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Management Revenue Cycle

Location:
Tazewell, VA
Posted:
July 31, 2012

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Resume:

MARYANN C. HASTINGS, CMPA

*** ****** ******, *************, ** 40356 Cell: 615-***-****

REVENUE CYCLE / FINANCIAL SERVICES/ PRACTICE ADMINISTRATOR

PROFESSIONAL SUMMARY

Expert in: Revenue Cycle Management ~ Healthcare Financial Management

Versatile, high-energy healthcare professional with extensive experience in physician practice management and hospital financial services. Strategic problem-solver who drives operational growth with revenue improvement. Hands-on leader with established ability to lead full-scale start-up and turn-around efforts, integration, and building best-in-class technology infrastructure. Skilled in implementing creative and practical solutions to business challenges. Exhibits exceptional leadership identifying and synthesizing trends to provide value added analysis to senior leadership.

CORE COMPETENCIES

Team Development & Leadership ~ Vendor Contract Negotiation/Management ~ Organization & Communication

Accounts Receivable Management ~ Accounting ~ Compliance Monitoring ~ Productivity & Performance Improvement

Revenue Cycle Management ~ Staff Leadership ~ Cost/Benefit Analysis ~ Strategic Planning ~ Workforce Management

Financial Analysis ~ Contract Evaluation ~ Coaching & Training ~ Capital/Operating Budget Management ~ Technology

PROFESSIONAL EXPERIENCE

JM VENTURES 2009 - Present

Revenue Cycle Consultant

Provides consulting and interim services in the areas of finance and daily operations to major health care organizations, physician groups, and hospitals while presenting best practice research briefings and educational sessions to clients on root causes of denials, underpayments and proven best practices in denial recovery and improved revenue cycle processes. Established strategic relationships with stakeholders as credible, accessible, and disciplined leader highly committed to service excellence, clinical quality, and the success of the organization.

Consistently represented interests of all stakeholders, while identifying economic and operational efficiencies designed to ensure the sustainability of the organization.

Successfully developed and led practice management consulting company including operations, intervention, and development of new programs.

METHODIST MEDICAL GROUP/METHODIST MEDICAL CENTER, Peoria, IL 2005 - 2009

Network of physician offices providing primary care, walk-in care, and specialty physicians.

Director, MSO/CBO

Oversaw the direction, management, planning, and budget operations of Central Business Office and Accounts Receivable for clinical operations. Ensured financial viability of practice group through provision and management of the revenue cycle while ensuring optimal financial performance in compliance with legal and regulatory requirements. Expert in handling and resolving complex issues while consistently meeting and exceeding operational goals and performance objectives. Developed and presented monthly financial reports with key indicators, trend analysis, and comparative data for CMO-MMCI Board of Directors, MMG Finance Committee, and Revenue Cycle Committee.

Directly supervised 2 mid-level managers while indirectly managing 28 FTE’s.

Teamed with Operations leadership to improve front desk and charge capture in physician offices with 300 administrative FTE’s; served on MMCI and MMG committees to research and implement new business ventures and revenue sources.

Streamlined processes and increased automation, resulting in reduced CBO FTE’s by 11%, decreased A/R days by 53%, reduction of bad debt by 37%, and cut percent of claim errors, rejections and denials by 52% .

Developed quality indicators and monitored for accuracy and productivity within each physician site as well as CBO.

Increased cash collections by 22.1%, amplified POS collections by 95% (office sites), and enhanced Net Revenue by 34.6% (2004 compared to 2008).

Designed comprehensive training program with proficiency testing for office site operations to include front desk and charge entry; developed separate training program for CBO operations staff.

Created policies and standard operating procedures for processes at practice sites and CBO to support goals of practice.

