Christina King
Interim Region VP of Operations, NV Region and Corporate Director of Operations
Remote with 95% Travel to Las Vegas,IN
Summary
Interim Regional VP of Operations and Corporate Director of Operations (simultaneously) - Healthcare ops/practice management, RCM, credentialing, data integration, and practice onboarding expert, leveraging 30 plus years of experience. Responsible for high volume, strategic partners' integration to MSO/Vendor platforms (practice management, EMR, RCM, software implementation) in both practice and hospital settings, with the ability to easily work in RCM, client/entity/facility engagement, credentialing, integrations, software implementation, relationship management, direct large teams, as well as create process and procedure, seeking the opportunity to assist with revenue cycle and operational efficiencies for your companies growth!
Overview
30
30
years of professional experience
1
1
Certification
Work History
Corporate Director of Operations
Hera Health
02.2022 - Current
- Demonstrated exceptional knowledge of process optimization in relation to RCM by review employee productivity, purchasing, scheduling, and SOPs to create unified workflow for integration of new acquisitions into MSO structure.
- Created workflow to capture additional revenue by billing claims under multiple TINS from three different EMR systems and clearinghouses capturing payment funds in one bank account, ERAs in one clearinghouse and sharing ERAs between all groups. Additional explanation available upon request.
- Part of the selection committee for the implementation of a new, unified EMR for all acquired practices.
- Part of EMR intiial implementation team with hand on configuration of new EMR, suggesting how to structure table space design and config for best reporting outcomes for finance team.
- Assisted in integrations of labs, hospitals and outside workflows for best outcome of go live of EMR.
- Reviewed practice workflows creating best practice recommendations for pre-registration/patient intake including realtime eligibility, coding and charge capture, clinical workflows for timely provider documentations and claims submission, rejection and denial management, payment posting and patient payment policies, to improve both patient care and experience, as well as revenue outcomes.
- Development of SOPS to ensure uniformity of workflow and consistent results across the enterprise.
- Review of KPIs by practice, payer, location, provider... to create internal benchmarks and external benchmark goals to become top of class, as well as determine practice goals for revenue forecasting, budgeting and bonus payments
- Review of payer policies to implement strategies producing best FPRR and reducing payment delays
- Championed relationship building, cross-collaboration and mentorship throughout strategic partners, providers, and practice managers.
- Meetings with Stake-holders to help create cross-functional team meeting for problem solving
- Coordinated and cultivated new GPO memberships and built relationships with other GPO members for additional collaboration and overhead reduction.
- Interviewed and hired strong candidates for team openings using our recruiting team, external contacts with known ability and experience as well as social media to find applicants.
- Communicated risks to executive team and produced workable resolutions to avoid delays.
- Directed practice manager and provider meetings to enhance collaboration and maintain culture based on trust and group problem-solving.
- Managed a change process from singular practices to a group practice culture in a startup MSO
- Managed daily operations of MFM and OBGYN multi-specialty group, orchestrating forward-thinking strategies to accomplish revenue and expansion goals.
- Cultivated and strengthened lasting external relationships using face to face meetings, community building, and consistent communication.
SOLUTIONS MANAGER
Royal Solutions Group
01.2021 - Current
- Review of present revenue cycle workflow for process improvement and denial management
- Review of SLAs and team compliance
- Creation of state/regional payer and RBM requirements for prior authorization submission streamlined approach
- Monthly KPIs, metrics and payer trend analysis
- Review of auth denials - determine areas for team learning opportunities
- Hosting and leading implementation calls to set expectations and review data received.
- Onboarding multiple entities simultaneously within various SaaS platforms offered along with onboarding concierge service level clients.
- Client relationship management for concierge services
- Consultation and workflow review for incoming and existing clients for proactive rejection and denial management strategies.
- Customized client software configuration.
- Identification of opportunities for enhancements to product.
SENIOR IMPLEMENTATION MANAGER
ZOTEC PARTNERS
01.2019 - 01.2021
- Responsible for onboarding and monitoring AR and revenue for 150 plus entities (Tax ID/Group NPI Combinations) and over 6.000 locations with continuous growth with cumulative net annual total revenue of 1.5 billion
- Verification of claims submission and acceptance for initial entity and location go lives
- Created rejection and denial management cross functional team meetings with AR, EDI, Payment Posting, Charge Entry, Provider Enrollment, and Interface Developers to problem solve payers with high rejection/denial rates or claim acceptance failures
- Reviewed Payer Contracting and Provider enrollment for appropriate setup and claims submission
- Reviewed claims outstanding data to determine if claims were rejected or denied- root cause analysis
- Meet with payers to determine and problem solve rejections and denial trends
- Creation of provider metrics analytics reporting
- Review of KPIs and SLAs
- Status report of and escalation of revenue and payment delays to Vice President and SVP
- Onboarding multiple extremely large strategic TINs/Group NPIs simultaneously while also acting as data integration manager and maintaining multiple additional AR based projects.
