Dynamic Senior Director of Revenue Cycle Management at Metro Inclusive Health, driving a remarkable 527% growth in patient collections. Expert in strategic planning and team leadership, I excel in enhancing organizational efficiency and fostering collaborative environments to achieve outstanding financial outcomes. Proficient in data analysis and committed to continuous improvement.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Senior Director of Revenue Cycle Management
Metro Inclusive Health
Saint Petersburg, FL
03.2021 - Current
Oversaw front office reception, provider credentialing, and insurance verification processes with adherence to FQHC policies.
Harmonized departmental objectives with organizational values through strategic planning.
Executed leadership oversight to enhance the Practice Management Team, achieving a 25% increase in productivity.
Executed strategic enhancements to Accounts Receivable operations, boosting revenue collection efficiency by 409%.
Boosted patient collections by 47% within first six months of employment.
Reduced denial rate to 2.7% for entire area.
Implemented efficient billing strategies resulting in a 30% boost in service charges after three months.
Achieved a 527.32% growth in total patient collections over a nine-month span.
Achieved a 63.8% increase in total payer collections over nine months.
Revamped AR Billing, AR Follow-up, Cash Posting functionalities in the financial services module.
Supervised departmental functions for nine clinics, ensuring cohesive management.
Updated OSV policies for revenue services and practice management.
Reduced bad debt write-offs by 80% in one year.
Maintained and updated Charge Master consistently.
Reviewed completed work to verify consistency, quality, and conformance.
Developed and implemented strategic plans to maximize organizational efficiency, effectiveness, and profitability.
Planned and delivered training sessions to improve employee effectiveness and address areas of weakness.
Established key performance indicators to track progress towards goals.
Produced thorough, accurate and timely reports of project activities.
Analyzed data to inform decision-making and strategic direction.
Facilitated professional development programs to build a high-performing team.
Recruited and trained new employees to meet job requirements.
Oversaw budgeting processes and ensured fiscal responsibility was maintained throughout the year.
Negotiated contracts with vendors to secure favorable terms and pricing.
Instructional Design & Business Developer (Owner)
YPREP, Inc. & EJ RCM Consult, LLC.
, Telecommuting
01.2012 - Current
Led the creation of an in-depth synopsis outlining organizational goals.
Provided leadership to ensure successful project completion in multiple environments.
Employs systemic strategies in the design, redesign, and development of curriculum.
Led team of designers on collaborative design projects.
Supported ongoing learning and professional growth of operations' learner audiences.
Develops online learning materials from traditional classroom formats.
Creates strategic roadmap for larger scale projects and design forecasting.
Managed the process of writing grants and securing funds.
Guided new non-profit organizations through the process of filing 501(c)(3) applications.
Prepared comprehensive RFPs to attract competitive outsourcing bids.
Delivered instruction on Revenue Cycle, Charge Services, and Registration in Cerner applications.
Delivered comprehensive training in organizational best practices.
Improved A/R by $6 million per fiscal year budget goals.
Reduce the accounts receivable by almost 40% in 6 to 8 months, and bring the AR days down from 180 to 67 days in 7 months.
Effectively plan, review, and evaluate all areas of the revenue cycle, ranging from front-end to mid-revenue cycle, to back-end.
Supervised team of 25 full-time employees across multiple healthcare departments.
Evaluated staffing levels, productivity, and work quality to inform adjustments in staffing strategy.
Instilled a culture of accountability through regular performance evaluations.
Supervised project management, cash collections, and year-end reporting for R1 RCM and Alaska Billing Services.
Ensured accurate updates in the Charge Master for Critical Access Hospital, outpatient clinics, and specialized care centers.
Teamed up with heads of various departments to reduce revenue leakage.
Utilized data and reports to pinpoint improvement opportunities.
Ensure Patient Financial Services adhere to internal, state, and federal billing codes.
Guaranteed compliance with CMS Regulations and OIG Medicare-related matters in Patient Financial Services.
Established performance metrics and evaluated staff to promote continuous improvement.
Promoted a culture of innovation and encouraged staff to contribute ideas.
Implemented successful business strategies to increase revenue and target new markets.
Recruited, trained, supervised, evaluated and mentored staff members.
Negotiated high-value contracts with vendors and partners to optimize resource allocation.
Prepared presentations for board meetings summarizing key developments within the company.
Medicare/Medicaid Billing & Coding Specialist
Lake Charles Memorial Hospital
Lake Charles, LA
01.2013 - 01.2015
Led the department activities related to the billing and collections of the Government program payments
Effectively plan, review, and evaluate in-house billing, posting and collection operations for all patient accounts for Hospital services
Completed 180+ claims daily
Maintained low A/R buckets with days lower than 39%
Enforced Patient Financial Services compliance with all internal, state, and federal codes, rules, regulations and standards regarding the billing and collections for services provided by the company’s Health Services providers
Ensure Patient Financial Services compliance with OIG Medicare issues and CMS Regulations
Used KPI Performance Indicators (KPI) to ensure data, cash, revenue workflows, and company budget stayed in alignment with end year goals
Patient record upkeep and input and provided QA for accuracy
Director of Education/Principal
AMIKids, Contract of Department of Juvenile Justice
Orlando, FL
01.2004 - 01.2012
Analyzed data from test scores, surveys, and other sources to evaluate program effectiveness.