Summary
Overview
Work History
Skills
AdministrativeAssistant
Amy Gray

Amy Gray

Nashville

Summary

Results-focused leader specializing in Revenue Cycle Management with a proven track record of driving positive change, building strong teams, and reducing the cost to collect. Offering many years of healthcare experience to maximize employer success.

Overview

26
26
years of professional experience

Work History

Consultant, Vice President, Revenue Cycle Management

Accevia Global Solutions
12.2024 - Current

Overview: Serve as a strategic advisor for a third-party revenue cycle vendor supporting healthcare organizations nationwide. Leverage deep industry expertise to lead client-facing initiatives that enhance financial performance, streamline operations, and ensure regulatory compliance across the revenue cycle continuum.

Key Responsibilities:

  • Partner with healthcare clients to assess, design, and implement end-to-end revenue cycle solutions, including billing, collections, denial management, and reimbursement strategies.
  • Lead operational transformation projects that reduce A/R days, improve clean claim rates, and elevate patient financial engagement.
  • Conduct workflow assessments and deliver actionable insights to optimize performance using data-driven methodologies and automation tools.
  • Mentor client-side revenue cycle leaders and staff, promoting best practices and a culture of continuous improvement.
  • Collaborate with internal Accevia teams and client stakeholders—including IT, compliance, and clinical operations—to align RCM services with organizational goals.
  • Oversee vendor-client relationships, including performance reviews, contract optimization, and risk mitigation strategies.
  • Developed and implemented comprehensive project plans aligning with organizational goals.


DIRECTOR OF REVENUE CYCLE SERVICES

COVENANT PHYSICIAN PARTNERS
01.2019 - 08.2024

Overview:

  • Managed Revenue Cycle for 49 locations, collecting $254M annually. Led and supervised a fluctuating team of approximately 56 direct reports, including managers, analysts, and staff.
  • Physician practices, Anesthesia, Ambulatory Surgery Centers, Labs.
  • Specialties included Gastroenterology, Ophthalmology with a minimum of Podiatry and Pain.
  • Hybrid Revenue Cycle: CBO, Local, and Third Parties.
  • EHR/PM Systems: Modernizing Medicine (gGastro, gMed), Nextech, Nextgen, Athena, Management plus, DNA, others not listed.

Key Achievements:

  • Labor Savings: Implemented a vendor solution that reduced labor by 3.5 FTEs, resulting in annual savings of $175K.
  • Revenue Restoration: Recovered 45% of a $10 million revenue loss through strategic payor contracting and credentialing efforts.
  • Efficiency Gains: Achieved a 40% reduction in new provider eligibility denials.
  • Team Excellence: Created and led a high-performing analyst team recognized for expertise in revenue cycle management, improving KPIs, reducing DSO by 15-20 days, and increasing yield by 5-10%.
  • Operational Improvement: Restructured a 14-person team at a single location, enhancing communication, boosting cash flow, and decreasing controllable denials by 35%.
  • Outsourcing Management: Conducted an RFP and successfully led the implementation of an outsourced solution.
  • System Modernization: Introduced a new EHR/PM system to better serve Covenant’s diverse medical specialties.
  • Data-Driven Insights: Developed comprehensive reporting and dashboards to support overall performance metrics.

Experience & Responsibilities:

  • Optimized revenue generation and cost management through comprehensive financial strategies and detailed reporting.
  • Implemented advanced revenue management software to automate processes and enhance data accuracy.
  • Managed multiple acquisitions through effective onboarding and due diligence, driving company growth.
  • Conducted in-depth revenue stream analyses to identify and implement improvements, leading to increased revenue and reduced latency.
  • Ensured regulatory compliance and proactively managed potential risks to safeguard the revenue cycle.
  • Facilitated interdepartmental collaboration to align strategic goals and streamline revenue processes.
  • Built and led high-performing teams through effective leadership and training programs.

DIRECTOR OF REVENUE CYCLE MANAGEMENT

PHYBUS, LLC
06.2017 - 01.2019

Overview:

  • Managed Revenue Cycle for 5 locations, collecting $5M annually. Led and supervised a fluctuating team of approximately 12 direct reports, including managers and staff.
  • Physician practice, Anesthesia, Ambulatory Surgery Centers.
  • Specialties included Gastroenterology, and Pain.
  • Hybrid Revenue Cycle: CBO and Third Parties.
  • EHR/PM Systems: HST, Greenway

Key Achievements:

  • Payor Contracts Management: Implemented all payor contracts with immediate contractual adjustments at billing, ensuring accurate AR aging reflecting net revenue.
  • Billing Cycle Improvement: Reduced the billing cycle from 5 days to 2 days, leading to increased revenue yield.
  • Clearinghouse Conversion: Converted locations to a new clearinghouse, enhancing the reporting system for better management of denials.

Experience & Responsibilities:

  • Oversaw and managed the overall policies, objectives, and initiatives of the revenue cycle functions to optimize revenue and patient experience.
  • Reviewed, designed, and implemented processes surrounding upfront collections, billing, third-party payer relationships, compliance, and collections to ensure that the revenue cycle was effective and properly utilized.
  • Tracked numerous metrics related to coding errors and billing turnaround time to develop sound revenue cycle analysis and reporting.
  • Managed and maintained billing fee schedules.
  • Reviewed, updated, and negotiated rates for new procedures when it came to contracting.
  • Communicated weekly with Center Administrators to ensure processes were being followed regarding patient fiscal responsibility.
  • Continuously improved business processes and reporting through the month-end process.
  • Identified payer reimbursement trends and communicated them timely to senior leadership when appropriate.

