clients

Develop new client proforma with staffing allocations to determine service fees

Successfully developed client relationships with focus on customer service

Conducted many onsite practice reviews with recommended process flow improvements

Completed various consulting engagements throughout the years focused on identifying practice opportunities

Compliance Director

Physician coding, documentation education and auditing

Development of the appeals process

Member of various client revenue cycle committees

Implemented new denials management processes

September 1998 – May 2003

Operations and Reimbursement Coordinator, Sharon Regional Physician Services

May 2003 – July 2004

Client Service Executive, NextMed Systems, Inc.

Responsible for patient access staff across 11 hospital owned physician practices. Served as liaison between the billing office and practice locations. Educated staff relevant to front end errors impacting the revenue cycle. Provided direction and leadership to 100+ employees. Was ultimately promoted to management of the billing operation. Once hospital changed their model and transitioned their physicians to private practice, I was hired by the organization assuming all billing contracts as Client Service Executive. In this role I maintained the Pennsylvania operations with added responsibility of NextMed’s Ohio customer base.

Accomplishments

Member of the hospital compliance committee

Designed enhanced proficiency and process flows throughout the department

Conducted coding audits and physician education

Monitored and maintained KPI benchmarks

Successfully developed client relationships with focus on customer service

Responsible for payor contracting and negotiations

Development and implementation anesthesia billing division

Oversight of Corporate Compliance Program

1985 – 1998

Practice Manager, Austintown Family Practice

Managed day to day operations for family group practice. Responsible for all CLIA and OSHA compliance. Management of 11 staff members. Oversight of all billing operations.

Accomplishments

Positioned Austintown Family Practice for acquisition by Health Secure, Inc. in 1998

Successfully operationalized laboratory in preparation for CLIA and OSHA audits

Responsible for payor contracting and negotiations

Education

1984 graduate of Youngstown State University. Associates degree in Allied Health

1981 graduate of Campbell Memorial High School

Certifications

July 2000 – Obtained and maintain Certified Professional Coder (CPC) designation through American Academy of Professional Coders (AAPC)

References available upon request



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