Hi, I’m
Aubrey Haynes
Care Management & Operations Consultant
Alexander,US
Summary
Results-driven Director of Care Operations with proven track record of success leading and growing organizations. Strong background in strategic planning, financial management and team development. Skilled in identifying opportunities and implementing practical business strategies with commitment to staying informed about latest trends, technologies and best practices. HealthTech and SaaS student. Prioritizes empathy and compassion.
Overview
8
years of professional experience
Skills
- Program Policy Development
- Accounting and Financial Management
- Revenue Stream Building
- Revenue Cycle Management
- Staffing Requirements
- Staff Training
- Capacity Planning
- Clinical Management
- Process Improvement
- Project Oversight
- Pediatric Care Management & Coordination
- Family Practice Care Management & Coordination
- Office Operations
Work History
Rheumera
Care Operations Consultant (Remote)
07.2023 - Current
Job overview
- Built out Clinical Care Operations functions in support of Chronic Care Management and Remote Therapeutic Monitoring.
- Implemented revenue generating care management programs to support initial project funding.
- Improved patient experiences through digital assessment tools and patient outcomes (PROM) reported via Rheumera's SaaS.
- Advised Rheumera's development team regarding crucial app functions for their VC-backed health technology.
- Worked closely with Clinical Director, CEO, CFO and President to establish payment policies, performance metrics, and clinical integration procedures.
- Managed Care Coordinators, established and improved processes for coordination of 7,000 patients with clinical staff, APRNs, and Rheumatologist(s).
- Developed and Implemented patient care capacity models to plan hiring strategies.
- Ensure care operations are in compliance with CMS program requirements.
Pillow Clinic PLLC
Director of Care Operations (Remote)
06.2019 - Current
Job overview
- Developed Chronic Care Management program from ground up, laying out framework, and defining roles.
- Organized and allocated resources required to meet needs of 1,050 patients monthly.
- Increased revenue by 25% annually.
- Monitored overhead, prepared budgets and directed spending and resources to support fiscal efficiency.
- Discussed Chronic Care Management programs at meetings and conferences to serve as subject matter liaison for array of services and activities assigned.
- Created, organized and edited training manuals, multimedia visual aids, and other educational materials used to enhance patient care for those aged six to one hundred.
- Trained and supervised program staff, managing and evaluating performance to provide high-quality care to program participants.
- Liaised with healthcare professionals to develop comprehensive patient care plans and monitor outcomes.
- Reviewed and refreshed care management curriculum for patient education with program staff to continuously improve quality of care and instruction.
Pillow Clinic PLLC
Director of Revenue Cycle Operations (Hybrid)
01.2019 - Current
Job overview
- Supported operations management, sales, and marketing efforts to increase revenue and overall financial health.
- Supported clinical team members with revenue cycle procedures and addressed issues to meet demand of 53% increase in claim generation and processing.
- Drove revenue stream development through strategic collaboration and partnerships, increasing revenue by 84% over four years and projected to reach 92% in 2023.
- Prepared internal and regulatory financial reports, balance sheets and income statements.
- Improved overall financial reporting by streamlining control processes and reporting structures.
- Established internal audit procedures to validate and improve accuracy of financial reporting.
- Analyzed business processes to identify cost savings and operational efficiencies.
- Checked payroll, vendor payments, commissions and other accounting disbursements for accuracy and compliance.
- Reviewed historical records, current operational data and forecasting information to identify and capitalize on system enhancement opportunities.
Pillow Clinic PLLC
Billing & Revenue Cycle Manager
03.2018 - 12.2018
Job overview
- Reviewed billing problems, researched issues, and resolved concerns.
- Performed testing for billing modules, enhancing new functionality and process improvements.
- Established and checked coding procedures, monitored reports and updated internal files.
- Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
- Implemented and regularly reviewed financial controls to generate accurate and reliable financial data.
- Directed recruiting, interviewing and hiring of new department employees
- Trained and mentored staff on billing procedures, compliance requirements, and collections techniques.
- Conducted performance reviews and implemented improvement plans.
- Decreased Manual Data entry by 30%.
Pafford Emergency Medical Services
Accounts Receivable Specialist
06.2016 - 03.2018
Job overview
- Strengthened financial operations by conducting bank reconciliations and financial reporting
- Inspected account books and recorded transactions
- Reconciled account information and reported figures in general ledger by comparing to bank account statement each month
- Managed and responded to correspondence and inquiries from fifty customers
- Monitored accounts to verify compliance with payment terms and schedules
- Negotiated payment arrangements with customers to establish timely receipt of payments
Board Membership
Board member | National Association of Rural Health Clinics
January 2024–December 2026
- Mission: To educate and advocate for Rural Health Clinics, enhancing their ability to deliver cost-effective, quality health care to patients in rural, underserved communities
- Presenter | NARHC Fall Institute 2023: "Growing Your In-House CCM Program, an RHC Perspective"
Education
Louisiana Tech UniversityRuston, LA
Bachelor of Science from Business Management, Human Resources
03.2018
Certification
- CRHCP - Certified Rural Health Clinic Professional
Timeline
Care Operations Consultant (Remote)
Rheumera
07.2023 - Current
Director of Care Operations (Remote)
Pillow Clinic PLLC
06.2019 - Current
Director of Revenue Cycle Operations (Hybrid)
Pillow Clinic PLLC
01.2019 - Current
Billing & Revenue Cycle Manager
Pillow Clinic PLLC
03.2018 - 12.2018
Accounts Receivable Specialist
Pafford Emergency Medical Services
06.2016 - 03.2018
Louisiana Tech University
Bachelor of Science from Business Management, Human Resources
Interests
- Sporting Dog Activities
- Waterfowl Hunting
- Rural Health Care
- HealthTech
- Holistic Health Care
- Value-Based Care
- Mental Health Research & Trends