JASON REAGAN

Tomball, TX 346-***-****

adzykp@r.postjobfree.com

Healthcare leader in revenue cycle and physician practice management with a Master of Business Administration and proven expertise in roles providing leadership, insight, and strategic planning. Advanced financial record tracking with ability to project and plan for the present and future. Positive leadership style eliciting high levels of respect, commitment, and loyalty from employees. Proven success generating, building, and leading productive teams. High-level presentation and communication skills with ability to leverage all parties involved. Unmatched combination of strategic and tactical financial expertise.

Experience

6/1/22 to Present

Operations Manager – Pulse Physicians Organization

Clinical Oversight of 8 clinics. Including: Cardiology, Family Medicine, Internal Medicine and Podiatry.

Managed direct report of 5 Office Managers and all ancillary staff including centralized call center.

Worked with Supply Chain Management to assure proper supplies and equipment is allocated to 8 clinics and 1 Surgery Center.

Negotiated contracts with medical suppliers: Henry Schein, Medline and McKesson to reduce organization spend.

Serve as a member of Administration team for the organization

Negotiated contracts with various other companies such as RPM’s and Sleep Studies

HR Functions interview, coach and mentor employees

Function as eCW Superuser activating tokens and conducting billing audits for the clinics

8/2013 TO 6/2018

PRACTICE MANAGER – TOMBALL REGIONAL MEDICAL CENTER

Hold accountability for staff leadership and financial oversight for a 6 provider, multispecialty group.

Supervised a staff of 22 employees including back office, medical assistants, front office, and billers. Track and maintain performance of 2.3M budgets. Direct day-to-day clinic operations.

Assisted in development of training manuals, which facilitated a 90% reduction of claim holds within 18 months.

Enable 50% annualized increase in patient volume and $350K in additional revenue by directing development of an API platform that linked an online scheduling tool to our Athena EMR system.

Steer expansion initiative, including oversight of construction that will result in additional space for seven new providers in 2016.

Maintained and supervised all medication and cash controls

Managed employee and physician payroll through the Kronos system.

Participated in Hospital and payer credentialing

Maintained all physician CAQH information and updates.

3/2011– 8/2013

PFS BILLING AND CDM MANAGER - TOMBALL REGIONAL MEDICAL CENTER

Coordinates all activities related to the Medicare RAC (Recovery Audit Contractor) program including automated and complex claims into Compliance 360.

Logging of requests, demands, and denials appeals etc.

Chair of the Billing and Compliance Committee

Member of the Facility Compliance Committee

Reporting of RAC activity to the Chief Compliance Officer and Central Appeals Unit.

Works with Case Management and Medical Records to ensure records / appeals are sent in a timely manner.

Charge capture audits for all departments

OIG Work Plan Items implementation and management

OIG Annual Report for Overpayments

Billing and Compliance Investigations

Employee/Staff Education on all regulatory issues

Employee/Staff Education on all HIPAA regulations

Charge master Analysis

Charge master Maintenance

Department charge reconciliation

Weekly and monthly write-off reports

Charge capture audits

EMTALA audits

Revenue Usage Reporting

CDM reporting

Medicare 3-day audit

SNF audits

03/2008-07/2010

COMPLIANCE AND PRIVACY SPECIALIST, TEXAS HEALTH PRESBYTERIAN HOSPITAL OF DALLAS

Implementation of yearly OIG Work plans

Internal auditing and monitoring of all HIPAA and Compliance Investigations.

Charge accuracy and coding audits through multiple departments in 898 bed acute care facility.

Employee education, including New Hire HIPPA education.

Management of Business Visitor Policy

Conducted HIPAA privacy breach investigations

Conducted Identity Theft investigations

Conducted Compliance investigations

Human Resources Solicitation

Business Gifts and Courtesies

Inside/Outside Activities

Fraudulent and False Claims

Conducted walkthrough audits in all areas of the hospital

New Hire Orientation

2004 –2008

QUALITY CONTROL SUPERVISOR, CYMETRIX

Performed monthly audits on all Patient Financial Service Staff

Nortel phone audits

Established and maintained employee workflows for PFS and Patient Access

Managed offshore PFS projects

Monthly project reporting for 12 different hospitals

Liaison between company and hospitals

Patient Financial Services – Project Supervisor

Managed collection goals of PFS staff

Productivity and Quality control

Served as liaison between office and the project

Initiation of managed care adjustments and approval

2002 – 2004

SYNDICATED OFFICE SYSTEMS COORDINATOR, TENET HEALTHCARE

Served as liaison between the Central Business Office and Third Party Outsource Agency

Initiated and approved managed care adjustments and approval

Initiated and approved refunds for credit balance accounts to

Managed care payers

Performed all outstanding requests as needed from the Third-Party Agency.

Customer Service Complaints

General Administrative Write-Offs

Managed Care Collector

Constantly exceeded monthly collection goals of 170K

Constantly exceeded daily production goals of 65 accounts per day, including denials

EDUCATION

2013

MASTER OF BUSINESS ADMINISTRATION, LETOURNEAU UNIVERSITY LONGVIEW TX

2009

BACHELOR OF BUSINESS MANAGEMENT, LETOURNEAU UNIVERSITY LONGVIEW TX

1997

ASSOCIATES OF SCIENCE, TRINITY VALLEY COMMUNITY COLLEGE ATHENS TX

ADDITIONAL SKILLS

Strategic Planning and Implementations

Process Improvement

Cost Analysis and Reductions

Project management

RAC management

Revenue cycle technologies

Reimbursement management

Practice Management

Profit and Revenue Optimization

Regulatory Compliance

Billing and compliance monitoring

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