Director of Operations & Revenue Cycle Leadership
Resume:
Carolyn G. Shiner
**** ** **** ** **** Coral, FL 33914
*********@*****.*** cell 239-***-****
Extensively experienced and goal-oriented Director of Operations and Practice Administration with a demonstrated track record of leading the preparation and analysis of financial reports to summarize and forecast financial position. Proven expertise in driving efficiency and productivity through evaluation of financial management systems and implementation of process improvements. Talented leader directing highly skilled financial management teams to support achievement of overall corporate goals and objectives. Core competencies include:
Accounting Management
Financial Analysis
Forecasting
Cash Management
Budgeting
Cost Reductions
Technology Integration
Regulatory Compliance
Efficiency Improvements
Career Experience
Precision Healthcare Specialists LLC Fort Myers, FL 33907 Nov 2023 – Dec 2025
Director of Revenue Cycle Management
Initially I was hired to review and manage the revenue cycle for a start up multi-specialty practice within 6 month of start up. I reviewed PM system setup, developed report writing capabilities with data dump development. I oversaw the outsourced billing services that was inadequate and had no oversight. In the beginning of my tenure, there were 7 active providers of which have now grown to 83 providers as well as 50+ midlevels and increasing again over the next year.
I directed all aspects of the company’s RCM growth and daily operations, including oversight of outsourced billing team, insurance claims, reviewing insurance contracts, Medicare compliance, workman’s compensation, computer services/software and overall strategic planning with our Admin team and Finance. Prepared monthly RCM financial reports, special report development when requested with data dump retrieval, and performed variance analysis. Carried out internal audits to ensure regulatory compliance and operational efficiency/accuracy. Built and led teams in carrying out special projects. Work directly with the billing service team.
Second Opinion Solutions, LLC Cape Coral, FL 33914 March 2021 – February 2024
Small Business/Medical Practice Consulting
Consulting services for small to medium sized organizations. Services included but not limited to patient/customer flow, revenue management, accounting services, payroll and billing service training as well as software training. These services are for short term or long term needs depending on the clients challenges. One client that I worked with is VIP-US, a national ASC organization, of which I was an RCM consultant and worked with several ASCs, including South County Outpatient Surgery Center in Delray Beach, FL, assisting with their RCM oversight.
Radiology Regional Fort Myers, FL 33907 Sept 2022 – March 2023
Director of Billing Services
I served as the Director of Billing Services to oversee the billing processes from Scheduling, authorization, front desk, coding and billing processes. The company had recently been purchased and was in transition with Private Equity. This was a short tenure as the expectations were not set as described and outsourcing of many areas were expected.
Florida Heart Associates Fort Myers, FL May 2019 – March 2021
Director of Business Services
I served as the Director of Business Services, with 40 direct reports as oversight of the Front Desk, Scheduling Dept, Claims Resolution, Coding Dept, Authorization Dept, Switchboard, Payment posting, and Credentialing. I was responsible for the set up of our Practice Management system, with changes, upgrades and assisted in the development of a Report Writer system that I use to data mine our transactions. I worked to clean up the PM system and prepare it for an upgrade to another PM and EHR system that offers more technology based features. I worked to develop the team approach and empower my team to bring to the table their talents and encourage growth.
Snead Eye Group Fort Myers, FL Jun 2017 – Apr 2019
Practice Administrator
I served as the Practice Administrator for the organization of three clinical locations as well as oversee two ASCs. I was responsible for the overall oversite of all administrative operations as well as development of a strong management team. I have directed the billing department in the transition between practice management systems as well as implemented a comprehensive payroll system. My directive of practice growth on a strategic level continues.
I worked diligently in the development of financial tracking by locations as well as departments, lending to the accountability of cost control by each manager. I put in place checks and balancing protocols from the front desk through all financial processes in the practice.
