Revenue Cycle Business Development

Susan Pavon

Director of Revenue

Cell: 720-***-**** Email: *******@*****.***

Professional Summary:

Healthcare revenue cycle leader with 10+ years of experience in revenue cycle assessments, regulatory compliance, and financial performance optimization. Proven success in Rural Health Clinics (RHC) and Critical access hospital (CAH) revenue cycle operation, payer contracting, and healthcare compliance audits. Expertise in consulting, business development, and training with track record of increasing collections, reducing denials, and streamlining process.

Spine One, Lone Tree Surgery Center, Park Meadows Imaging LLC, 2021 - Current

Director of Revenue

oConduct revenue cycle assessments, identifying inefficiencies that led to a 25% reduction in billing errors.

oProvided consulting & interim revenue cycle management, optimizing workflows and increasing collections by $1,2M annually.

oImplemented a denial management strategy, reducing claim rejections by 30%.

oDesigned KPI tracking systems, improving revenue forecasting accuracy by 40%.

oManaging revenue cycle team, fostering accountability and performance.

oLead training initiatives to enhance staff expertise in revenue cycle best practices.

oMaximizing collections from insurance and self-pay accounts.

oTrained 15+ staff members on revenue cycle compliance and best practices.

oCommunicated revenue cycle trends and opportunities to executive leadership, physicians and finance.

oDeveloped comprehensive policies and workflow processes for billing and registration, including benefits and eligibility verification.

Cornerstone Orthopedics & Sports Medicine 2019- 2021

Revenue Cycle Manager

oConducted compliance assessments that improved adherence to payer policies, leading to a 20% reduction in write offs.

oLed contracting negotiations that resulted in a 15% increase in payer reimbursements.

oDeveloped compliance policies for RHC regulations, ensuring 100% audit pass rate.

oDeveloped training programs that increased staff productivity by 35%.

oCreated bundled payment models, reducing administrative costs by $500K annually.

oReinforced denial management policies to achieve lower claim denials.

oConsistently reviewed contracting to create strategic bundling definitions.

oMonitored adherence to company reimbursement policies and procedures to drive optimal revenue cycle outcomes.

oManaged, trained and developed skill of 10 direct reports.

oDeveloped training programs that increased staff productivity by 35%.

Golden Ridge Surgery Center/ Panorama Orthopedics 2015-2019 Revenue Cycle Manager

oSpearheaded denial management initiatives, reducing aged A/R by $800K..

oAutomated billing and collections processes, cutting turnaround time by 35%.

oEvaluated existing processes and recommended improvements to policies and procedures.

oReduced billing cycle turnaround time by 35% through the implementation of automation.

oIncreased productivity and reduced backlog by 25% within the first three months.

oDeveloped and refined policies, processes, and procedures to optimize the revenue cycle functions.

oManaged 15 direct reports, ensuring compliance and revenue cycle efficiency.

oOversaw multiple healthcare functions including interpretation of managed care contracts, pre-registration, insurance verification, billing A/R follow-up, coding, cash collections, bad debt management, credentialing and financial counseling.

oTrained and developed A/R, Authorization, and Coding/Billing Team.

oPlan, implemented and evaluated and administered all business office strategies and processes

oLead patient education programs, improving self-pay collections by 20%.

Education

Regent University, BS- Accounting

AAPC – Medical Coding Certificate (CPC)

Anatomy and Pathophysiology

Human Resources Management Principles and Practices

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