Erin Domsher ATC, NCV/S, CPPM, CRCR
Lexington,Kentucky
Summary
Results Driven Operations Director, Revenue Cycle Director & Patient Access Manager with 20+ years' experience successfully leading revenue growth for physician practices, medical software enterprises, and healthcare facilities. Analytical, detail-oriented healthcare professional with a reputation for leading fiscal management, process improvements, regulatory compliance, and staffing initiatives. Adept at maximizing revenues through cost-cutting and streamlined operations within medical practices, facilities, and medical-group enterprises. Exceptional communication skills facilitating outstanding performance within administrative teams.
Overview
14
14
years of professional experience
1
1
Certification
Work History
REVENUE CYCLE MANAGER
KENNEY ORTHOPEDICS: PROSTHETICS & ORTHOTICS
10.2020 - Current
- Oversee the Billing and Revenue Cycle Department and all their functions for a growing Prosthetics and Orthotics company that has over 22+ practice locations in 3 states
- Successfully restructured the department for improved cash management, decreased denials, and increased revenues
- Implemented audits and productivity standards for a fully remote staff
- Instrumental in the acquisition and rollout of three acquired offices in 2022, two in 2023 and two new offices in 2021
- Successfully evaluated and rolled out a new EMR/PM system to all 20 office locations
- Decreased Zirmed/Waystar Front End denials by almost 15%, while increasing collections by 22% and reducing AR under 120 days by 46%
- Increased Claim volume by almost 45% and still reduced staffing salaries by bringing it all in house.
- Analyzed complex data sets to derive actionable insights for improving internal processes related to revenue cycle management.
DIRECTOR, REVENUE CYCLE / OPERATIONS/CONSULTING
PHYSFINANCIAL & 3RD PARTY CLIENTS
06.2014 - 10.2023
- Direct cash collection operations for diverse clientele while increasing in-house staffing efficiencies and maximizing fiscal productivity
- Established quality assurance through data analysis to suggest process improvements to increase customer satisfaction and retention and resolve billing deficiencies affecting revenue and compliance
- Negotiated potential client contracts including bids, marketing, settling rates, staffing needs, and website development
- Achieved 20% increased revenue for all clients while reducing A/R to average of 15 days
- Monitored coding and billing for accuracy while complying with HIPAA and other federal regulations
- Offered expert quality improvement to implement best medical practices
- Successfully managed a third-party billing company and signed a large client for a significant revenue increase.
- Drove business expansion by identifying new markets, conducting research, and developing targeted marketing campaigns.
REVENUE CYCLE DIRECTOR & PATIENT ACCESS MANAGER
SHRINERS HOSPITAL FOR CHILDREN
08.2018 - 11.2020
- Facilitate daily revenue cycle needs and deliver communication between Headquarters, Medical Center, External Vendors and Leadership Team
- Recruited and Served as the Business Operations Manager for Lexington/UK Surgery Center during Covid (2020)
- Investigated denial trends and initiated communication with root causes to owner of actions and report issues in a timely manner to both local leadership as well as corporate directors and Finance directors
- Analyzed Key Performance Indicators (KPI's) data, coordinated revenue cycle analytics for key functions, and quantified expected revenue impact
- Leading a non-profit organization from endowment to Payer based Reimbursement
- Collaborated with cross-functional teams to identify areas for operational improvement within the revenue cycle process.
- Corrected over 2,000 denied claims or on hold within my first 60 days
- Increased Net Patient Revenue to 125% within 90 days
- Recognized for distinction and leadership in correcting errors and overturning denials through diligent research.
CLINIC MANAGER /AREA MANAGER
COMPREHENSIVE PAIN SPECIALIST /ANESTHESIA ASSOC
09.2017 - 08.2018
- Identified leading/lagging indicators that influenced business such as payor trends, market analysis, local legislative impact
- Optimized Operations and financial factors for multiple clinics that positively influenced corporate initiatives
- Charged with successfully opening a new clinic and recognized for resolving risk factors, reducing costs and increasing profitability
- Promoted within 6 months to Area Manager (Care Center Manager).