- Hosting and leading implementation, onboarding, data integration, and project management meetings with multiple different healthcare facilities while managing cross functional teams of AR, EDI, Payment Posting, Rejection/Denials, Data Integration....
- Identified success strategies for process improvements for entire team.
- Review of entity structure and workflow to customize configuration to unique needs through discovery and dialogue.
- Travel to onsite meetings for excellent face to face rapport.
IMPLEMENTATION MANAGER
Zotec Partners
05.2018 - 12.2018
- Responsible for oversight and onboarding of 74 new entities - Tax IDs and Group NPI combinations, with thousands of locations
- Verification of payer claim submissions receipt and cash flow from payers
- Review of patient payment portal and appropriate cash flow reconciliation
- Review of all forms of data- AR as well as location, provider, payer data, to provide analysis to senior management outlining any potential risk
- Creation and completion of team and client goals
- Produce project plans, timelines, agendas, and meeting notes creating effective and obtainable goals throughout implementation process.
- Weekly reporting of upcoming deadlines, as well as completed tasks to clients.
- Set expectations with clients through clear and transparent communication and guidance.
- Problem solve throughout implementation to instill confidence as a subject matter expert.
- Work with product development to define opportunities for enhancements on new Saas applications for clients.
- Product Launch and Roll out new SaaS to all existing clients- including demo and client training of super users, a train the trainer approach.
IMPLEMENTATION SPECIALIST TEAM LEAD
Zotec Partners
01.2018 - 04.2018
- Review of AR delays to problem solve and complete root cause analysis
- Review of reporting to locate payer/site/provider claim issues to improve DSO/DRO timeframes
- Guidance of implementation specialists on large and complicated new entity, location and provider onboarding.
- Creation of training program, process and procedure, as well as documentation for all new implementation team members on software configuration, entity- Tax ID/Group NPI, Location/Facility, Provider system configuration
- Creation of work audit process for checks and balances on complicated work tickets.
- Creation of triage system for work tickets which improved TATs by 300%.
- Utilization of triage system for enhanced team member training.
- Identification of team member strengths and weaknesses for enhanced learning opportunities.
IMPLEMENTATION SPECIALIST
Zotec Partners
11.2016 - 12.2017
- Completion of creation of new locations and providers within practice management system, as well as maintenance.
- Review and verification of all entity, location and provider data to verify export of claim data whether paper or 837 5010 E Claim format.
- Review of raw 837 claim data for analysis due to claim rejections and denials.
- Review of EDI needs, 837, 835, and EFTs.
- Reporting review of claim rejections by payer, location, provider for improved revenue collection SLAs.
MULTITASK TECHNICIAN
ST. VINCENT ANDERSON REGIONAL HOSPITAL
05.2013 - 09.2016
- End user of EMR during concurrent implementation of new EMR, patient access software, and ICD10.
- Charge entry for OBGYN claims
- Patient Access data entry review for correction
- Clerical and patient care duties on OBGYN, PEDS, ICU, Ortho, Oncology, Telemetry, and Pulmonology unit
Owner
A Plus Medical Billing
06.2007 - 05.2013
- Created budget and resource planning- found creative ways to increase human resources without extending budget
- Created training program for onboarding new hires for each process within revenue cycle
- Worked with Provider Enrollment representatives with insurance companies to trouble shoot ongoing payment issues utilizing reporting for full collaboration and evidence based issue resolution
- Audit of charges capture each month to verify all services rendered billed
- Continuous review of DRO/DSO by payer- routinely maintaining 7 days for largest volume payers
- Creation of Month End Reporting Analytics for each client
- Sales Presentations and onboarding of all new clients- data gathering, software configuration and setup, EDI enrollments, VPN setup with SFTP structure, AR analytics and reporting, payments, reconciliation, employee management and payroll, recruiting, hiring, terminations.
