Work History

Work History
2010 - Present

Manager, Revenue Cycle

Laser Spine Institute

Responsible for managing the functional operations of collection and A/R management with specific reference to contracted payers, to include policy and procedure development, internal and external communications, statistical reporting, trend analysis, and issue resolution for all medical offices and facilities.

  • Instrumental in establishing new team assignment responsible for handling all non AR duties thereby increasing collector productivity and collections by 20%.
2008 - 2009

Manager-Revenue Integrity Services

Lakeland Regional Medical Center

Manager, Revenue Integrity Services

Led team of 7 professional staff responsible for oversight of facility charge master, conducting all audit functions and achieving improvements in charge capture practices for revenue enhancement. 

  • Reduced Late Charges from $10.2 million to $2.9 million at the end of 6 months, by implementing process improvements in clinical areas.
  • Increased net revenues by $350k to $500k in 6 months by implementing charge capture initiative for Nursing Procedures.
  • Realized savings of over $100k in payer refund requests through effective defense auditing techniques.
  • Developed new revenue streams by managing daily charge capture exception reporting and auditing.
  • Ensured billing compliance by communicating coding updates to impacted departments.
  • Initiated and coordinated review and revision of the Third Party Billing Audit Policy.
  • Assisted Patient Financial Services with resolution of billing edits due to Charge master issues.
  • Contributing member on the Value Analysis Committee.
  • Contributing member on the Charge Master Oversight Committee.
2006 - 2007

Manager PFS

http://www.clevelandclinic.org/florida/

Organized and managed the daily functions of Business Office and Customer service staff to include billing, collections, cash posting and adjustments. 

  • Increased collections by $350k and reduced account balances greater than 90 days by 30% in 6 months.
  • Increased collections by $500k by managing underpayment review and recoveries on current AR.
  • Improved patient satisfaction within 90 days by creating a centralized Customer Service unit.
  • Reduced denials by 25% due to registration errors in collaboration with the Patient Access Director.
  • Reduced bad debt write-offs by 30% due to roll out of a Financial Assistance Program.
  • Resolved charge master errors with CDM Coordinator impacting billing and collections.
  • Reduced bank deposit errors by tracking and reporting errors to clinic management.
  • Monitored all cash functions and controls within the Customer Service/Financial Counselor areas.
  • Successfully managed cash application project of unapplied payment accounts.
  • Contributing member of Employee Recognition Committee.
2005 - 2006

Manager-APC Compliance/Systems

  • Reduced bill hold times due to Medicare CCI edits by 40% in collaboration with clinical areas.
  • Managed the data capture and reporting of monthly concurrent chart audits.
  • Conducted monthly meetings with department heads to review results of concurrent audits.
  • Ensured the accurate and timely completion of month end processing.
  • Functioned as a super user for staff training and support of computerized systems.
1996 - 2005

Manager-IT/Compliance/Systems

Insurance Recovery Specialists Inc.

Manager, IT / Compliance / Client Integration (1999 to 2005)

Managed the successful integration of client accounts receivables projects, performance metrics and issue resolution. 

  • Managed retroactive audit project realizing $500,000 in underpayments to clients.
  • Evaluated, implemented and monitored standards for compliance with HIPAA.
  • Developed, implemented and monitored Corporate Compliance program.
  • Developed an electronic method for effecting a reconciliation of account balances between systems.
  • Trained staff in efficient and proper use of all systems.

Manager - Claims Operations(1996-1999)

Managed billing, collections functions and reporting to client hospitals.  

Education

Education

Skills

Skills

Medical Coding

Currently preparing for the CCA certification from AHIMA. 

Microsoft Office