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Emergency Medicine Revenue Cycle

Location:
Jacksonville, FL
Posted:
June 05, 2023

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Resume:

William H. Simpson, MBA

adxizz@r.postjobfree.com •

www.linkedin.com/in/william-howard-simpson•

Jacksonville, FL • 904-***-****

VP of Client Management/ Revenue Client Management Profile

An astute, resilient, and client-oriented professional, with extensive experience delivering exemplary revenue cycle management, continuous improvement, and maximum client satisfaction. Expertise includes growth strategy, project management, emergency medicine billing, contract negotiations, health reimbursement models, process optimization, client satisfaction, and regulatory compliance. Leverage strong communication, active listening, and interpersonal skills, to accurately ascertain client pain points then provide solutions that meet objectives and win repeat business. Optimize operational efficiency and collaborate cross-functionally to develop new products and services that realize full sales potential of customers and boost revenue. Harness training and mentoring, with commitment to fostering diverse, inclusive, and positive working environments, to retain talent and build high performance, accountable teams, that drive profitable organizational growth.

Areas of Expertise

•Transformational Leadership

•Revenue Cycle Management

•Emergency Medicine Billing

•Clinical Data Mining

•Contract Management

•Client Needs Audits

•Healthcare Reimbursement Models

•Growth Strategy

•Contract Negotiation

•Stakeholder & Client Relationships

•Customer Satisfaction

•Operational Efficiency

•Cross-Functional Collaboration

•Critical Thinking

•Problem Solving

•Regulatory Compliance

•Data Analysis

•Training & Mentoring

•Data Engineering

•SQL, VB.net & Microsoft Office 365

& Proprietary RCM Software

Key Accomplishments

●Promoted 5 times during 27-year tenure at organization that underwent 7 mergers and acquisitions.

●Led development of GoSolutions software suite that featured automated chart reconciliation, workflow queues, coding exception queues, client tracking boards and account management tools.

●Pioneered solution that automated client MIPS reporting through programmatic identification of key chart facets and facilitated calculation and delivery of MIPS measures and remits to CEDR (ACEP/ American College of Emergency Medicine) Clinical Registry.

Career Experience

VP of Client Management - ED & EMS Services (Ambulance Billing), United Healthcare/Optum 2023 – Present

VP of Client Management - ED & EMS Services (Ambulance Billing), Change Healthcare 2017 – 2023

VP of Client Management, McKesson 2007 – 2017

Oversee all client relationships, optimizing customer satisfaction and boosting retention. Lead Emergency Medicine and EMS Client Management team. Hire, train, and mentor all Account Managers, promoting career development and succession planning. Coordinate sales to deliver referenceable clients. Act as Resident Expert at Trade Shows and build tailored tools and solutions for functions, customers, and entire organization. Identify opportunities to improve operational efficiency and service provision plus support colleagues’ attainment of SLAs and goals by building custom solutions that overcome problems. Advise client on process optimization to expedite payment. Foster robust relationships with C-suite clients by acting with transparency and integrity. Collaborate with IT to set up databases and interfaces. Review reports to improve revenue for existing and newly onboarded clients. Partner with colleagues to improve client journeys and experiences. Recognized as Subject Matter Expert, determine internal and external clients and prioritize tasks to realize maximum value for customers. Leverage knowledge of client annual objectives plus conduct quarterly strategy and quality reviews with key decision makers, to align processes with client plans and ensure customer satisfaction. Efficiently resolve client issues, track project progress, and update clients. Promote communication enterprise wide to promote cross-functional collaboration and team cohesion.

●Realized highest team NPS scores and retention within Change Healthcare divisions.

●Host internal Operational and Client Management meeting every 2 weeks to address and resolve client issues.

●Automated client MIPS reporting through programmatic identification of key chart facets plus enabled calculation and delivery of MIPS measures to CEDR (ACEP/ American College of Emergency Medicine) Clinical Registry.

●Scrape 30 million images per month from hospitals and payors to automate downloading of Payor EOB’s and retrieval of missing patient information within hospital HIM platforms.

●Oversaw development of GoSolutions software suite that delivered automated chart reconciliation, workflow queues, coding exception queues, client tracking boards and account management tools.

Older Roles:

VP of Client Management, Per-Se Technologies 1999 – 2007

Client Manager, Medaphis 1998 – 1999

Managed Care Contract Negotiator, Gottlieb Financial Services 1996 – 1997

Education

Master of Business Administration (MBA), Nova Southeastern University, Fort Lauderdale, FL 1998

Bachelor of Science in Biology (BSc.), University of Central Florida, Orlando, FL 1995

Associate’s Degree in Art (AA), St. Petersburg Junior College, St. Petersburg, FL 1993



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