PRACTICE ADMINISTRATOR aND REVENUE CYCLE MANAGER
BACK PAIN INSTITUTES, MARK JENNINGS MD
07.1992 - 10.2006
- Management of two therapy clinics as well as a centralized billing office with over 40 employees
- Hiring and termination of all employees
- Performance review and pay increase determinations
- Creation of partnership with patients via a monthly patient newsletter with helpful educational tips regarding health insurance payments including website links and educational articles for their review
- Monthly AR, Payer Mix, denial management reporting review
- Knowledge of federal and state insurance laws
- Understanding of fully funded, TPAs, and ERISA policies
- Filed complaints and reviewed them with The Indiana Department of Insurance
- Research of data and coding entry errors
Education
Some College (No Degree) - Human Life Science
Indiana University East
Richmond, INSkills
- Software Applications: Microsoft Office Suite: Outlook, PowerPoint, Excel; Project Management: Rally, Workfront, Teamworks, Asana, Jira, Lucid Charts; Practice Management: Athena, Mysis, Royal Solutions Radiology Platform, EBC, PTOS, Physician Practice Management, other proprietary programs; EHR and EMR- Sunrise
- Healthcare Data Integration: HL7 (ADT, ORU, ORM, MDM File Types), Flat Files, Pipe Delimited; Raw 5010 data review (835, 837, 276,/277)
- Revenue Cycle Management: Financial Reporting, Rejection and Denial Management, Appeals, EDI Clearinghouse Review, Reconciliation, Billing Vendor and SaaS Revenue Cycle implementation
- Excellent working knowledge and understanding of national Medicare MACs, State Medicaid and their MCOs, BCBS national structure, as well as other commercial and work comp payers
- Change Management and Process Improvement review and
- Administration: Acquisition Integration, Public Speaking
- Customer Relationship Management
- Customer Requirements Analysis
- Professional Relationships
- Client Needs Assessment
- Installation and Configuration
- Revenue Growth
- Operational Efficiency
- Corrective Actions
- Special Assignments
- Employee Performance Reviews
- Systems Implementations
- Revenue Generation
- Unified Communications
- Supplier Relationships
- Client Satisfaction
- POS Inventory System Operation
- Client Rapport-Building
- Improvement Strategies
Certification
Certifications: Project Management Professional Certification Project Management Essentials Certification from Purdue University
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse
Quote
Genius is two percent inspiration, ninety-eight percent perspiration.
Thomas Edison
Timeline
Corporate Director of Operations
Hera Health
02.2022 - Current
SOLUTIONS MANAGER
Royal Solutions Group
01.2021 - Current
SENIOR IMPLEMENTATION MANAGER
ZOTEC PARTNERS
01.2019 - 01.2021
IMPLEMENTATION MANAGER
Zotec Partners
05.2018 - 12.2018
IMPLEMENTATION SPECIALIST TEAM LEAD
Zotec Partners
01.2018 - 04.2018
IMPLEMENTATION SPECIALIST
Zotec Partners
11.2016 - 12.2017
MULTITASK TECHNICIAN
ST. VINCENT ANDERSON REGIONAL HOSPITAL
05.2013 - 09.2016
Owner
A Plus Medical Billing
06.2007 - 05.2013
PRACTICE ADMINISTRATOR aND REVENUE CYCLE MANAGER
BACK PAIN INSTITUTES, MARK JENNINGS MD
07.1992 - 10.2006
Some College (No Degree) - Human Life Science
Indiana University East
Similar Profiles
Sruthy P BSruthy P B
Registered Nurse-Operation Theatre & PACU at HERA GENERAL HOSPITAL (MINISTRY OF HEALTH), SAUDI ARABIARegistered Nurse-Operation Theatre & PACU at HERA GENERAL HOSPITAL (MINISTRY OF HEALTH), SAUDI ARABIA
Francisco AcevedoFrancisco Acevedo
Machine Operator/Mechanic at Hera Printing Corp.Machine Operator/Mechanic at Hera Printing Corp.
FAIZEEYA HAMSANFAIZEEYA HAMSAN
CHARGE NURSE at HERA GENERAL HOSPITALCHARGE NURSE at HERA GENERAL HOSPITAL
Lina KamouneLina Kamoune
IMAGE PRODUCTION MANAGER - CDD at Shiseido GroupIMAGE PRODUCTION MANAGER - CDD at Shiseido Group
Ariana CoomerAriana Coomer
Barista at Jamba JuiceBarista at Jamba Juice