Eye Centers of Florida Fort Myers, FL Jun 2016 – Jun 2017
Director of Administrative Services
I have served as the Director of Administrative Services for the organization at the main clinic as well as 11 satellite clinics. I was responsible for multiple departments, including CSRs, Medical Records, Call Center and Insurance verification as well as taken on the responsibilities of Director of Finance, overseeing the Billing and Collections department, Credentialing and Compliance.
I was instrumental in a Practice Management system, NextGen, clean up project in order to maximize the system in functionality and report development. I oversaw the auditing functions of the organization to allow oversight of correct coding and billing guidelines. I was hands on and a positive role model for my staff. Team work is essential to the growth of an organization and I continue to promote employee appreciation in order to instill an empowerment to my team. I built on the talents of my team to raise their dedication, “ownership mentality” and loyalty to the organization.
I worked closely with the IT department to make sure that our technology is keeping up with the demand of the organization. I oversaw the pre-surgical department in order to ensure that financial responsibilities are assessed prior to surgery and that the patients have been informed of this obligation and defining what financial arrangements can be made to assist the patient.
Total Highspeed LLC Nixa, MO 65714 Jan 2015 – Jan 2016
Financial Controller
As Financial Controller with this internet service provider company, I handled the A/P, financial reporting, balancing. Quickbooks Enterprise utilized and in the beginning stages of setting up inventory system.
Becker & Scott Orthodontics Springfield, MO 65804 July 2013 – March 2015
Office Manager
Day to day operations for two orthodontist practice. Services include human resource management, daily financial operations, in house support for TopsOrtho system with patient account cleanup of system.
MSCS Enterprises LLC Cape Coral, FL 33990 January 2012 – August 2014
Medical Practice Consulting
Consulting services for small to medium sized physician practices and groups. Services included but not limited to patient flow, revenue management, accounting services and billing service training as well as practice management software training.
Retina Health Center Fort Myers, FL April 2009 – June 2012 Worked as consultant until Mar 2013
Practice Administrator
Assist in the growth of business for 40+ employees,. I direct all aspects of the company’s growth and daily operations, including oversight of accounting/billing, insurance claims, contract negotiation, Medicare compliance, workman’s compensation, computer services/software and overall strategic planning. Prepared financial reports and performed variance analysis in accordance with business plan. Oversight of Drug study and research departments. Compiled periodic financial reporting packages for accountant’s review and for shareholders. Implementation of NextGen Practice Management System.
Medical Practice Solutions, Inc., Lincoln, Nebraska, 2006 – 2009
President and Owner
In October, 2006, I founded Medical Practice Solutions, Inc. in Lincoln, NE as a consulting firm for medical practices, with an emphasis on the small to medium sized physician offices and medical groups. An initial goal of offering billing services and practice management services quickly expanded as the needs of these practices in the region have become apparent. Medical Practice Solutions quickly grew to 18 full-time employees servicing over 30 active clients as of March, 2008, including serving as project coordinator of a two-year grant from the Nebraska Medical Association and Creighton University to assist in studying rural health care electronic health records across the state.
Lincoln Orthopaedic Center, PC, Lincoln, Nebraska, 1994 – 2006
Practice Administrator
Directed the growth of business from 20 to 80 employees, while planning and executing the construction of a state of the art office facility and ambulatory surgical center, along with coordinating a second Lincoln office and eight out-state clinics. I directed all aspects of the company’s growth and daily operations, including oversight of accounting/billing, insurance claims, contract negotiation, Medicare compliance, workman’s compensation, computer services/software and overall strategic planning. Prepared financial reports, developed budgets, and performed variance analysis in accordance with business plan. Compiled periodic financial reporting packages for accountant’s review and for shareholders. Carried out internal audits to ensure regulatory compliance and operational efficiency/accuracy. Built and led teams in carrying out special projects.
Key Achievements:
Reduced outstanding accounts receivable to an average of 35 days
Actively participated in the reform of the work comp fee schedule system for the state.
