ANGELA OPALAK
Summary
High-impact leader with several years of proven healthcare industry experience, optimizing operations, implementing continuous operational improvements, streamlining systems/processes, improving customer service/experience, and maximizing revenue and performance. Demonstrates strong financial and business operations expertise. Strong background in optimizing revenue, identifying AR leakage, and a proven track record of overall revenue cycle operations excellence. Possesses unparalleled integrity, initiative, consistency, and diligence in achieving business objectives and goals. Strong analytical and problem-solving skills.
Overview
20
20
years of professional experience
Work History
Vice President of Revenue Cycle Management
Pain Specialists of America LLC
11.2024 - Current
- Developed and executed strategic plans to support the vision of the organization.
- Formulated policies that improved operational efficiency and productivity.
- Fostered collaboration and development of new practices by business leaders.
- Advised senior executives on approaches for resolving complex issues impacting operations.
- Created effective communication strategies between management team members and employees at all levels of the organization.
- Provided organizational leadership and collaborated with executive partners to establish long-term goals, strategies and company policies.
- Collaborated with executive team members on major decisions regarding company-wide initiatives.
- Implemented new software systems designed to streamline billing operations.
- Coordinated internal audits of billing documents submitted by providers in order to ensure accuracy of codes used when submitting claims.
- Conducted financial analyses, such as pricing models and profitability studies, to identify areas for improvement in the revenue cycle process.
- Monitored accounts receivable balances to ensure timely payment from third-party payers.
- Evaluated existing workflows and identified areas where improvements could be made that would result in increased efficiency or reduced costs associated with the revenue cycle process.
- Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
- Managed a team of billing specialists responsible for processing claims accurately and efficiently.
- Developed training programs for employees involved in the revenue cycle process.
- Oversaw all activities related to patient registration, pre-certification, authorization, charge capture, coding compliance auditing, claim submission, follow-up, denial management, accounts receivable collection follow-up, customer service inquiries, issues resolution, cash posting, reconciliation activities.
- Developed and implemented departmental policies and procedures to ensure accuracy of revenue cycle operations.
- Monitored insurance claims status on a daily basis to ensure timely reimbursement from payers.
- Generated reports on aged accounts receivables in order to identify areas needing improvement in collections processes.
- Boosted job efficiency by working closely with other analysts so that tasks and processes could be streamlined and duplication was avoided.
- Detailed key revenue cycle information into thorough presentations to deliver to executives and management team.
- Created reports for management regarding payment trends, denials, rejections, and other performance metrics.
- Analyzed complex billing issues, identified root causes, and developed solutions to improve revenue cycle operations.
Chief Business Officer
The Blanchard Institute
Charlotte
08.2020 - 11.2024
- Company Overview: SUD/MH Facility
- Responsible for day to day operation of multi-location dual diagnosis business and finance office. Responsible for all finance, RCM, and UR team members.
- Wins included increased revenue by working in collaboration with payers, clinical leaders and admissions teams. Increased revenue year over year >30% by identifying additional opportunities, implementing additional business office process with specific focus on patient collection strategies, and implementation lean process and reducing expenses.
- Performs new hire and remedial training on processes and policy and procedures. Content includes but is not limited to the following: registration, insurance, online eligibility, address verification, financial clearance, financial counseling, price estimates, price transparency, business office procedures, work queues, customer service, scheduling, authorizations, etc.
- Performs quality assurance audits within the revenue cycle department. Includes monitoring of new hires and current staff. Monitor work queues, ad hoc reports, identifying any performance improvement trends to CEO.
- Coordinates with operational areas ensuring policies and procedures are maintained to support revenue cycle areas.
- Coordinates the revenue cycle operational needs for new programs and sites to ensure effective capture of patient registration information and billing requirements.
- Develops and maintains education materials related to revenue cycle departments in coordination with Information Technology team analysts. Responsible for making updates to all materials and competencies based on system and process related updates.
- Knows all aspects of processes and workflow of both front end and back office departments apart of the revenue cycle in order to both train effectively and function as a resource for those departments. Stays current in all aspects as updates occur.