OPERATIONS DIRECTOR & ASST AREA OPERATIONS DIRECTOR
Concentra-Urgent Care & Occ Med/Humana and later Select Medical
06.2014 - 12.2015
- Achieved 15-20% increase in customer satisfaction for Occupational and Urgent Care Services
- Increased OTC payments by 15% while reducing non-contractual write-offs by 25%
- Recognized nationally as top Operations Manager for impressive turn-around from failing to profitable center within first year
- Promoted to Urgent Care team Lead and Assistant AOD-Asst Area Operations Director within 1 year
- Reduced FTEs from 15 to 8 in each clinic while improving customer satisfaction and generating increased revenues.
- Initiated change management strategies that effectively addressed employee concerns while driving forward organizational transformation efforts.
DIRECTOR OF REVENUE CYCLE & OPERATIONS/PRACTICE MNGMT
ADVANCED PRACTICE MANAGEMENT
04.2010 - 01.2015
- Successfully managed the CBO operations and PM for four offices in three states
- Created innovative mechanisms and controls including budget analysis, revenue projections, and project planning for revenue cycle management to remain in compliance with in-house and third-party payer requirements
- Coordinated transitioning and on boarding policies and procedures with new clients and practices including HR management processes of interviewing, hiring, training, and developing competent office staff; conducted performance metrics
- Recognized as Subject Matter Expert in analysis of healthcare billing laws, rules, and regulations for Neuropathy and Electrodiagnostic within business operations and National Clinical Trials
- Won $1.5M Administrative Law decision against Medicare after streamlining appeals process for CGS/Medicare
- Maximized revenues through implementation of optimized efficiencies and productivity strategies for billing and coding staff
- Streamlined billing by implementing new EMR/EHR, increased revenue.
- Played a pivotal role in merger and acquisition activities that contributed significantly toward overall revenue generation.
- Worked within core team to streamline business processes and internal controls, resulting in scalable and detailed set of procedures.
Education
MBA -
Union College
Barbourville, KY01.2025
B.S. Business/ Health & Wellness -
Union College
Barbourville, KY08.2018
B.S. Kinesiology - Kinesiology/Athletic Training
Sue Bennett Methodist College
London, KY01.1997
Skills
- Revenue Cycle Operations/ Practice Management
- P&L Accountability/KPI's/FTE
- Cost Analysis / Control
- Enterprise Stabilization / Growth
- Process Management &Improvement
- Budget &Project Management/ Planning
- Medical Coding / Billing
- Healthcare Billing Laws / Compliance
- Fiscal Analytics/Charge Master/Projections
- Procedure Optimization
- Clinical Team Guidance
Certification
- CPPM (Certified Professional Practice Manager), AAPC (2012)
- Certified Nerve Conduction Technologist and Electrodiagnostic Tech: NPI #1134487754
- CRCR (Certified Revenue Cycle), HFMA (2024)
Affiliations
- HFMA
- Bluegrass Medical Managers
- Kentucky Medical Managers
- AAPC
- AOPA
Personal Information
Title: ATC, CPPM, NCV/S, CRCR
Timeline
REVENUE CYCLE MANAGER
KENNEY ORTHOPEDICS: PROSTHETICS & ORTHOTICS
10.2020 - Current
REVENUE CYCLE DIRECTOR & PATIENT ACCESS MANAGER
SHRINERS HOSPITAL FOR CHILDREN
08.2018 - 11.2020
CLINIC MANAGER /AREA MANAGER
COMPREHENSIVE PAIN SPECIALIST /ANESTHESIA ASSOC
09.2017 - 08.2018
DIRECTOR, REVENUE CYCLE / OPERATIONS/CONSULTING
PHYSFINANCIAL & 3RD PARTY CLIENTS
06.2014 - 10.2023
OPERATIONS DIRECTOR & ASST AREA OPERATIONS DIRECTOR
Concentra-Urgent Care & Occ Med/Humana and later Select Medical
06.2014 - 12.2015
DIRECTOR OF REVENUE CYCLE & OPERATIONS/PRACTICE MNGMT
ADVANCED PRACTICE MANAGEMENT
04.2010 - 01.2015
MBA -
Union College
B.S. Business/ Health & Wellness -
Union College
B.S. Kinesiology - Kinesiology/Athletic Training
Sue Bennett Methodist College
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