MELANIE RAFFA MAHURTER, MBA

*** ****** *****, ******** *******, NJ 08097 · 856-***-**** · aduyb3@r.postjobfree.com Directed all aspects of a revenue cycle and billing office functions to maximize cash flow and optimize internal and external client relations on behalf of our Professional Billing division with annual revenue of $22 million. EXPERIENCE

JUNE 2022 – DECEMBER 2022

VICE PRESIDENT FINANCE, SUBURBAN GERIATRICS

• Oversaw the transition of revenue cycle and electronic medical records systems.

• Best practices for revenue cycle management introduced to identify provider enrollment issues, communicating those issues to the responsible staff. Mitigate and manage denials by verifying patient eligibility, authorizations, and referrals. Establish patient collections policies to increase revenue.

• Conduct financial analysis of each facility to determine staffing for increased profitability.

• Educated providers on CPT and diagnosis coding to maximize billing while supporting the coding through documentation.

AUGUST 2012 – JUNE 2022

VICE PRESIDENT PROFESSIONAL BILLING SERVICES, GETIXHEALTH

• Drove multimillion-dollar physician revenue cycle management from charge capture, billing, denial management, revenue recovery and payment posting.

• Implemented key billing procedures such as eligibility and claim status leading to 15 percent increase in cash collections.

• Established KPIs to increase productivity. Measured clean claim rate, days in AR, cost to collect, resolve rate and net collection percentage.

• Best practices for revenue cycle management introduced to identify provider enrollment issues, communicating those issues to the clients. Mitigate and manage denials by verifying patient eligibility, authorizations, and referrals. Establish patient collections policies to increase revenue.

• Ensure the effectiveness, compliance, and quality of processes and operations. Identified ways to improve cash collections. Documented and reported on AR, denial, cash payments and write- offs.

• Conduct financial analysis of client contracts to determine structure and staffing for increased profitability.

• Oversee, cross-trained, and mentor 33 direct and 25 indirect reports.

• Responsible for annual budget preparation and monthly budget versus actual analysis. JANUARY 2010 – JULY 2012

CONTROLLER, GREEN CITIES ENERGY, LLC

• Implemented best practices policies to for project management to insure successful installations of solar electric systems.

• Work closely with subcontractors to insure successful project installation.

• Developed business plan to successfully manage sales and financial growth.

• Management of financial statements and business operations using QuickBooks. 2

EDUCATION

MAY 1989

BACHELOR SCIENCE BUSINESS ADMINISTRATION, SUSQUEHANNA UNIVERSITY MARCH 2010

MASTERS BUSINESS ADMINISTRATION, UNIVERSITY OF PHOENIX SKILLS

• Revenue Cycle Management

• Key Account Management

• Budget and Financial Management

• Accounts Receivable/Accounts Payable

• Denial Management

• Compliance

• Customer Experience

• Collection Management

• Practice Management

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