Revenue Cycle Practice Management

MARK W. WERTZ

**** ** ******** ****, ****** Park, Georgia 31771 229-***-**** *******@******.***

EDUCATION

Georgia State University

Masters Healthcare Administration - 12 / 2000

Masters Business Administration - 05 / 2000

Southern New Hampshire University

Bachelors Business Administration - 05 / 1991

**Selected by the Institute of Health Administration – GA State University for the R. C. Williams M. D. Honor Award in April 2000 for outstanding leadership through University, Community, and work-related endeavors.

PROFESSIONAL SUMMARY

A seasoned professional with a comprehensive background in healthcare management and operations. Innovative, results-oriented leader with an outstanding record of achievement. Proven organizational skills requisite to building quality, performance based solutions. Exceptional negotiation, team building, public speaking and analytical competencies. Exemplary written and verbal communication skills coupled with advanced technology management abilities.

EMPLOYMENT

Archbold Medical Center Thomasville, GA 03/22 – Present

Director Centralized Billing Services – Archbold Practice Management

Responsible for managing the collections budget for ambulatory medical group management of physician services supporting revenue cycle functions for 15 multi-specialty clinics. This support includes front office services, billing, collections, accounts receivables and revenue cycle management that includes:

Medical coding and billing oversight for professional services

Provide subject matter expertise to physician / practice management clinics

Patient financial services (charge capture, pre-billing, billing, follow-up, cash posting, account resolution)

Revenue Integrity, A/R and Collections management

Physician / Provider monthly reviews with reports on clinic budget, WRVU and provider charges

Managed the transition from NextGen EMR to Soarian Financials EMR system for physician practices

Colquitt Regional Medical Center Moultrie, GA 12/15 – 3/22

Director Revenue Cycle Management – Physician Practice Management

Responsible for managing a $22 million-dollar collections budget for Medical Center Practice Management and Home Care Services supporting revenue cycle functions which include front office services, billing, collections, accounts receivables and revenue management. Provide subject matter expertise to physician / practice management clinics in all areas of the healthcare revenue cycle that includes:

Provide subject matter expertise to physician / practice management clinics

Patient financial services (charge capture, pre-billing, billing, follow-up, cash posting, account resolution)

Revenue Integrity, A/R and Collections management

Decision support and analytics

Authored Practice Management Policies and Procedures

Developed annual and monthly revenue target goals with bonus structure

Led the transition from 6 EMR systems to 1 EMR (Meditech) for all physician practices

Pruitt Health Norcross, GA 06/08 – 04/14

Vice President Human Resources and Professional Development – Post-Acute Care (06/08 – 04/14)

Led strategic planning initiatives related to employee support, HR interventions and labor strategies as well as oversaw all efforts that maintained and enhanced continuing education, created and implemented programs that facilitated professional and leadership development for all post-acute care business lines.

Supported efforts to monitor, interpret and report data analysis to business leaders on company employee survey and performance reports to help design plans to improve employee performance, attrition, and vacancies

Developed strategies for recruitment and employment pipeline incentives

Served as an internal consultant by supporting local activities through comprehensive risk assessments and personnel interviews across all post-acute care business lines to identify and mitigate poor employee morale triggers in order to mitigate union organizing activities

Supported executive and business level leaders with advice, training support for coaching, mentoring, counseling and complaint resolution

Authored, developed and implemented two comprehensive Administrator In Training programs that served as the model for new skilled nursing home and hospice administrators

Established and administered a career ladder program for Certified Nursing Assistants

Developed a Preceptor/Mentorship training program to cultivate and train future preceptors mentors

Created a tracking mechanism that evaluated effectiveness/success rate of educational programs

Coordinated the Education Reimbursement and Nursing Scholarship programs

Conducted educational sessions for the New Employee Orientation Program as well as the specialized corporate orientation for new Administrators and Directors of Nursing

Supported and implemented programs for employee recognition and achievements

Led the data system conversion to People Soft HRMS

International SOS Trevose, PA 07/06 – 06/08

Vice President of Operations

Managed operational and logistical support of International Medical and Security Assistance and Specialty Services including TRICARE Medical Assistance, Pharmaceutical Services, Claims Processing and Billing, Medical Aviation Unit, Occupational Health Unit and a Global Provider Network.

Provided management of operational/clinical personnel supporting requests for medical and security assistance across the globe with primary responsibility in the “America’s region”

Oversaw $150 million P & L budget

Increased gross profit by 22% through operational initiatives

Supported logistical and contractual maintenance of over 24,000 network providers in Central and South America, the Caribbean and Canada

Administered operational oversight and support for all managed care contracts supporting over 700 clients and TRICARE beneficiaries overseas

Established a specialty call center for the Pharmacy industry supporting clinical education and guidance with nurses and pharmacists

Piedmont Fayette Hospital Fayetteville, GA 09/04 – 06/06

Executive Director of Business Development

Implemented plans and directed all aspects of Piedmont Fayette Hospital’s business development policies, objectives, and initiatives. Oversaw new market initiatives, analyzing new business opportunities and filing Certificate of Need requests.

Conducted financial feasibility studies and development proposals for new business opportunities

Accountable for licensing initiatives and programs

Negotiated contracts, initiated business and capital asset proposals, and closed deals

Led efforts to establish an Orthopedic Ambulatory Surgical Center via Joint Venture Agreement with one of the hospitals largest orthopedic groups

Completed a 7-year bed expansion and CON strategy

Developed the financial proforma and CON strategy for a Cancer Center to include Linear Accelerator

Established a comprehensive health system approach to expansion of Oncology services

Coordinated the capital asset and equipment budget for $49 million expansion project

Served as a member of the strategic planning committee that submitted the Malcolm Baldrige Quality Application

Enhanced hospital services through customer service initiatives

TRICARE Latin America & Canada Health Services Augusta, GA 01/01 – 09/04

Chief Operations Officer (United States Navy)

Implemented health care benefits operation in Latin America and Canada consisting of 43 countries and a beneficiary population of over 50,000. Managed a $150 million healthcare budget

Expanded health care support services in 43 remote Latin America countries through the management of multiple health support contracts

Established urgent air ambulance evacuation process for remote Latin America countries.

Administered logistical support for enrollment and TRICARE support offices in Puerto Rico and Guantanamo Bay, Cuba

Provided operational oversight and logistical support for the main TRICARE office, 4 branch offices to include Case Management, Enrollment/Patient Access, IS department, Budget / Accounting, Contracting, Network Development and Marketing

Cited for superior performance, enhancing health care services and effective fiscal and logistical management

PROFESSIONAL AFFILIATIONS

Member, American College of Healthcare Executives

Diplomate, American Academy of Medical Administrators

Licensed Assisted Living Community Administrator

Certified Patient Accounts Representative

Contact this candidate