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Revenue Cycle Business Office

Location:
Los Angeles, CA
Salary:
25 HOURLY
Posted:
September 28, 2023

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Resume:

Gary Steven Curtis

Email address: adz049@r.postjobfree.com

Phone number Home 323-***-**** Cell 323-***-****

Summary:

Extensive knowledge of Patient Financial Services, Admissions/Access, and Revenue Cycle management encompassing over twenty years of hospital, Revenue Cycle and System Analysis experience.

Oversight, responsibility and accountability in managing the overall revenue cycle and Access/Admission and PFS operations for the Shriners healthcare organization Los Angeles, PFS, access, clinic scheduling, registration and pre-registration departments.

Government, Managed Care, Commercial insurances, and Workers Compensation, billing and collection consultation.

Adapt at Government, Managed Care, Commercial insurances, and Workers Compensation, billing and collection consultation.

Managed Customer Service Representatives in billing and collection of patient accounts

Resolved billing and collection issues related to commercial carriers

Work collaboratively with other departments to ensure that collection efforts are maximized in compliance with HIPAA regulations

Managed and provide training to union staff employees inclusive of written policy & procedures

Education:

Bachelor of Healthcare Administration Degree, Healthcare Management, American InterContinental University, Schaumburg, Illinois (Graduated Cum Laude)

Software Experience:

Siemens: SMS, MED SERIES 4, HBO, EPIC, PROFIT, PM, INFO-VIEW CRYSTAL REPORTING, WORD, EXCEL, POWER POINT, OUTLOOK.

Memberships:

HFMA Membership Chairperson – Jun 05 to Jun 07

Awards:

HFMA Outstanding New Member Award - 2002-2003

HFMA Best Article Award - 2002-2003

HFMA Chapter Recognition Award - 2005-2006

Certifications

Denial Management Summit: Issued by World Research Group-June’04

Fraud Awareness – Corporate Compliance: Issued by Health Care Compliance Strategies, Inc.-2003

HIPAA Compliance: Issued by Health Care Compliance Strategies, Inc.-2003

HIPAA Compliance: Issued by Health Care Compliance Strategies, Inc.-2002

Interpersonal Problem Solving program: Issued by Interact Performance Systems, Inc.-1988

Employment History

Freelance Healthcare Consultation: Los Angeles, CA January,2018 to, Present

Consultant: Business office, Admissions/Access, and Revenue Cycle Consultation

Government, Managed Care, Commercial insurances, and Workers Compensation, billing and collection consultation.

Admission/Access issues and solutions consultation.

Revenue Cycle consultation.

Shriners Hospital for Children: Los Angeles, October 7, 2015 to January 19, 2018

Revenue Cycle/Access/Admission and Patient Financial Services(PFS) Manager

Oversight, responsibility and accountability in managing the overall revenue cycle and Access/Admission and PFS operations for the Shriners healthcare organization Los Angeles, PFS, access, clinic scheduling, registration and pre-registration departments

Managed collection procedures of Hospital Revenue Cycle Department Inpatient and Outpatient

Implement and monitor compliance of all processes included in revenue cycle and follow-up to ensure maximum effectiveness

Managed Customer Service Representatives in billing and collection of patient accounts

Resolved billing and collection issues related to commercial carriers

Work collaboratively with other departments to ensure that collection efforts are maximized in compliance with HIPAA regulations

Led and managed a team collector, A/R, billers /claims Analysts.

Work weekly denials and weekly PFFS HELD report

Increase collections significantly

Completely developed a Revenue Cycle

Increased historic collections for fiscal year 2016

Develop charge capture process

Responsible for hiring and training Access/Admission staff

Developed necessary IPA plan codes for accurate California billing

Managed and provide training to union staff employees inclusive of written policy & procedures

Freelance Healthcare Consultation: Los Angeles, CA October 14, 2015 to, October 7, 2015

Consultant: Business office, Admissions/Access, and Revenue Cycle Consultation

Government, Managed Care, Commercial insurances, and Workers Compensation, billing and collection consultation.

Admission/Access issues and solutions consultation.

Revenue Cycle consultation.

Hi-Desert Medical Center: Yucca Valley, CA, July 14, 2014 to October 14, 2014

Interim Patient Financial Service Director

Oversight, responsibility and accountability in managing the overall operations of the patient financial service, access, scheduling, emergency department registration and pre-registration departments

Developed and prepared the staff for the District incoming partnership

Freelance Healthcare Consultation: Los Angeles, CA April 30, 2014 to July 14, 2014

Consultant: Business office, Admissions/Access, and Revenue Cycle Consultation

Government, Managed Care, Commercial insurances, and Workers Compensation, billing and collection consultation.

Admission/Access issues and solutions consultation.

Revenue Cycle consultation.

