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Patient Access Project Consultant

Location:
Alpharetta, GA
Posted:
April 14, 2023

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Resume:

RICHARD L. ALESCH

**** ******** *****

Milton, GA 30004

Cell: 770-***-****

adwjsd@r.postjobfree.com

EXECUTIVE SUMMARY

A senior financial executive with financial operations expertise, experienced in the improvement of profitability, productivity and service excellence. Seeking senior finance role with Healthcare companies.

·Implemented operational improvement plan, saving $3.7 million over six months

·Implemented Clinical Documentation Program, producing $3 million additional Medicare reimbursement

·Implemented point of service collections, going from zero collections to $350,000 in the first year

·Implemented decentralized supply charge capture for Nursing Units

·Reduced AR days in Physician practice from 94 to 70 days

·Reduced month end financial closing schedule from 10 business days to 5

·Implemented 340B pharmacy program

·Property, plant and equipment ledger clean-up / retirements ($105 M), decreasing average age of plant from 13.2 years to 8.1

·Implemented payroll T&A system for 3,000 employee system, saving more than $300,000 annually in lost time

·Performed payer mix rate maximization adjustments increasing net revenue more than $5M

·Decentralized revenue capture, increasing gross revenue recognition by more than $20M annually

·Managed University Hospital System budget totaling more than $750M

·Reduced A/R days from 72 to 56, increasing cash flow by more than $4M

·Implemented Kaufman Hall Budgeting System

·Implemented bi-weekly Department productivity monitoring system

·Decreased monthly financial reporting from 60 to 8 business days

·Increased cash on hand from less than one day to 22 days

·Developed 5 year pro-forma for S&P presentation to exit Chapter 9 via sale of (COP’s) Certificates of Participation

PROFESSIONAL EXPERIENCE:

R. L. Alesch Inc. Tatum LLC, MedCath, HealthTech, Huron Healthcare, Warbird CP, B.E. Smith, FTI Consulting, HealthTrust, Resource Global Partners April 2006 to Present

Interim CFO, Gila Regional Medical Center, Silver City, NM

Interim Controller, Lakes Regional Healthcare, Laconia, NH

·Interim CFO, Stanford Health Care - Valley Care, Pleasanton, CA

·Interim Associate CFO, HCA Los Robles Medical Center, Thousand Oaks, CA

·Interim Controller, HCA Largo Medical Center, Largo, FL

·Financial Consultant, Howard University Hospital, Washington, DC

·Interim CFO, Optim Healthcare, Savannah, GA

·Interim CFO, Albemarle Health, Elizabeth City, NC

·Project Consultant, Trinity Mother Frances Health System, Tyler, TX

·Project Consultant, First Southwest, Dallas, TX

·Interim Management and Special Projects, Brazosport Regional Health System, Lake Jackson, TX

·Project Consultant, Huron Healthcare - labor assessment at Partners Healthcare, Boston, MA

·Interim CFO, Hualapai Mountain Medical Center, MedCath, Inc., Kingman, AZ

·Interim CFO, Palm Drive Hospital, Sebastopol, CA

·Community Health Systems (CHS) hospital acquisition / due diligence, Nashville, TN

·Interim CFO, Louisiana Medical Center & Heart Hospital, MedCath, Inc., Lacombe, LA

·Interim VP Finance, St. Elizabeth’s Hospital, Belleville, IL.

·Physician contracting review project for Triad facilities following acquisition by CHS, Nashville, TN

·Interim CFO, Dayton Heart Hospital, MedCath, Inc., Dayton, OH

·Interim CFO, Harlingen Medical Center, MedCath, Inc., Harlingen, TX

·Interim Director of Finance & Special projects contractor with St. Joseph’s Hospital of Atlanta (two years)

Tatum, LLC, Atlanta, GA June 2005 to March 2006

·Provided interim CFO services, due diligence review and financial infrastructure analysis for the following clients:

·Children’s Healthcare of Atlanta - Atlanta, GA (budget development and service contract review for Hughes Spalding Children’s Hospital management contract with Children’s Healthcare of Atlanta)

·HealthwoRx - Hollywood, FL (financial infrastructure review including A/R analysis)

·Sona MedSpa - Nashville, TN (interim CFO, reduced A/R $2.5M, developed budget for restructuring)

·Fibromyalgia & Pain Centers - Dallas, TX (performed due diligence review for Private Equity Group)

·The Tooth Zone - Birmingham, AL (financial infrastructure review to support additional dental clinics)