Developed reporting tools for analyzing the financial status of accounts and trending
Became a leader in the medical community as a proactive administrator involved in increasing communications between practices and raising the bar for patient expectations
Developed a referring source tool for practices to refer patients efficiently to our practice with direct contact information and by developing personal relationships with the offices.
Developed a Human Resources Department to ensure the regulatory compliance and adherence to company policies
Facilitated a strategic planning meeting to develop the 10 year plan for our organization and managed implementation
Held weekly departmental meetings with managers to assist in the communication between areas and to assist in the education of managers in understanding the impact of decisions made on other team members
Implemented goal setting for managers and employees to develop empowered employees and implemented strengths based management
Directed assessment and implementation of Practice Management billing and (2) EMR systems, data conversions and data mining tools
Developed location and departmental budgets and financial cost accounting statement to analyze the profitability of ancillary services as well as outstate clinics.
Proactively developed working relationships with administrators, vendors, collection companies, insurance carriers and the local medical community.
Supervised the building project for two 8000 sq foot medical facilities to include physical therapy, extremity MRI and radiology.
Supervised the development and building of the first orthopaedic ambulatory surgical center in Lincoln, NE, to include insurance contracting, state and federal licensure and a positive profit within 8 months.
Consultants in Gastroenterology, Kansas City, MO, 1992 – 1994
Office Manager
Assisted Administrator in overseeing daily operations. Involved in the merger of 3 medical practices, involving staff assessments, centralizing billing practices and development of a scheduling team. Closed and prepared monthly financial statements and audit reports. Performed monthly account reconciliations and monitored general ledger transactions. Worked in collaboration with controller to ensure accuracy and integrity of financial information in support of overall business objectives.
Key Achievements:
Worked directly with the Managing Partner to develop a free standing surgical center and incorporate the Practice Management billing system, along with becoming one of the first beta sites for Medicare involving an EMR
Increased productivity levels by providing key contributions toward automation of account reconciliation processes.
Software Experience
Allscripts practice management
Mod Med
HST
Advanced MD
Greenway Intergy including Practice Analytics
Crystal Reports
TopsOrtho
HST
NextGen practice management software
GEMMS
Quickbooks – Desktop and Online
Microsoft Office – Including:
oAccess
oWord
oExcel (expert level)
oPublisher
oPowerpoint
oOutlook
oOne Note
Other Comments
I worked extensively with the Work Comp carriers as well as the Work Comp Courts, having the opportunity to testify against many fee schedule changes that were brought to the table and served on the task force committee reviewing the state of Work Comp in Nebraska. I have a strong background in Greenway Intergy,NextGen practice management systems implementation, as well as Allscripts, Mysis Tiger, GEMMS, Chartlogic and Allmeds EMR, as well as my extensive experience with the implementation of NextGen EPM and the ability to utilize it to the greatest extent. In addition, I have taken a variety of practice growth, patient flow and streamlining the whole patient experience, accounting and marketing courses to strengthen my educational background in health care management.
Professional Organizations
I currently serve on the Strategic Advisory Board for Greenway Healthcare. As one of the most experienced medical administrators in Nebraska, I had very strong working relationships with medical professionals and industry leaders across the region. I was an active member of the Nebraska Medical Association and the Lancaster County Medical Society and have been called upon numerous times to make presentations at state medical meetings or Nebraska legislative panels. I was a member of the National Orthopaedic Administrators (BONES), the Healthcare Billing and Management Association (HBMA), the American Medical Billing Association (AMBA) and the National and State MGMA organizations, I am currently a member of HMA in SW Florida and am a member of National ARCRS/ASOA and AAOE. After moving to Florida, my involvement in ophthalmology had opened new doors of experience and involvement in an expanding field of medicine and research.
Professional References
David Palkovich Melissa Kramer
CEO – Precision Healthcare Specialists HR Director – Precision Healthcare
Cris Blackman Cheryl Rizzo
Billing Manager SWFL Vet Hospital
Personal References (Available upon request)
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