Gwendolyn Sanders
McKinney,TX
Summary
Accomplished revenue cycle leader with 15+ years of experience in hospital and physician billing. Proven track record of maximizing collections, improving revenue cycle performance, ensuring compliance with insurance industry regulations and coding guidelines, and implementing technology solutions for measurable financial outcomes.
Overview
17
17
years of professional experience
Work History
Consultant
CW Revenue
02.2020 - Current
- Managed client relationships through regular check-ins and updates on project process.
- Establish key KPIs for patient accounting and collections.
- Develop strategies to reduce denials improve cash flow and enhance reimbursement by 23% per month.
- Review billing, collections, and revenue process to show areas for improvement.
- Identified areas of improvement for clients' operations, implemented targets solutions to increase productivity.
Senior Manager
Virtual Business Office (VBO)
01.2024 - 12.2024
- Managed client portfolios providing strategic project oversight.
- Fostered collaboration between onshore and offshore to enhance efficiency increasing overall collections by 15%.
- Led multiple complex projects, ensuring adherence to client expectations.
- Conducted in-depth analysis to find and resolve client concerns.
- Provided strong leadership to enhance team productivity and morale.
Director Revenue Cycle Management
EnHabit Home Health and Hospice
01.2023 - 12.2023
- Partnered with VP of Revenue Cycle to implement best practices in revenue cycle services, from denial management to collections.
- Facilitated training programs to coach and develop staff to ensure best collections.
- Ensured compliance with all regulatory bodies through SOP development and enhancements.
- Managed claims processing, registration functions insurance follow-up denial management and mitigation and revenue integrity functions for review totaling $1.2B.
Senior Manager Revenue Cycle Management
National Partners in Healthcare
07.2020 - 04.2022
- Led 15-member team boosting daily cash collections by 45% through process improvements.
- Collaborated with coding teams to reduce errors by 30% and improve documentation.
- Performed root cause analysis on denials, cash flow fluctuations and ensured integrity of revenue.
- Collaborated closely with peers from other departments to drive organizational success jointly as one cohesive unit.
- Improved team performance by providing comprehensive training and fostering a collaborative work environment.
- Summarized and communicated revenue success and challenges to the VP of Revenue Cycle Management.
Director Revenue Cycle Management
Vibra Healthcare
05.2018 - 06.2020
- Increased monthly collections by 18% through strategic account management.
- Cultivated a positive work environment that fostered open communication channels and empowering employees to voice their ideas reducing staff turn-over.
- Implemented innovative solutions to solve complex problems, resulting in increased productivity and streamlined operations.
- Increase monthly collections by 18% through hands-on account management of high dollar accounts.
- Developed training programs to enhance team efficiency and compliance.
- Functioned as subject matter expert on industry collection policies on state and federal level.
Director of Revenue Cycle
BURGEST CLINIC PA
03.2014 - 05.2018
- Built and managed a team of 10 direct reports.
- Increased overall collections by 31% through policy changes and process improvements.
- Provided staff training on revenue cycle management best practices, increasing productivity across all departments.
- Effectively researched and analyzed reimbursement trends that affected KPI’s, and total cash received.
- Reduced claim lag time to 3 days by improving workflows.
Healthcare Consultant
TTS Consulting
01.2012 - 12.2013
- Routinely monitor KPI indicators perform root cause analysis on outliers.
- Review CPT and ICD10 files for updating as needed.
- Provided billing compliance advisement based on NCD/LCD regulations.
- Actively supported service level agreement with client.
- Performed periodic review of credit balance report.
Director of Billing and Operations
Specialty Billing Service
10.2008 - 12.2011
- Developed high performing team of 30-members by providing mentorship, guidance and training programs.
- Enhanced client satisfaction through partnership culture, ensuring 95% audit quality ratio.
- Managed daily activities related to revenue cycle functions including billing, collections, cash posting, credentialing and customer service, increasing cash collections by 25%.
- Maintained a quality ratio of 95% or higher based upon client audit and review.
- Established a culture of continuous improvement by fostering open communication channels and empowering employees to voice their ideas
Education
Bachelor of Science - Business Management
Illinois State University
IllinoisSkills
- Comprehensive revenue cycle management
- Team leadership
- Quality assurance and compliance
- Operational efficiency enhancement
- Revenue enhancement
- Financial decision analysis
- Denial management expertise
- Employee training facilitation
- Revenue management
- Statistical analysis expertise
Accomplishments
- Successfully managed accounts receivable for 25 facilities and 75 physicians totaling $23M in monthly revenue including credentialing, contract management, denial management, charge entry, cash posting and third-party follow-up.
- Analyzed reimbursement trends to improve cash flow and ensured total reimbursements received based upon contractual agreements.
- Developed and implemented policies and procedures to improve operational efficiency.
- Led billing, collection and cash posting operations across multiple third-party payers.
- Instituted auditing and training programs to enhance staff performance and revenue recovery.
Timeline
Senior Manager
Virtual Business Office (VBO)
01.2024 - 12.2024
Director Revenue Cycle Management
EnHabit Home Health and Hospice
01.2023 - 12.2023
Senior Manager Revenue Cycle Management
National Partners in Healthcare
07.2020 - 04.2022
Consultant
CW Revenue
02.2020 - Current
Director Revenue Cycle Management
Vibra Healthcare
05.2018 - 06.2020
Director of Revenue Cycle
BURGEST CLINIC PA
03.2014 - 05.2018
Healthcare Consultant
TTS Consulting
01.2012 - 12.2013
Director of Billing and Operations
Specialty Billing Service
10.2008 - 12.2011
Bachelor of Science - Business Management
Illinois State University
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