SR. DIRECTOR OF REVENUE

FAST PACE URGENT CARE
01.2017 - 06.2017

Overview:

  • Managed Revenue Cycle for 36 locations, collecting $2M annually. Led and supervised a fluctuating team of approximately 42 direct reports, including managers and staff.
  • Urgent care facilities.
  • CBO was in Waynesboro TN

Experience & Responsibilities:

  • Managed all functions of the billing and collection process, with $2M collected in 2017 and responsible for 42 staff members.
  • Oversaw the enrollment and credentialing functions for clinics and providers.
  • Maintained and ensured compliance with third-party payor contracts.
  • Implemented and continuously improved business processes and reporting.
  • Ensured payments were contractually accurate and timely.
  • Identified payer reimbursement trends and reviewed findings with senior management.
  • Monitored changes in governmental reimbursement policies.
  • Ensured the timeliness and accuracy of various activities and functions in accordance with established standards, regulations, quality control, and budgetary requirements.

REVENUE CYCLE DIRECTOR

ELEMENTS BEHAVIORAL HEALTH
04.2013 - 01.2017

Overview:

  • Managed Revenue Cycle for 4 locations, collecting $250M annually. Led and supervised a fluctuating team of approximately 23 direct reports, including managers and staff.
  • Residential treatment, Intensive outpatient care, Day treatment, Sober living, and OBH.
  • Therapies offered: 12 step and non 12 step support options, Traditional complementary therapies, Neurofeedback, Equine therapy, Acupuncture, Adventure therapy, EMDR.
  • 1 CBO located in Franklin, TN
  • Allscripts, Salesforce

Key Achievements:

  • Successfully transitioned from AR Manager to Revenue Cycle Director, demonstrating leadership and ability to manage complex projects.
  • Achieved a 20% improvement in revenue processing efficiency.
  • Reduced Denials:
  • Implemented standard reporting and systematic reviews across all locations.
  • Achieved a 30% reduction in billing denials, enhancing efficiency and accuracy.
  • Enhanced Authorization Handling:
  • Hired specialized clinical staff to manage all peer-to-peer communications.
  • Improved the processes for ongoing treatment authorizations, ensuring better patient care and resource allocation.
  • Advanced PM System Integration:
  • Developed an overlay to the existing PM system.
  • Facilitated tracking of productivity and resolution across the billing system.
  • Introduced greater accountability, leading to improved system performance and reliability.

Experience & Responsibilities:

  • Startup and Comprehensive Oversight of Accounts Receivable Department
  • Managed a department responsible for $250 million in annual cash collections, encompassing both insurance and self-pay payers.
  • Improved Cash Collections
  • Enhanced cash collections as a percentage of full billed charges from 39% to 57%.
  • Acceleration of Cash Collections
  • Introduced a program to speed up the velocity of cash collections, effectively halving the overall time to collect.
  • Centralization of Accounts Receivable
  • Lead the consolidation of all accounts receivable activities across 14 freestanding substance abuse and mental health treatment centers into a single, central business office.
  • Implementation of Med Metrix
  • Spearheaded the deployment of the Med Metrix accounting and accounts receivable database tool.
  • Developed and implemented workflows and reports to capture key data points, enhancing and streamlining key performance indicators.
  • Oversight of Denial Steering Committee
  • Generated and oversaw a Denial Steering Committee responsible for analyzing and providing direction on regional and facility-specific denial rates and trends.
  • Achieved a 10% enterprise-wide decrease in denials.
  • Staffing Program Development
  • Designed and created tools to enhance AR staff skills.
  • Introduced performance rankings and significantly improved employee engagement.
  • Program for Patient Collections
  • Developed and operationalized a program to increase patient collections related to out-of-network treatment facilities and individual providers.
  • Managed Collection Activities
  • Monitored billing and cash posting to support company goals.
  • Process Tracking and Metrics
  • Tracked and measured the quality and effectiveness of processes and procedures using identified metrics.
  • Recruiting and Selection
  • Participated in the process of interviewing and selecting candidates for open AR positions.
  • Staff Management
  • Managed staff concerning policies and procedures.
  • Administered disciplinary actions and provided necessary coaching.

Revenue Cycle Leader (Various Roles)

DAVITA
10.1999 - 04.2013

Overview:

  • Managed Revenue Cycle for Joint Venture locations as well as the East South-Central Region. Led and supervised a fluctuating team of approximately 23 direct reports, including managers and staff.
  • Dialysis – Free Standing locations

Key Achievements:

  • Completed Advanced Leadership Development Programs
  • Successfully completed a series of advanced leadership development programs, enhancing both personal and team performance.
  • Consistently Exceeded Expectations and Earned Recognitions
  • Consistently performed above expectations across multiple years at DaVita, recognized with numerous awards including Team and Continuous Improvement honors.
  • Active Community Involvement and Fundraising
  • Actively participated in and organized various fundraising events for kidney disease awareness, contributing significantly to the success of numerous initiatives.
  • Achieved Top Performance on Company Leaderboard
  • Achieved a top 2 ranking on the company-wide Leaderboard out of 18 teams, maintaining a perfect record with zero Sox exceptions for an entire year.



Skills

  • Data analytics
  • Team leadership & development
  • Problem-solving
  • Client relationships
  • Issue resolution
  • Project management
  • Project implementation
Amy Gray