Revenue Cycle Information Technology

Stephen Burdell

Cell 661-***-****; ********@*****.***

MANAGEMENT PROFESSIONAL

Strategic Healthcare Management Professional with well-grounded expertise in the areas of revenue cycle management, information technology, system integration, reporting & analytics, professional, technical, DME, and pharmacy billing requirements, and compliance. A global thinker who excels in challenging environments with a strong appreciation for integrity, innovation and out-of- the-box thinking, and a successful track record of achievements in revenue cycle operations management, project management, and senior leadership positions.

SUMMARY OF QUALIFICATIONS

• Vast knowledge of end-to-end revenue cycle operations including scheduling, reception, registration, insurance verification, authorization/referral processes, medical record management, billing, collections, cash posting, refunds and credit management, and credentialling.

• Expert in managing and leading multiple system implementation projects requiring a high degree of detail, and collaboration to design, build, test, and implement automated solutions to improve efficiencies, increase productivity, and create capacity, including Siemens Medical Systems (SMS), EPIC, and GE Centricity.

• Advanced knowledge of electronic data interchange (EDI) systems including Emdeon (Change Healthcare), Claim.MD, ePremis, and Relay Health, and the integration of these systems with various revenue cycle management systems.

• Advanced knowledge of professional and technical billing systems, clearing houses, claim systems, and coding systems including Signature, Envision, Informatix, EPIC, SAP, GE Centricity, and Advanced MD.

• Extensive experience in system vendor management including determining the organization’s Return on Investment

(ROI), preparing Requests for Proposals (RFP), review and negotiation of contract, application delivery, management of Service Level Agreements (SLA), and development and implementation of new functionality to improve efficiencies. OUTSTANDING PROFESSIONAL ACCOMPLISHMENTS

• Recipient of 2 Star of Excellence Awards (team): o Extraordinary performance and commitment to quality processes and services related to Revenue Cycle Management. Results included an increase in gross collection ratio from 87% to 103%, DSO reduction from 111 to 50 days, and an overall increase in customer satisfaction. o Customer Experience Leadership. Results included improved customer experience through the implementation of patient friendly statements and telephone payment processing.

• Implementation of GE Centricity and the development of advanced business intelligence tools focused on improving operational efficiencies and expanding decision support functions, amidst tremendous organizational growth and transformation.

• Insourcing billing and collection activities for Medtronic Physio-Control from an external third-party vendor to Medtronic Diabetes Revenue Cycle Team, while transitioning them to Advanced MD.

• Development of Kaiser’s first system integration team, translating revenue cycle operational needs for the largest national healthcare system into advanced automated IT solutions, including the transition of all professional billing from Siemens Medical Systems (SMS) to EPIC, and the implementation of various EDI solutions to automate claims processing and cash posting functions.

• Integration of Kaiser’s various ancillary systems, including Informatix (coding solution), SMS Signature (professional billing system), and ePremis (claims editing system and EDI solution) to EPIC.

• Implementation of Siemens Medical Systems (SMS) for a national oncology provider across all acquired performing locations, eliminating the need to manage multiple disparate revenue cycle management systems in 1 year.

• Responsible for SMS Signature user conferences, coordinating conference locations, and committee chair accountable for identifying topics and presenters.

• Development and management of the West Coast Central Billing Office (CBO) for a national oncology provider servicing Cedars Sinai (Los Angeles) and Desert Regional Medical Center (Tenet Healthcare, Palm Springs)

• Establish billing, coding, and collection operations from the ground up for a revenue cycle management company, including identifying building space, floor planning, network infrastructure, IT support, staffing, client services, consulting, and day-to-day operations.