MARYANN C. HASTINGS, CMPA PAGE TWO

JM VENTURES, Hendersonville, TN 1990 - 2005

Consultant/Self-Employed - Interim Controller, Director, Administrator

Actively oversaw and managed the conversion of new practices into the physician network, ensuring operational financial accountability while strengthening the financial performance and advice on sound, consistent business decisions. Effectively assessed the functions of operations, finances, management staff, and overall positioning of the clinical resources and performance of the practice/hospital.

Established and implemented performance improvement plans to achieve a healthy financial position with efficient, high-quality operations and a reputation for excellent service.

Strategically enhanced recruitment and retention of providers in an effort to ensure the organization was viewed as an effectively managed entity supporting the interest of the physicians.

Authored and conducted educational seminars on such topics as Managing Managed care, Insurance Reimbursement, Managing the Revenue Cycle, AR Roadmap to Success, and Psychology of Self-Pay Collections.

INDEPENDENT CONTRACT EXPERIENCE

PHYSICIANS HOSPITAL SYSTEM, Mishawaka, IN

Four Hospital Healthcare System – Long Term Care, Rehab, NeuroPsyshcatric Rehab, Med / Surg and 7 family practice clinics with 12 proivders.

Interim Vice President – Revenue Cycle

Led core team in the development, training, conversion, and installation of information technology for hospital access, patient accounting, electronic health record, and general ledger.

Developed corporate charge master with pricing models

EPHRAIM MCDOWEL HEATH SYSTEM, Danville, KY

Two Med / Surg Hospital System with DME Supplier and 10 rural health clnics with 23 providers.

Interim Director – Revenue Cycle

Provided oversight and direction in the selection, development, training, and installation of hospital access technology

ORHTOPEADIC ASSOCIATES OF MICHIGAN, Grand Rapids, MI

Orthopedic surgeons with 3 locations providing physical therapy services, work hardening program, orthotic devices and braces

Interim Director – Revenue Cycle

Conducted operational assessment with process improvement plan targeting POS cash collections, central scheduling, front desk operations, staff proficiency and rightsizing.

Recruited Access Manager

GENESIS WOMEN’S CARE, Nashville, TN

A medical group practice specializing in Obstetrics and Gynecology.

Interim Administrator/Compliance Officer

Provided oversight and direction to General Contractor in build-out of new office; developed and executed HIPAA compliance program.

Recruited 3 new providers and conducted physician credentialing and re-credentialing with hospitals and payers.

TROVER FOUNDATION, INC., Madisonville, KY

A medical group practice.

Interim Director, Patient Financial Services

Developed mid-level management infrastructure by training, promoting, and mentoring 5 supervisors.

Stabilized department and improved employee morale, creating a cognizant team ready to function at highest capacity.

MEHARRY MEDICAL COLLEGE AMBULATORY CLINIC, Nashville, TN

Improves health and health care of minority and underserved communities by offering excellent education and training programs in the health sciences.

Interim Director, Patient Financial Services

MARYANN C. HASTINGS, CMPA PAGE THREE

Established central business office infrastructure as well as instituted department goals and standards with monitors to ensure compliance.

Successfully transitioned from billing vendor to in-house claims processing.

Improved net collections by 46%, decreased days in A/R by 82%, and reduced denial rate by 14%.

NORTHCREST MEDICAL CENTER, Springfield, TN

Provides a full-range of healthcare services.

Interim Director, Patient Financial Services

Developed ‘Excellence in Registration’ training program as well as policies and procedures, job descriptions, and competency testing.

Led Implementation Team for Electronic Health Record; designed and installed MSP questionnaire and Medicare ABN compliance program.

EDUCATION AND ASSOCIATIONS

Bachelor of Arts in Accounting, Summa cum Laude, GPA: 3.88, Thornewood University

MGMA, Nominee to the American College of Medical Practice Executives

HFMA, Certified Manager of Patient Accounts (CMPA)

MERK, Managed Care Advisory Board - Southeast Region, 1998 - 1999

Gamma Beta Phi Society

Beta Club



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