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Revenue cycle

Location:
Los Angeles, CA, 90047
Salary:
90000
Posted:
August 11, 2011

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Resume:

Emmett N. Brooks Jr.

**** *. ******* **** / *** Angeles, Ca 90047 / Cell 323-***-**** / email: emmett,******@*****.***

EXECUTIVE PROFILE

Successful healthcare executive with over 20 years of expertise in the healthcare industry up to and including team development and reimbursement successfully structured and developed A/R teams which effectively increased productivity and cash receivables. Implemented streamline procedures, which reduced staffing needs, Efficient, accurate and detail orientated. Effective Team Motivator and Team Builder in order to maintain morale within an organization Adapt at finding creative solutions within budget

SUMMARY OF QUALIFICATIONS

25 years' experience managing, supervising and directing patient revenue cycle operations including patient access, billing, posting, collections, payer contract management, problem resolution and follow-up

Hands-on payer adverse trend analysis, effective managed care appeal management, and root cause payer issue and variance identification

Thorough knowledge of federal and state healthcare regulations

Outstanding communicator working with CFO, Finance Department and other revenue cycle business owners in formulating policies, procedures, and strategies to maximize reimbursement and receivables

Strong MS Excel and Power Point experience and Excellent presentation skills

PROFESSIONAL SUMMARY

Prime Healthcare Management, Inc Los Angeles, CA

CBO Director Patient Financial Services Nov 2010 – Present

Eliminated $1million per year in contract labor expense

Implemented front-end procedures to ensure compliance with state requirements for post stabilization care ultimately reducing the number of denials associated with this service

Reduced outstanding receivable greater than 150 days old by more than 3% ($1.6million) through more aggressive denial appeals and follow-up

Kaiser Permanente (Contractor) Pasadena, CA

Revenue Cycle Project Manager Mar 2010 Nov 2010

Team member in the initiative which ultimately reduced outstanding credit balances ultimately Eliminating more than 15,000 credit accounts in 90 days

HEALTH SERVICES INTEGRATION, Santa Rosa, CA

Vice President Patient Accounts Mar 2009 – Oct 2009

Directed and oversaw the patient accounting activities for national billing service providing accounts receivable, billing and collection services to ambulance providers

Built business office from the ground up for newly established client in Texas including hiring all staff and establishing best Business practices

Instrumental in company’s revenue and income growth of 20% Through redesign of business operations

Standardized procedures and recorded step-by-step tasks for future Years, reversing a chaotic business process to one of accuracy and

Quality.

DAUGHTERS OF CHARITY HEALTH, Redwood City, CA

Assistant Director of Patient Financial Services Jan 2006 – Aug 2008

Oversaw the reimbursement of patient accounting processes for Regional healthcare system of four acute care hospitals spanning northern California with Average daily Revenue (ADR) of $8.9M

Successfully achieved reduction in credit balances, from 1.7 GDRO to 0.8 GDRO in less than one year, surpassing organization’s targeted goal of one day in accounts receivable (GDRO)

Championed and led company-wide initiative to increase the organizations “Clean Claim” submission, ultimately increasing clean claims from a low of 18% to company best 84% representing a $4.9million increase in monthly cash

Spearheaded and led non-government follow-up team in the Implementation of a quality, quantity and utilization QA process that resulted in increased account follow-up by more than 30 accounts per day per rep

Reduced outstanding AR by more than 8000 accounts in 1 year resulting in significant cash acceleration for the organization

Conceptualized and directed the MedSeries4 automation of adjustment posting reducing manual key strokes by more than 1800 per day

STAFF LOAD CORPORATION, Oak Park, IL

Founder/Owner Jul 2000 – Jan 2006

Provided value-added analysis, account resolution and IT support for Siemens (SMS) financial application customer

Led and supervised a team of 22 billers, collectors and follow-up reps

In cash acceleration engagement as part of a larger process improvement initiative provided by big 4 accounting firm

Achieved cash collections in excess of $10 million

Hired as interim business analyst to manage the day-to-day SiemensInvision Master File maintenance and enhancements to support Process improvement engagement provided by big 4 accounting firm resulting in a more robust system and accelerated cash

SHARED MEDICAL SYSTEMS Malvern, PA

Senior Consultant Mar1997 Jul 2000

Provided business consulting and expertise in strategic performance, management methodologies, process improvement, and the application of technologies

Lead consultant in process re-engineering and cash acceleration engagements encompassing charge entry, patient access and patient accounting business office operations.

THE METHODIST HOSPITALS, INC Gary/Merrillville, In

Patient Account Manager May 1995 Mar 1997

RECEIVABLE ASSET MANAGEMENT,INC Bellwood, Il.

Collection Agency Owner/President Nov 1985 May 1995

LOYOLA MEDICAL PRACTICE FOUNDATION Maywood, Il

Patient Account Manager/Physician Billing Nov 1978 Nov 1985

EDUCATION

Southern Illinois University Carbondale, IL

Completed courses for Business Administration

Currently preparing for the Project Management Professional (PMP) Certification Exam

Emmett N. Brooks Jr. Resume Page PAGE \* MERGEFORMAT 1



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