- Resource on the applications used across the revenue cycle (Collaborate MD, KIPU EHR, KIPU CRM)
- Performs custom data audits and performance improvement initiatives as requested by operational leadership for revenue cycle departments. Includes performing an assessment of current operational process and workflow and providing suggestions for process improvement to leadership.
- Routinely reviews regulatory and third-party payer changes impacting revenue cycle operations. Prepares assessment of process and technical changes and coordinates updates for system changes and policy and procedure changes. Will specialize in their respective area of responsibility: patient registration, patient accounting, and coding.
- SUD/MH Facility
- Evaluated performance metrics across departments to ensure organizational goals are met.
- Optimized revenue streams by consistently exceeding client expectations.
- Optimized resource allocation to maximize returns on investments in personnel and technology.
- Developed strategies to increase operational efficiency and reduce costs.
- Directed cross-functional teams to foster innovation and drive project completion within time and budget constraints.
- Executed strategic initiatives for growth and profitability improvement.
- Coordinated merger and acquisition activities including due diligence processes.
- Proposed pricing and contracting strategies to implement for revenue optimization.
- Managed crisis situations, implementing swift solutions to protect company assets and stakeholder interests.
Founder
HEALTHCARE REVENUE PARTNERS, LLC
Boynton Beach
12.2012 - 08.2024
- Consulted private practices across multiple specialties to resolve a variety of issues, including operations optimization, expense reduction, process improvements, technology implementation, and revenue capture/integrity process issues.
- Performed process audits to identify performance gaps and inefficiencies.
- Conducted employee evaluations and introduced strategies for engaging staff, increasing employee retention, and maximizing productivity and performance.
- Successfully identified employee theft (in accounting divisions) at 2 separately-owned practices.
- Performed payer contract evaluation, including identifying underpayment and other payment issues, negotiating service rate increases, resulting in increased, recurring revenue.
- Achieved significant expense reduction through various cost control strategies, including vendor evaluation/sourcing.
- Budget creation and management functions.
- Introduced innovative technological solutions and ensured existing technology was utilized to fullest potential.
COO National Accounts/Consultant
Optimal Billing Solutions- Florida Region, LLC.
Boynton Beach
12.2015 - 08.2020
- Responsible for day to day operations of all third-party revenue cycle clients (nationwide) (Interventional Radiology, Orthopedic Surgery, General/Vascular Surgery, Primary Care, Diagnostic Imaging, Maxillofacial Surgery, Breast Reconstruction, Behavioral Health, Laboratory, DME, Facility/Hospital)
- Responsible for all client accounts and management of over $450M in accounts receivable.
- Proficient in coding policy research, payer policy research, appeals writing and payer contract interpretation.
- Consultant hired to negotiate/re-negotiate managed care contracts. Assisted business to establish market analysis for optimization of contracted rates; understand costs per procedure to ensure highest reimbursement, working through center specific agreements for capitation platforms; resolved credentialing issues that were affecting reimbursement. Built/established client relationship with payer representatives to ensure an ongoing working relationship. Assist clients in establishing a value proposition for the payers within a given market.
- Selectively recruited to assist with establishing company-wide operations infrastructure.
- Guided and directed development of organization's long-term strategy, standards, policies, and culture.
- Lead teams to ensure achievement of company-wide goals.
- Collaborate with team to create environment of accountability via rewards/incentives, recognition, and coaching.
- Consult and advise multispecialty revenue cycle clients to identify needs/goals and provide appropriate solutions, including operations optimization, expense reduction, process improvements, technology implementation, and revenue capture/integrity process issues.
- Conduct process audit to identify performance gaps and inefficiencies.
- Perform employee evaluations and introduce strategies for engaging staff, increasing employee retention, and maximizing overall productivity and performance.
VP of Operations
MAGNETIC MEDICAL MANAGEMENT, INC.
Royal Palm Beach
12.2011 - 12.2012
- Provided 3rd-party revenue cycle solutions to private practices across multiple specialties, including Radiology (Diagnostic and Interventional), Allergy, Orthopedic-Surgery, General/Vascular Surgery, and Podiatry.
- Oversaw $300M+ in Accounts Receivables and managed 45 employees. Led initiative to enhance client relations/experience with the goal of meeting/exceeding client expectations.
- Handled all escalated client issues/complaints.
