A seasoned healthcare revenue cycle executive with over 20 years of progressive experience specializing in successful change leadership, process improvement utilizing Lean Six Sigma tools and methods, and excellence in delivery of Medicaid Eligibility and Advocacy services.
Overview
23
23
years of professional experience
Work History
Regional Vice President Medicaid Eligibility Svcs
HCA Parallon
Nashville, TN
09.2014 - Current
Oversee both cost-based and fee-based staff with yearly revenue generation of more than $15M.
Direct hiring and development of approximately 25 management staff to drive improvements to Medicaid Eligibility Operations.
Manage approximately 250 employees supporting Medicaid Eligibility and Advocacy Services in the Eastern Region of the United States.
Lead conversion of nearly $8B in account total charges to billable payers annually.
Create Medicaid Eligibility Advocacy Services KPI reporting and establish performance goals leading to increased performance visibility and improvement.
Drive performance improvement initiatives including facilitating a 20% revenue increase in a location previously struggling to meet EBITDA targets, thereby meeting budget without adding staff.
Process Review Liaison
Saint Joseph Regional Medical Center Inc
Mishawaka, IN
01.2012 - 08.2014
Led and facilitated process excellence events using Lean Six Sigma principles in both clinical and non-clinical areas to ensure compliance with hospital accreditation requirements.
Developed standardized workflows and auditing tools for business operations across 26 physician network practices in support of new EHR implementation.
Developed custom value stream mapping to monitor production efficiency.
Championed new Lean strategies, framework and project elements to drive multidisciplinary growth and process overhaul.
Evaluated current processes to develop improvement plans.
Director of Medicaid Eligibility Services
FirstSource Solutions USA
Belleville, IL
11.1998 - 05.2011
Monitored and guided revenue cycle operations regarding Medicaid Eligibility advocacy.
Recruited, hired and trained staff and provided direct supervision, ongoing staff development and continuing education to approximately 50 employees.
Audited work areas regularly to identify gaps in quality, productivity and worker actions in need of improvement.
Developed and updated departmental policies and procedures, maintaining compliance with statutory, regulatory, and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
Kept current with literature and field advancements to advocate to and for patients.
Recommended service improvements to minimize recurring patient issues and complaints.
Education
Master of Healthcare Administration -
Purdue University Global
Bachelor of Arts - Program of Liberal Studies, Russian
University of Notre Dame
Notre Dame, IN
Skills
Strategic Planning
Industry Expertise
Change and Growth Management
Operational Analysis
Leadership and People Development
Implementation Management
Performance Benchmarking
Mission and Vision
Volunteer Work
CISV - Michigan City Lakeshore Chapter
Board of Directors
Timeline
Regional Vice President Medicaid Eligibility Svcs
HCA Parallon
09.2014 - Current
Process Review Liaison
Saint Joseph Regional Medical Center Inc
01.2012 - 08.2014
Director of Medicaid Eligibility Services
FirstSource Solutions USA
11.1998 - 05.2011
Master of Healthcare Administration -
Purdue University Global
Bachelor of Arts - Program of Liberal Studies, Russian
University of Notre Dame
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