Revenue Cycle Program Manager

WORK EXPERIENCE Louisiana Department of Health/ Office of Public Health

Program Manager 1 B/Statewide Revenue Director Dec 2023 - Present

•Manage Revenue Cycle Finance operations, including coordination of project management tasks to enhance revenue collection for all 64 state health units with 45 million in annual Revenue

•Direct policy development and oversee legislative coordination, rulemaking, and statewide monitoring and surveillance procedures.

•Conduct research to recover stalled revenue from insurance companies and assess billing efforts for Medicare, Medicaid, and commercial insurance; manage compliance with CMS, OIG, and Medicaid audits.

•Lead EMR implementation to improve accounts receivable processes, recruit and supervise financial staff, and develop training programs for provider coding and patient access teams.

Crescent Care Health Centers

Director of Revenue Cycle, Credentialing & Patient Registration Jan 2018 - Dec 2023

•Guided the credentialing process with major insurance providers, ensuring compliance with Medicaid, Medicare, and commercial plans.

•Coordinated with the CFO to reconcile and plan annual and monthly budgets, maintaining fiscal oversight.

•Negotiated provider contracts and engaged in recovery of delayed insurance reimbursements, enhancing revenue streams.

•Evaluated and improved revenue cycle processes in collaboration with the Chief of Staff, identifying areas for operational enhancement.

•Managed CMS, OIG, and Medicaid audits, ensuring adherence to regulatory standards, and oversaw the development of staff through targeted training programs.

University Hospital & Clinic

Director of Outpatient Clinics Feb 2017 - Jan 2018

•Oversaw operations and strategic planning for multiple specialty care clinics, ensuring adherence to clinical regulations and policies.

•Led quality improvement initiatives, enhancing workflow efficiency, and conducted billing and documentation audits to maintain revenue cycle integrity.

•Managed employee evaluations and performance improvement programs, serving as a liaison between physicians and senior leadership for budget and compliance matters.

CARTI - Central Arkansas Radiation Therapy Institute

AVP/Business Operations Manager Oct 2015 - Jan 2017

•Managed comprehensive business operations, including supervision of 88 staff and direct oversight of financial and oncology divisions, ensuring efficient patient billing and collections, and optimizing accounts receivable reimbursement.

•Enhanced financial assistance program and standardized policies, leading to streamlined processes and improved revenue cycle management, while maintaining compliance with healthcare regulations and coding practices.

•Conducted thorough performance evaluations, facilitated effective staff recruitment and development, and collaborated closely with senior management to identify process improvements and implement strategic objectives.

Daughters of Charity Health Services of New Orleans FQHC

Revenue Cycle Manager Feb 2013 - Aug 2015

•Optimized billing and collections processes, enhancing the recovery of inpatient and outpatient charges, which directly supported the management of $15 million in annual revenue.

•Led a team responsible for accurate claims submission, ensuring error-free billing and improving the timeliness of Medicaid, Medicare, and insurance adjustments, while facilitating effective communication for dispute resolution.

•Designed and implemented a comprehensive training program for staff on coding guidelines, insurance regulations, and documentation standards, contributing to the maintenance and accuracy of the Charge Description Master and adherence to payer contract specifications.

Complete Medical Consultants FQHG Client Base (of New Orleans, LA)

Director of Operations May 2001 - Feb 2013

•Directed the implementation of Electronic Health Record (EHR) systems, ensuring successful adoption and integration across medical practices.

•Led the development of an ICD-10 readiness software, enhancing coding accuracy and documentation integrity, and conducted nationwide training seminars for physicians and staff.

•Collaborated with senior leadership and CFOs in strategic planning and annual budget development, optimizing operational efficiency and financial performance.

•Managed compliance with clinic regulations and oversaw CMS, OIG, & Medicaid audits, contributing to the maintenance of high-quality service delivery and adherence to healthcare standards.

Tulane University Hospital & Clinic

Neuroscience Manager Jun 1998 - Apr 2002

•Managed operational aspects of neurology and related clinical services, ensuring adherence to regulations and policies while focusing on workflow efficiency and quality improvement initiatives.

•Coordinated the implementation of clinical research programs and equipment procurement, while also overseeing revenue cycle processes, including the submission of Medicaid, Medicare, and insurance claims.

•Led the accreditation process for the sleep lab, contributed to strategic planning and budget development, and enhanced patient check-in procedures to streamline clinic registration.

METROLAB Inc. / Touro Hospital

Business Manager Jan 1994 - May 1998

•Negotiated contracts with local healthcare management organizations, ensuring favorable terms and effective partnerships.

•Streamlined billing processes and reduced accounts receivable days from 87 to 43 by resolving $380,000 in stalled revenue.

Foundation Health Corporation

Provider Relations Manager Jan 1991 - Jan 1994

•Managed call center operations, ensuring optimal staff-to-call volume ratios, and resolved escalated issues to maintain service quality.

•Developed provider newsletter and directory, and conducted educational seminars to enhance provider compliance with billing and government regulations.

Algiers Fischer Health Clinic

Administrator Jan 1986 - Jan 1991

•Provided support and training to staff, enhancing their effectiveness and ensuring adherence to updated personnel policies.

•Prepared comprehensive written reports for the Board of Directors to detail agency progress against objectives and budgetary goals.

•Played a key role in major fundraising efforts and facilitated the grant writing process, contributing to the clinic's recognition as a medically underserved area.

EDUCATION

Delgado Community College

Pursuing a Degree, Health Administration Michigan Paraprofessional Institute of Tech

Certified Professional Coder, ICD9 & ICD10

CERTIFICATIONS

Certified Professional Coder, ICD9 & ICD10

SKILLS

Strategic Planning • Process Improvement • Customer Service

Contact this candidate