BARBARA A. GRAHAM
Fort Worth,TX
Summary
Experienced Senior Level executive with 30+ years in healthcare operations, provider relations, business development, and strategic planning. Proven track record in creating and selling two healthcare related business service companies. Recognized for improving operational efficiencies and driving financial growth through metrics-driven management.
Overview
39
39
years of professional experience
Work History
VP of Operations Midwest
Medusind, Inc.
01.2014 - Current
- Negotiated Sale of RCM Business to Medusind, Inc
- Improved Net Collection Rate by 10% to 96% using advanced revenue cycle management strategies
- Reduced Days in AR by 15 days to 28 through optimized RCM process automation
- Enhanced Clean Claims Ratio by 5% to 98% via strategic denial management and process improvement initiatives
- Improved AR>90-day percentage by 10% to 12% by implementing best practices in RDM for denial management
- Improved EBIDTA by implementing a Right Shore model
- Responded to RFPs; evaluated and negotiated proposals and contracts
- Integrated stateside team with global team
- Executed strategic initiatives prioritized by the executive leadership
- Extensive knowledge in Denial management for Medicaid and Medicaid managed care plans
- Ensured compliance with state, CMS and HHS regulations.
Founder/President/Owner
Sensibill
07.1996 - 01.2014
- Managed billing more than $80M annually through efficient revenue cycle management
- Led contract negotiations and client acquisition efforts, increasing client base overall 15% annually
- Ensured compliance with state and federal regulations.
Director of Marketing- Sales
Specialized Medical Management, Inc
01.1992 - 01.1995
- Negotiated contracts with payers and vendors to boost revenue by 15% and increased partnerships by 15% partnerships
- Managed sales forecasts, budgets, and performance reports
- Developed marketing materials, sales collateral, and promotional efforts
- Responded and evaluated RFP’s, negotiated contracts, and developed customer contracts
- Achieved sales goals and service targets by cultivating new customer relationships.
President/Founder/Owner
Claims By Computer
01.1986 - 01.1992
- Acquired by Harris Methodist Hospital System to access electronic claims technology
- Thought leader behind creation of electronic claims company technology
- Grew telecommunications company to 500 clients across 29 states
- Ensured compliance with state and federal regulations.
Education
Bachelor of Science in Nursing -
Texas Women's University
Houston, TXAdvanced Education in Financial Accounting -
Northern Arizona University
Flagstaff, AZSkills
- Process Improvement/Best Practices
- Medicaid Expertise
- KPI Metrics
- RCM Process Automation
- Denial Management
- Regulatory Compliance
- Strategic Business Planning
- Performance Analysis
- Best/Right-shore Model Management
- Budget Development with Finance Department
- Operational leadership
Personal Information
Title: RN, BSN
Timeline
VP of Operations Midwest
Medusind, Inc.
01.2014 - Current
Founder/President/Owner
Sensibill
07.1996 - 01.2014
Director of Marketing- Sales
Specialized Medical Management, Inc
01.1992 - 01.1995
President/Founder/Owner
Claims By Computer
01.1986 - 01.1992
Bachelor of Science in Nursing -
Texas Women's University
Advanced Education in Financial Accounting -
Northern Arizona University
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