Austin McCann
Punta Gorda
Summary
Self- motivated, results oriented, process improvement driven professional with 7+ years of experience in revenue cycle overseeing eligibility, AR, and third party billing vendor management within a large healthcare system. Strong focus on data, including creating, analyzing and presenting. Successful track record of implementing process improvement initiatives that achieve significant and sustainable reduction in accounts receivable, increased team efficiencies.
Overview
7
7
years of professional experience
Work History
Senior Manager of Accounts Receivables
Integra Connect
05.2021 - Current
- Directly report to Executive Director, Revenue Cycle Management
- Addressed problems with accounting, billing, and service delivery to maintain and enhance client satisfaction.
- Contributed to team objectives in fast-paced environment.
- Performed effectively in self-directed work environment, managing day-to-day operations and decisions.
- Identified trends and addressed issues of underpayments through ongoing communications with payer representatives and internal staff
- Developed and proposed new workflows, processes and, strategies to maximize customer revenue collections in compliance with federal, state and, regulatory billing and collection health care guidelines
- Maintain relationships with third party contractors, payors to assure appropriate reimbursement
Billing and Systems Manger
Integra Connect
01.2021 - 05.2021
- Trained and mentored staff on procedures, compliance and, requirements
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Performed testing for billing modules, enhancing new functionality and process improvements.
- Established internal audit procedures to validate and improve accuracy of financial reporting.
- Conducted performance reviews and implemented improvement plans.
- Reviewed billing problems, researched issues, and resolved concerns.
- Utilized financial software to prepare consolidated financial statements.
- Led a team of 16 members responsible for system maintenance, and front of house billing
Manager, Commercial Collections
Integra Connect
04.2020 - 01.2022
- Managed and motivated employees to be productive and engaged in work.
- Accomplished multiple tasks within established timeframes.
- Maintained professional, organized, and safe environment for employees and patrons.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Cross-trained existing employees to maximize team agility and performance.
- Maximized performance by monitoring daily activities and mentoring team members.
- Onboarded new employees with training and new hire documentation.
- Led a team of 27 team members responsible for insurance AR for Medicare, Medicaid, VA, Medicare HMO/PPO and Medicaid HMO payers
- Reduced days in AR
- Coordinate with Payor Contracting and Relations department to address escalated payer denials ad underpayments with insurance provider representatives
Clinical Appeals Specialist
GenesisCare Oncology
01.2019 - 04.2020
- Created, composed and maintained appeal response templates.
- Coordinated with senior specialist to compose appeal responses.
- Acted as a departmental resource on appeals matters.
- Developed appeals functions, policies and procedures and documentation.
- Working with authorizations department with overturning authorizations denials with 100% overturn rate
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Posted payments to accounts and maintained records.
- Prepared insurance claim forms or related documents and reviewed for completeness.
Government Collector
GenesisCare Oncology
01.2017 - 01.2019
- Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
- Contacted insurances to discuss payment schedules and set up or immediately process payments.
- Persistently reached out to insurances with extremely past due accounts to recover lost revenue.
- Maintained high volume of calls and met demands of busy and productive group.
- Achieved performance goals on consistent basis.
- Trained new collections representatives on collections processes and incentivized team members to achieve production goals.
- Evaluated, researched and resolved discrepancies.
- Identified and analyzed rejection patterns, partial denials and denials from third parties to improve existing processes.
Education
High School Diploma -
Island Coast High School
Cape Coral, FL05.2012
Skills
- Inquiry Requests
- Accounts Payable and Accounts Receivable
- Patient Data Management Systems
- Continuous Improvement Process
- Medicare Compliance
- Account Management
- Revenue Retention
- Collections and Invoice Processing
- Management
- Prioritization Skills
- Payment Tracking
- Effective Communication Skills
Timeline
Senior Manager of Accounts Receivables
Integra Connect
05.2021 - Current
Billing and Systems Manger
Integra Connect
01.2021 - 05.2021
Manager, Commercial Collections
Integra Connect
04.2020 - 01.2022
Clinical Appeals Specialist
GenesisCare Oncology
01.2019 - 04.2020
Government Collector
GenesisCare Oncology
01.2017 - 01.2019
High School Diploma -
Island Coast High School