- Performed payer contract evaluation, including identifying underpayment and other payment issues, negotiating service rate increases, resulting in increased, recurring revenue.
- Ensured staff engagement, achieving productivity and performance expectations in alignment with company goals/objectives.
- Established revenue transparency by managing billing and coding department, ensuring all revenue was captured correctly. Tracked revenue cycles for multiple clients to identify payment issues that conflicted with payment contract terms.
- Promoted company through public speaking engagements and participating in industry/PR-related activities.
Director of Revenue Integrity
SHERIDAN HEALTHCORP
Sunrise
03.2011 - 12.2011
- Reported to VP of Finance and VP of Compliance. Responsible for maximizing revenue and ensuring compliance with facility and regulatory policies and guidelines.
- Worked cooperatively with Compliance Program team to prevent, detect, and manage risks related to revenue cycle; including billing, coding, and reimbursement functions.
- Evaluated auditing and monitoring trends and coordinated mitigation solutions/activities when opportunities for improvement are identified.
- Analyzed medical records data to identify areas requiring improvement and execute appropriate resolutions.
- Collaborated with VP of Finance to ensure revenue was captured with integrity with regulatory compliance.
- Successfully led ED department procedural process improvements (still in use today) that yielded a $10M annual revenue increase.
Senior Director of Operations - South Florida Region
MIDTOWN IMAGING, LLC
West Palm Beach
07.2005 - 03.2011
- Hired to help bridge gap between clinical staff and operations teams.
- Helped 16 outpatient imaging facilities achieve 2-year plan to make operations improvements necessary to achieve maximum efficiency for sale (company sold twice during tenure).
- Reported directly to CEO and company ownership, providing updates on imaging operations development/growth.
- Successfully negotiated/re-negotiated managed care contracts. Created and maintained market analysis for all facilities in all counties for optimization of contracted rates; worked alongside the CFO/Finance team to establish costs per procedure to ensure highest reimbursement/profit, established personal relationships with payer representatives to ensure an ongoing working relationship and to optimize our presence in the market area (Dade/Broward/Palm Beach counties).
- Chosen to work in conjunction with BCBS of Florida development team to create/user test the 'Care Calc' model which is still in use today.
- Managed $40M budget with full fiscal oversight.
- Worked closely with Director of Revenue Cycle to maintain budget while meeting/exceeding revenue goals.
- Worked directly with 20 Radiologists to ensure their immediate needs were met.
- Collaborated with CEO to negotiate/renegotiate contracts as needed.
- Managed Facility Site Managers, Director of Marketing, and Revenue Cycle Director, ensuring consistent communications, providing necessary training, and exceeding performance expectations.
- Achieved 96% employee retention by establishing a positive, team-building organizational culture.
- Recommended and implemented technology to maximize operational proficiency.
- Saved company more than 25% in employee costs by expanding services provided to include PET CTs; collaborated with site managers to evaluate additional service expansion and business opportunities.
- Cultivated customer-centric culture with emphasis on customer experience and meeting the needs of the market.
- Extended tenure for 6 additional months by request, following Tenet Healthcare Corporation acquisition to assist with ensuring smooth transition.
Skills
- Revenue cycle management
- Regulatory compliance
- Staff training
- Operational efficiency
- Strategic planning
- Project management
- Change management
- Team leadership
- Performance metrics
- Problem-solving abilities
- Policy and procedure development
- Task prioritization
- Mergers and acquisitions
- Operational management
Timeline
Vice President of Revenue Cycle Management
Pain Specialists of America LLC
11.2024 - Current
Chief Business Officer
The Blanchard Institute
08.2020 - 11.2024
COO National Accounts/Consultant
Optimal Billing Solutions- Florida Region, LLC.
12.2015 - 08.2020
Founder
HEALTHCARE REVENUE PARTNERS, LLC
12.2012 - 08.2024
VP of Operations
MAGNETIC MEDICAL MANAGEMENT, INC.
12.2011 - 12.2012
Director of Revenue Integrity
SHERIDAN HEALTHCORP
03.2011 - 12.2011
Senior Director of Operations - South Florida Region
MIDTOWN IMAGING, LLC
07.2005 - 03.2011
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