EMPLOYMENT HISTORY

June 2023 to Current

Forusto Inc Owner/CEO

Identify short and long-term investment opportunities in real estate and adventure sports across California and Arizona. Research market trends, manage the remodeling and/or refurbishment of purchases and negotiate all initial sales and resales. Provide guidance and direction to property management company on rental terms. November 2021 to April 2023

Family Health Centers of San Diego, San Diego, CA Manager, Coding, Billing & Collections Lead coding, billing and collection operations for largest federally qualified healthcare center (FQHC) in San Diego County. Provide strategic direction to all staff (50+ FTE) supporting multiple specialties including but not limited to primary care, wound care, OB/GYN, dental, vision, mental health, physical therapy across over 30 locations. Identify and implement tools focused on streamlining workflows through automation. Collaborate and provide direction to IT Department on the building of new functionality and updates to existing functionality in proprietary revenue cycle management system (CIMS) to effectively support registration, coding, billing, and AR management for the entire organization. November 2005 to January 2021

Medtronic Diabetes, Northridge, CA Director of Revenue Cycle & System Integration Operational management leader for all teams responsible for revenue cycle operations and revenue cycle systems supporting over $1B in accounts receivable. Lead team responsible for maintaining the company’s billing and collection systems (SAP and GE Centricity), and all ancillary systems supporting Patient Financial Services including clearing houses (Emdeon, Claim.MD, Relay Health), patient statements vendor (Relay Health), patient billing portal, and various reporting tools (SAP Crystal Reports, Tableau). Responsible for 110+ FTEs across multiple teams supporting systems, analytics, medical records management, billing, cash posting, refunds, patient pay operations, inbound/outbound call center, credit services, Physio- Control billing and collections, and general office management for California operations. February 2003 to November 2005

Kaiser Permanente, Pasadena, CA Senior Manager, Patient Financial Services System integration leader responsible for supporting Patient Financial Services across Kaiser’s northern and southern California regions. Provide oversight management of all project managers responsible for the design, build, testing, and implementation of all solutions requiring coding changes across all revenue cycle systems. February 2001 to February 2003

Kaiser Permanente, Pasadena, CA Managment Supervisor IT Information Technology leader for all revenue cycle management systems supporting professional billing and collections across all specialties, including SMS Signature, EPIC, and ePremis. Collaborated with billing and collections operational leaders to identify, develop, and implement various automated solutions to streamline workflows and accelerate reimbursement. Responsible for 25+ FTE including system application developers (coders) and project managers. July 1999 to Feb 2001

Salick Healthcare Inc., Los Angeles, CA Regional Manager, West Coast Central Billing Office Operational management of all staff (25+ FTEs) supporting the billing, collections, medical records management, cash posting, coding, credits, and refunds for the West Coast, as well as maintenance of all system dictionaries and configurations supporting daily operations. Managed all internal and external audits focused on Central Billing Office operations. June 1998 to June 1999

Salick Healthcare Inc., Los Angeles, CA Implementation Manager Lead for the installation of Siemens Medical Systems (SMS) for a national oncology provider. Responsible for implementation of SMS at each free-standing oncology facility across the United States. Ensured each facility’s unique installation requirements were identified, system dictionaries and configuration developed and maintained, and interfaces with various revenue cycle bolt-on solutions were established and sustained. Management of 20+ FTEs responsible for all system security and maintenance, as well as training and education for all users nationwide. April 1996 to June 1998

Insource Medical Solutions, Santa Anna, CA Director of Operations / Consultant Responsible for day-to-day operations for all billing, coding, cash posting, and collection functions across all clients. Ensured all productivity, quality and service level requirements (SLAs) were maintained. Utilized reporting and analytics to identify, track and trend issues impacting reimbursement. Prepared monthly reporting package on the financial health of each client’s practice, especially issues surrounding documentation, fee schedule management, and front-end operations. Provide consulting services focused on front-end redesign, including fee schedule management, super bill reviews, and reception and registration functions.

September 1994 to April 1996

Insight Health Inc., Newport Beach, CA Billing Supervisor Responsible for all staff supporting the registration, insurance verification, technical billing and AR follow-up, cash posting, credits, and refund management for a national mobile Magnetic Resonance Imaging (MRI) service provider. EDUCATION AND TRAINING

August 2001 Certificate in Project Management

Stanford Advanced Project Management

Contact this candidate