Strong leader and strategic-thinking individual experienced in turning low-performing organizations into top revenue producers. Dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.
Overview
11
11
years of professional experience
Work History
Sr. Director, Revenue Enhancement
PMMC (SaaS)
Charlotte, NC
05.2019 - Current
Leads various management tiers to ensure efficient and effective operations.
Collaborate on formulation, planning, and execution of new and improved strategies aimed at optimizing revenue performance.
Optimized operational processes using analytics tools, machine learning, and AI to address internal needs and client-specific needs.
Assist internal team and external clients on understanding complex and changing reimbursement methodologies to successfully pursue payment variances with third party payers.
Daily workflow management of department, including monitoring progression of underpaid or denied hospital claims through review analysis, submission, and collections stages.
Create regular channels of communication and streamlined processes with internal departments and external hospital clients
Fostered work culture of collaboration and inclusion to increase morale, reduce turnover, and strengthen critical thinking.
Implemented structured operating procedures and ensured compliance with policies and regulations that had an impact on bottom line.
Set strategic plans, road maps, and departmentalgoals to strengthen operations and drive growth.
Revenue Cycle Manager
Metrolina Nephrology
Charlotte, NC
05.2018 - 04.2019
Monitored and guided full revenue cycle operations.
Supported clinical team members with revenue cycle procedures and addressed issues.
Implemented and regularly reviewed financial controls to generate accurate and reliable financial data.
Monitor timeliness and effectiveness of department activities ensuring that AR balances are acceptable and bad debt is measured.
Identified discrepancies between budgetary targets and actual revenue and expenses.
Created financial dashboards to provide insights into key performance indicators.
Collaborated with C-level executives and stakeholders to develop long-term financial plans.
Operations Manager (AR)
Rotech Healthcare
Charlotte/Lakeland, NC/FL
08.2013 - 05.2018
Managed 9 operational departments to ensure success of the company.
Recruited, hired and trained all new staff.
Collaborate across all levels of management to improve performance.
Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.
Managed all operational functions within departments of revenue cycle.
Monitored effectiveness of collection efforts and maintained insurance billings are current within established timeframe.
Diligently monitored QA (Quality Assurance) program to improve performance and maintain high standards of care.
Developed and maintains working knowledge of current Medicare, Medicaid, insurance regulations, and FDA/ DOT and JCAHO guidelines.
Analyzed and reported on key performance metrics to senior management.
Education
B.A. in Psychology - Psychology
University of Tennessee
Knoxville, TN
01.2011
Skills
Team Building and Motivation
Collaborative Leadership
Business Planning & Development
Stakeholder Relations
Data Analytics (Machine Learning/AI)
Microsoft Suite
Medical Terminology
Contract Management
Hospital Systems (Epic, Meditech, Cerner, Allscripts)