
Experienced revenue cycle leader with a demonstrated history of working in multi-faceted roles within the healthcare revenue cycle industry. Skilled in project management, analytics, accounts receivable, appeals, out of network reimbursement methods, contract interpretation, team management, client management, auditing and operations. Strong decision maker with excellent time management and organizational skills. Leader that also understands the importance of compassion and patience when working in a team environment that includes office, remote and international team members.
• Lead revenue cycle operations across a national ophthalmology platform supporting ~75+ practices, 200+ locations, 300+ providers, and ~$1B+ in annual net revenue.
• Drive financial improvement through revenue optimization initiatives identifying $5M–$15M in revenue leakage and prioritizing high-value recovery efforts.
• Oversee onshore and offshore vendor partners (300+ onshore and 250+ offshore FTEs), improving QA accuracy to 96–98% and increasing productivity by 10-15%.
• Improve key financial metrics including reduction of Days in AR by 5 days and increasing Net Collection Rate by 2–5%.
• Partner with executive leadership and other key stakeholders to align RCM performance with enterprise financial goals and growth strategies.
• Implement and continuing improvement on scalable reporting and analytics frameworks reducing manual effort by 25–30% and improving decision-making speed.
• Lead cross-functional initiatives improving clean claim rate to 96% and reducing denials by 10%.
• Directed RCM operations across 100+ clients representing $500M in revenue within a high-growth, private equity-backed environment.
• Improved cash collections by 5% and reduced AR aging by 10% through operational redesign and analytics-driven strategies.
• Streamlined multi-department workflows improving efficiency by 15% across multiple RCM functions.
• Project Oversight: RCM migration of 100+ clients' operations across two departments from previous outsourcing company to a recently acquired offshore division.
• Leveraged strong communication skills to effectively collaborate with stakeholders at all levels of the organization.
• Utilized analytics and data-driven decision making approaches when evaluating potential solutions or courses of action.
• Collaborated closely with department heads in order to develop an integrated approach towards achieving organizational objectives.
• External full revenue cycle audits completed as coordinated with sales team.
• Two+ weekly external audit presentations delivered to potential ASC, professional and anesthesia clients to discuss gaps in current processes and ways in which revenue could be improved with our services.
• Internal full revenue cycle audits performed for ASC, professional and anesthesia clients as needed to help improve processes and bridge gaps in new-hire training.
• 12 to 18-month historical data pulled and analyzed as part of all internal and external audits.
• Special projects assigned for oversight on adhoc basis
• Provided oversight for all clients with transition from ICD-9 to ICD-10 on October 1, 2015.
• Assembled and lead project team with representatives from all RCM functions, fostering collaboration and clear communication.
• Developed detailed project tracker, including timelines, milestones, and resource allocation.
• Addressed issues and obstacles that arose during project lifecycle, finding effective solutions.