Rodolfo Dominguez

Rodolfo Dominguez

Summary

I am a hard working, professional with more than 15 years of hospital patient accounts management and A/R information systems experience.Skilled in converting hospital services to cash by managing and maximizing utilization of information systems and aligning resources with tasks.

 

Work History

Work History
Jan 2008 - Nov 2008

Client Financial Services Manager

Adaptis Inc
  • Planned, directed and monitored performance of Client Financial Services activities and accountabilities. This included Fee for Service payment processing, Medicare managed care and commercial health plan enrollment and premium billing.
  • Provided management oversight and responsibility for meeting service level agreements for multiple clients based on the outsourcing agreements negotiated.
  • Served as lead representative across multiple projects to support ongoing CFS improvement efforts.
  • Partnered with Operations Support Services to develop, lead, manage and oversee continuity for new business and existing process improvements pertaining to the Client Financial Services Department.
  • Participated with account implementation teams to plan and execute client financial service functions into the overall operation readiness planning.
Aug 2005 - Jan 2008

Patient Financial Services Manager

Perot Systems-Northwest Hospital

  • Managed Patient Financial Services Department including contract analysts, cash application, self pay, Medicare, Medicaid and commercial insurance billers and insurance follow up staff.
  • Performed data analysis for prioritizing and assigning work and establishing productivity standards.
  • Responsible for insuring all operational billing and collection policies procedures were HIPAA compliant by tracking and reviewing all claims making sure they were clean and coded appropriately. This included making sure staff attended and completed all mandatory training
  • Re-engineered work flows and procedures
  • Developed, documented and implemented billing, cash-application, Registration and collection policies.
  • Extensive experience working with Meditech, McKesson STAR and SMS MedSeries 4 as well as IDX Carecast PA patient accounting systems
  • Resource for Patient Accounting staff for problem solving and mentoring.
  • Worked as a project manager performing account review and analysis and implemented cash acceleration projects.
  • Contracted with collection agencies for bad debt recovery.

Feb 2003 - May 2005

Senior Implementation Consultant

IDX-Carecast

  • Development and implementation of Lastword/Carcast Patient Accounting application and ANSI 837 claims interface for hospitals throughout the United States.
  • Issue tracking, analysis and resolving problems with system set-up along with identifying code collisions and other programming problems.
  • Training end users on patient accounting applications
May 2001 - Dec 2002

Patient Accounts Manager

Community Health Centers of King County
  • Managed Patient Financial Services Department including cash application, patient balance, Medicare, Medicaid billers and third party follow up staff.
  • Re-engineered work flows, developed, documented and implemented billing and collection policies.
  • Resource for Patient Accounting staff for problem solving and mentoring.
Mar 2000 - May 2001

Project Manager

Perot Systems/ARS-John C Lincoln Hospital
  • Worked as a Project Manager performing account review and analysis. 
  • Implemented cash acceleration projects.
  • Prepared and submitted appeals to insurance companies
  • Managed Care contract analysis
  • Contacted insurance companies to resolve issues related to high-dollar claims processing and payment
Aug 1997 - Apr 1999

Patient Accounts Manager

Sunnyside Community Hospital
  • Managed Patient Financial Services Department including contract analysts, cash application, self pay, Medicare, Medicaid and commercial insurance billers and insurance follow up staff.
  • Performed data analysis for prioritizing and assigning work and establishing productivity standards.
  • Responsible for insuring all operational billing and collection policies procedures were HIPAA compliant by tracking and reviewing all claims making sure they were clean and coded appropriately. This included making sure staff attended and completed all mandatory training
  • Re-engineered work flows and procedures
  • Developed, documented and implemented billing, cash-application, Registration and collection policies.
  • Resource for Patient Accounting staff for problem solving and mentoring.
  • Worked as a project manager performing account review and analysis and implemented cash acceleration projects.
  • Contracted with collection agencies for bad debt recovery.
Feb 1995 - Aug 1997

Systems Analyst

Trinity HealthCare Information Systems
  • Maintained and supported SMS Med-Series 4, AR/ADT applications for 10 clients/hospitals in Michigan and Iowa.
  • Designed, tested, and authored user documentation and implemented new A/R application software.
  • Provided end-user training on SMS AR/ADT applications
Jan 1990 - Feb 1995

Patient Accounts Supervisor

St. Mary Hospital-Trinity Health
  • Supervised Patient Accounting Department including cash application, self pay, and government billers,commercial insurance billers and third party follow up staff.
  • Re-engineered work flows, developed, documented and implemented billing, cash-application and collection policies.
  • Data analysis, (ATB, credit balance, cash posting and billing reports) for prioritizing and assigning work and establishing productivity standards.
  • Responsible for increasing system utilization and automating processes
  • Resource for Patient Accounting staff for problem solving and mentoring.
Jun 1985 - Jan 1990

Financial Counselor

  • Verified insurance coverage and benefits for patients.
  • Initiated authorization process
  • Obtaining auto insurance and work comp carrier information and following up for reimbursement
  • Interviewed patients in-house or home visits to assist them in obtaining maximum benefit coverage.
  • Made payment arrangements and collected deposits from patients
  • Completed applications for Medicaid and crime victims, reviewed medical records and took all action necessary to expedite benefit approval.
  • Maintained ongoing communications with government agencies regarding the status of claims.
  • Provided updates and assistance to hospital personnel and other staff as needed.
  • Maintained documentation of status of claims and client contact on IBAX/HBOC computer system
Jan 1978 - Jun 1985

Patient Accounts Representative

Southwest Detroit Hospital
  • Interviewed patients in-house or home visits to assist them in obtaining maximum benefit coverage.
  • Completed applications for state and federal program, reviewing medical records and taking all actions necessary to expedite benefit approval.
  • Maintained ongoing communications with government agencies regarding the status of claims.
  • Provided  updates and assistance to hospital personnel, physician and other staff as needed.

Education

Education
Jan 1990 - Feb 1995

Madonna Unversity

Skills

Skills

Patient Financial Operations Management

Effectively managed Patient Financial Services Department to reduce A/R days by establishing insurance follow up productivity requirements to effectively reduce aging accounts to 48 days.   Performed contract analysis and recovered $250,000 for underpaid claims in the first three months of implementing IMACs contract tracking software.