R.L. Alesch, Inc.: February 1999 to June 2005

·Interim Director of Finance & special projects, Saint Joseph’s Hospital of Atlanta

·Performed “phase–out” of risk contracts including managing external audit, Promina Health System, Atlanta, GA

·Geriatric Management start-up; developed five year pro-forma and participated in investor presentations, Wisdom River Partners, LLC, Atlanta, GA

·Developed strategic planning initiatives for five-year pro-forma to support business plan and participated in investment presentations to venture capital firms, HeartCall Plus, Inc., Atlanta, GA

·Developed five year pro-forma for electronic medical record supporting business plan for venture capital presentations, Sentient Systems, Jacksonville, FL

HBOC, Atlanta, GA 1998 to 1999

·A healthcare software organization servicing the entire healthcare industry with a comprehensive set of information system solutions. Due to merging of two Corporate Divisions and resulting overlapping sales forces, several senior sales executives were impacted by downsizing.

·Senior Sales Executive

·Identified Managed Care software sales opportunities through HBOC Account Executives, cold calling and various other marketing methods.

·Identified $1M in Managed Care software sales scheduled to close in the first quarter of 1999 within a four-month period.

National Healthcare Network, Atlanta, GA 1993 to 1998

·A management services organization (MSO) representing a National Network of Cardiovascular Providers acting as their business agent for marketing/sales, claims administration, quality and clinical outcomes management, physician recruitment and credentialing.

Vice President, Finance

·Created the finance department and developed the infrastructure for the financial and claims/contract management systems

·Developed two separate three year pro-forma’s for the restructuring and creation of an MSO for investor submission;

·yielding a $7M investment from Johnson & Johnson and New York Venture Capital Firm.

·Generated 25% to 45% cost savings to payers; developed packaged pricing methodology for invasive cardiovascular

·procedures.

Emory University Hospital, Atlanta, GA 1990 to 1993

Controller

·A 605 bed tertiary hospital providing teaching and research services for the Southeast US. Ranked as one of the top ten hospitals for cardiology specialty services.

·Controller

·Supervised the Financial Services Department, including accounting, financial planning, patient account services, budgeting and reimbursement. This included six direct reports representing more than 80 FTE’s.

·Managed Hospital operating budget totaling more than $750M

·Produced an annual payroll saving of more than $300,000; Project Manager for conversion of manual payroll system to

·automated “Time and Attendance” system.

·Increased annual revenues previously not recorded by 10% ($20M); hospital charge recovery improved by a

·decentralized charging process and the transfer of responsibility and accountability over to each revenue-producing

·department.

·Improved productivity and increased cash flows by more than $4.5M by implementing electronic billing.

·Provided more than $5M to net revenue and limited overall rate adjustment to 5%; implemented Rate Optimization

·Model for 92-93 budget.

·Gained an additional reimbursement of $1M above base year costs with successful TEFRA appeal for the Rehab and Psychiatric Hospitals.

·Implemented McKesson Patient Financial billing system

Hamilton Medical Center, Dalton, GA 1983 to 1990

·A 265 bed acute care community hospital serving a five county area in Northwest Georgia.

Vice President Finance/CFO

·Directed all financial services, including accounting, budgeting, reimbursement, patient financial services and patient access. Included four direct reports representing 35 FTE’s

·Added more than $5M to Net Revenue while holding rate adjustments below 10% during the year by utilizing rate

·sensitivity analysis

·Reduced A/R days from 72 to 56, increasing cash flow by more than $4M

·Developed financial pro-forma and feasibility study that resulted in a $16M hospital services expansion.

Controller

·Supervised reimbursement and accounting department, prepared hospital fiscal budgets and financial reporting functions for Whitfield Healthcare Foundation.

PREVIOUS PROFESSIONAL EXPERIENCE – CONTROLLER

· Medical Center Hospital, Odessa, TX (HAI Management Contract)

·Memorial General Hospital, Las Cruces, NM (HAI Management Contract)

·Merle West Medical Center, Klamath Falls, OR

·Northwest Community Hospital, Des Moines, IA (HAI Management Contract)

·Tri-State Commodity & Livestock Exchange, Sioux Center, IA

EDUCATION

Graduate Courses - 1982

University of Texas, Odessa, TX

Healthcare Financial Management Course Study - 1977

University of Indiana, Bloomington, IN

Bachelor of Science, Business Management - 1972

University of South Dakota, Vermillion, SD

AFFILIATIONS

Healthcare Financial Management Association (HFMA)

Habitat for Humanity

Served in United States Armed Forces



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