Experienced Professional with Exceptional Customer Service Skills Skilled manager with 15+ years of experience in accounts receivable, payables, customer/ client services, and team leadership in a shared services environment. Proven track record of driving growth, improving productivity, and enhancing quality. Proficient in project management and contract compliance with a background in various Saas, CRM, and SAP systems.
Overview
23
23
years of professional experience
Work History
Senior Eligibility/ Patient Access
CIGNA -ACCREDO
Nashville
07.2022 - 04.2023
Addressed intricate PBM coverage challenges by leveraging in-depth knowledge of payers and operational protocols.
Engaged directly with stakeholders from both inside and outside the organization.
Developed actionable solutions driving improved team execution and results.
Conducted comprehensive research and data analysis to support strategic planning and informed decision-making.
Self Employed Contractor / Stay-at-home Parent
Self Employed Contractor
Nashville
09.2016 - 09.2022
Performed comprehensive research to evaluate client requirements and market dynamics.
Discovered opportunities for cost reduction through enhanced efficiency.
Built strong relationships with key stakeholders at all levels of the organization to foster trust and collaboration
Provided expert advice and guidance to clients on various business challenges and opportunities
Vice President of Revenue Cycle
HOSPICE COMPASSUS
Brentwood
01.2016 - 07.2016
Develop a plan and guide multi-site central billing offices through the integration of acquired entities, including the retention of staff and culture transition.
Project management of the RCM system conversion, including weekly update meetings with key stakeholders, and management and monitoring of $70M monthly revenue across five disparate billing platforms.
Management and monitoring of $70M monthly revenue across five disparate billing platforms.
Participated in selection committee for enterprise-wide EMR/Billing system deployment.
Managed remote operations and distributed workloads of CBOs in Springfield, MO and Bay City, MI.
Created team to administer pass-through funds totaling $7-8M per month servicing partner caregivers.
Advised senior executives on approaches for resolving complex issues impacting operations.
VP Operations - Revenue Cycle – Contract
COMPREHENSIVE PAIN SPECIALISTS
Brentwood
01.2015 - 08.2015
Oversaw revenue and operational functions across centralized scheduling, coding, billing, collections, and provider credentialing.
Partnered with departmental leaders to monitor trends and identify sales opportunities.
Developed a scorecard of revenue cycle metrics to assess performance, trends, and illustrate opportunities for improvement.
Defined thresholds and targets for monthly key performance indicators (KPIs).
Negotiated contract terms with outsourcing partner for specific revenue cycle tasks.
Ensured compliance with federal, state, and local laws related to employment practices.
Vice President of Revenue Cycle
COGENT HMG (now Sound Physicians)
04.2011 - 01.2015
Responsible for revenue of hospital-based provider groups in 130+ facilities nationwide (29 states) and metrics to measure performance across each stage of the revenue cycle
Accountable for $650M across 2,000+providers with aggressive and sustained growth pattern
Responsible for customer satisfaction and communication to the field on issues affecting cash flow
Concurrent oversight of four external billing vendors through notification, turndown and migration
Developed RFP content, timeline, and evaluation scorecard for selected outsourced/co-sourced Revenue Cycle Solutions
Established KPI targets and dashboard reporting of revenue cycle metrics for internal tracking and board reporting on CBO results, vendor performance, and overall enterprise progress and stability
Achieved radical, measurable performance improvement during a time of rapid growth including: Increased collections by 1.7M per month through sequestration and Medicaid expansion updates
Developed policies and deadlines to accommodate integration time limits
Reduced CBO cost-to-collect by .06% of net rev while simultaneously on-boarding 60+ markets through acquisition and merger
Decreased gross DAR by 79 days in 15 months
Director of Operations, Revenue and Regulatory Compliance
LATTIMORE BLACK MORGAN & CAIN, PC
Brentwood
02.2000 - 04.2011
Revenue cycle consulting with deep expertise in regulatory compliance, Stark and anti-kickback statute compliance, coding, and documentation to assist clients in the development of best practices, key performance indicators, and risk indicators for presentation to investors during due diligence.
Privacy Officer for Covered Entities of the Nashville Metropolitan Government.
Board and leadership presentations to gain support for consulting services, including revenue cycle process flows, gap analysis, compliance projects, and RCM transformation.
Partner with business development as a subject matter expert to close deals.
Worked extensively with physicians and integrated delivery systems to understand pain points and offer LBMC solutions using ROI models.
Formed and sustained strategic relationships with clients.
Education
Bachelor of Business Administration -
ROCHVILLE UNIVERSITY
01.1998
Skills
Revenue Management
Developing scalable models
Project Management
KPI and performance metrics design
Data analytics-based decision-making
Client retention initiatives
Ensuring transparency
Stakeholder management
Liaison between internal and external stakeholders
Process improvement
Financial analysis
Timeline
Senior Eligibility/ Patient Access
CIGNA -ACCREDO
07.2022 - 04.2023
Self Employed Contractor / Stay-at-home Parent
Self Employed Contractor
09.2016 - 09.2022
Vice President of Revenue Cycle
HOSPICE COMPASSUS
01.2016 - 07.2016
VP Operations - Revenue Cycle – Contract
COMPREHENSIVE PAIN SPECIALISTS
01.2015 - 08.2015
Vice President of Revenue Cycle
COGENT HMG (now Sound Physicians)
04.2011 - 01.2015
Director of Operations, Revenue and Regulatory Compliance
LATTIMORE BLACK MORGAN & CAIN, PC
02.2000 - 04.2011
Bachelor of Business Administration -
ROCHVILLE UNIVERSITY
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