Kaiser Permanente via Artech Systems: Burbank, CA. October 28, 2013 to March 28, 2014

Sr. Business Project Manager KOJ Project

Responsible for assisting in all development of business capabilities relative to the KOJ project

Assist and respond to any business issues relative to the KOJ project

Contact and develop working relationships with all entities required to effect a successful final deployment of the KOJ project

Allocated staff to maximize collection efforts, prevent billing errors and collection agency backlogs

Prepared and developed RACI and Charter

Assist with the development of BCD

Set agenda and chair weekly KOJ meetings

Prepare and report weekly status of the KOJ project

Successful within the Labor Management Partnership environment, consulting with organization leaders to assess and analyze training and project needs based on trends and current and future strategic plans

Community Hospital Long Beach/Memorial HealthCare System via New Leaf Staffing: Fountain Valley, CA. June 6, 2011 to April 27, 20012

Interim Patient Financial Service Director

Accountable, responsible for managing the overall operations of the patient financial service office.

Prepare staff and the business office process for a seamless transition to Memorial Care consolidated business office.

Implement and monitor compliance of all processes included in revenue cycle and follow-up to ensure maximum effectiveness

Kaiser Permanente via APEX Systems Inc: Pasadena, CA July 26, 2010 to March 31, 2011

Temp Asst. Director, Consulting-Project Manager, PBS

Assist with the development of the Remediation of A/R and aging reduction process project.

Responsible for the Weekly High Dollar collection and resolution process.

Coaching over 130 Collection staff members all lines of business.

Assist with the Development and improvement techniques relative to the Revenue Cycle process.

Work with Northern California facility to develop corporative relationships between CBO and facility Revenue Cycle staffs to improve collections.

Work collaboratively with other departments to ensure that collection efforts are maximized in compliance with HIPAA regulation

Freelance Healthcare Consultation: Los Angeles, CA Jun 2007 to July 26, 2010

Consultant: Business office, Admissions/Access, and Revenue Cycle Consultation

Analysis Cedars Sinai Health System reports and claims for Medasys.

Adapt at Government, Managed Care, Commercial insurances, and Workers Compensation, billing and collection consultation.

Extensive knowledge in Admission/Access issues and solutions consultation.

Extreme knowledge in Revenue Cycle consultation.

Cerner Corporation: Kansas City, MO Apr 2006 to Jun 2007

Revenue Cycle Consultant/Solution Architect:

Researched and verified issues relative to ProFit and PM software

Met with various facility executives and management teams and their staff throughout the United States

Established and resolved all pertinent business issues involving the ProFit and PM solutions

Headed up solution teams which included Solutions Architects (SA’s), Solutions Design Consultants (SDC’s) and other technical support members

Developed and/or supported already existing Dashboards for each facility, establishing a universal Business Office, Admissions/Access and Revenue Cycle reporting mechanism.

City of Hope National Medical Center: Arcadia, California Jun 2002 to Apr 2006

PBS Managed Care/Commercial/ Worker Comp Manager:

Increased collection an average of $10 Million per month

Reduced A/R days from 74 to 54 days, with limited write offs

Developed and implemented innovative collection techniques

Coordinate responsibilities for thirty-five employees

Responsible for A/R review and analysis

Developed and updated policies and procedures

Developed and implemented Monday morning Top Ten protocol

We were able to collect over $4 Million in additional revenue from aged accounts using the top ten method, with limited write offs

Assisted in the development and design of an internal Denial Managed system

Assisted in the development and the design of a Patient Friendly Bill

Established quarterly meetings with various payers

San Gabriel Valley Medical Center: San Gabriel Valley, CA Mar 2001 to Dec 2001

Director of Access /CBO Liaison:

Increased collection from $5.2 million to $6.7 million.

Oversight, responsibility, and accountability in managing operations for

the Patient Admission/Access, and Business Office departments

Coordinated UM activities between Medical Center and CBO

Operated within productivity targets and budgetary goals

Wrote the midnight census policy and procedure.

Mission Comm/San Fernando Valley Hosp: Panorama City, CA Apr 2000 to Mar 2001

Business Office Manager:

Increased collections $1.2 million to $2.7 million

Oversight, responsibility, and accountability in managing operations for the Business Office and Admission/Access departments

MRI / ASAP Corporation, Temporary Agency: Long Beach, CA Mar 2000 to Apr 2000

Consultant:

In-house consultant

Analyzed and worked all A/R accounts, in a consulting capacity.

Daniel Freeman Memorial/Marina Hospitals: Inglewood, CA Dec 1999 to Mar 2000

Business Office Manager:

Analyzed and worked all government accounts

Responsible for government billing and collections

Increased Medi-cal collections

Assisted utilization nurse manager, with the development of a discharge policy and procedure

Cedars Sinai Health Systems: Los Angeles, CA Feb 1974 to Mar1998

Finance Supervisor II: Patient Financial Services Gov’t Billing and Collections Unit: 1993-1998

Helped to increased collections each fiscal year: ’95 $180 million, ’96 $188 million, ’97 $198 million, ’98 $214 million.

Access/Admitting Supervisor: 1988-1993

Responsible for all admission activity

Managed over thirty admission representatives

Responsible for upfront cash collections

Responsible for Bed Reservations,

Responsible for midnight census

Responsible for updating registration policy and procedures

Preformed yearly staff evaluations

Revisited admission pamphlet



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