Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Cecilia Hilerio, MHA, RHIT

Sewell,NJ

Summary

Strategic Healthcare Executive with strong background in driving business success and operational excellence. Demonstrated success in leading cross-functional teams and implementing effective revenue enhancing strategies to improve reimbursement. Proven ability to manage complex projects and optimize financial performance through analytical problem-solving and decision-making.

High-achieving senior executive bringing expertise in business planning, revenue enhancement and change management. Strategic leader in healthcare finance industry along with entrepreneurial, forward-thinking mindset and demonstrated track record of successful accomplishments.

Overview

21
21
years of professional experience
1
1
Certification

Work History

Assistant Vice President Revenue Cycle

Inspira Health
03.2022 - Current
  • Collaborated closely with senior executive leadership to align department goals with overall organizational initiatives, resulting in enhanced revenue capture of $33M net new revenue and stronger organizational cohesion.
  • Managed a diverse portfolio of system projects, ensuring that each project met established coding, billing and quality standards and delivered expected financial reimbursement results and quality initiatives for both hospitals and ambulatory physician practices.
  • Enhanced collaboration between revenue cycle, CMOs, physician service line team leaders by implementing Governance group and fostering an open dialogue culture to establish revenue goals and KPIs.
  • Led cross-functional teams to deliver successful projects on time and within budget, enhancing quality reporting and financial targets.
  • Implemented data-driven decision-making processes, leading to more informed strategic choices in budget management and improved overall performance metrics.
  • Increased efficiency by streamlining processes and implementing new software tools for the team, focusing on employee engagement and accountability.

Senior Director Revenue Cycle

Jefferson Health
08.2016 - 03.2022
  • Directed design and build for EPIC implementation and execution of business transformation initiatives to drive EHR compliance, reimbursement optimization and quality data reporting.
  • Implemented strategic programs based on broad guidance and direction that included aggressive revenue targets leading the team to meet DNFB goals.
  • Championed continuous improvement initiatives with CDI and physician leadership to drive operational excellence within the organization, leading to over $50M in net new revenue.
  • Led cross-functional teams to successfully launch new programs for Vizient quality improvements.
  • Navigated complex CMS, and payer regulatory environments to ensure compliance with state and federal regulations for coding, billing and HIPAA.
  • Facilitated seamless business transitions during mergers or acquisitions of 8 new hospital, ensuring system integration with minimal disruption to ongoing operations while integrating department and teams effectively.
  • Implemented cost-saving measures through effective resource allocation and budget management.
  • Developed detailed plans based on broad guidance and direction, setting aggressive targets to meet goals.

Assistant Vice President Revenue Cycle

Northwell Health System
08.2011 - 07.2016
  • Led Middle Revenue Cycle division for 21 hospitals with over 1,000 staff. Established and directed successful programs focused on revenue cycle coding, billing and CDI initiatives.
  • Collaborated closely with executive leadership to align department goals and reduced DNFB time to bill with resulting in overall stronger organizational cohesion, including business process outsourcing.
  • Managed a diverse portfolio of projects across the health system, ensuring that each project met established quality standards and delivered expected results on time and within budget.
  • Led cross-functional teams with physician CMIO leaders to deliver successful projects on time and within budget, enhancing company reputation in the industry.
  • Increased efficiency by streamlining processes and implementing new software tools for the team.
  • Negotiated price and service with customers and vendors to decrease expenses and increase profit.
  • Implemented business strategies, increasing revenue, and effectively targeting new markets.

Director Health Information & CDI

Robert Wood Johnson Barnabas Health
02.2004 - 08.2011
  • Facilitated cross-functional collaboration working with coding, billing and physician PAs for improved documentation, coding and billing.
  • Led HIPAA Privacy Officer program, ensuring compliance with regulatory requirements.
  • Implemented Computer Assisted Coding system to solve complex coding processes resulting in increased coding productivity and accurate billing operations.
  • Strengthened financial health with implementing new CDI program impacting positive revenue enhancement strategies through improving physician documentation and coding.

Education

Master of Science - Health Care Administration

Walden University
Minneapolis, MN

Bachelor of Arts - Health Care Administration

Rider University
Lawrenceville

Skills

  • Healthcare Finance & Reimbursement
  • Healthcare Regulatory & Compliance
  • Lean Six Sigma & Change Management
  • Budget Management
  • Strategic planning
  • Project Management
  • Implementing new EHR systems and AI software
  • Contract Management
  • Cross-functional Team Leadership
  • Employee Engagement & Issue Resolution Skills
  • Relationship building
  • Financial management

Certification

  • AHIMA Registered Health Information Technician Certified
  • Lean Six Sigma

Timeline

Assistant Vice President Revenue Cycle

Inspira Health
03.2022 - Current

Senior Director Revenue Cycle

Jefferson Health
08.2016 - 03.2022

Assistant Vice President Revenue Cycle

Northwell Health System
08.2011 - 07.2016

Director Health Information & CDI

Robert Wood Johnson Barnabas Health
02.2004 - 08.2011

Master of Science - Health Care Administration

Walden University

Bachelor of Arts - Health Care Administration

Rider University

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