Jo-Anne Brown

Work History

Fractional Revenue Cycle Consultant

Callen-Lorde

05.2025 - 06.2025

Collected and analyzed data to detect deficient controls in revenue management. Proposed workflows to improve inter-departmental communications to decrease inefficiencies.
Created Policy and Procedures for credentialing and privileging clinical staff.
Consulted with company officials about financial and regulatory matters for HRSA, NCOA regarding delegated credentialing and incident-to billing.
Assisted with EPIC Remit Code Mapping to enhance quality reporting.

VP of Revenue Cycle and Billing

CCA NY / ACA NY / Lifeplan CCO

08.2020 - 01.2025

Managed staff responsible for claims processing, cash reconciliation, collections, and authorization (837I, 837P, 835R) for care coordination services.
Implemented denial management strategies decreasing the percentage of denials by 40%, and the number of members with lost insurance coverage by 50%.
Collaborated with executive clinical and non-clinical teams in executing revenue cycle initiatives.
Implemented technology strategies such as Salesforce and developed standardized workflows maximizing resources, increasing productivity, and improving operational efficiency.
Credentialed organization with NYS Department of Health, Medicaid, OPWDD, and updated corporate changes with the IRS.
Liaison with external governing agencies and business partners (auditors, OPWDD, Medicaid, Local and Regional Medicaid Offices) to improve relations that impact accounts receivable.
Established key performance metrics (denials, aging, rejections, revenue, net collections) and subsequently worked with IT and Health Information Technology departments to develop revenue cycle KPI dashboards using Power BI and Salesforce.
Collaborated with Health Information Technology and IT teams with the migration to a newly developed practice management / billing system.
Evaluated financial reporting systems and collaborated with the senior finance team to make changes that improved accounting procedures, budgeting, and other financial control measures for revenue recognition, reconciling accounts receivable and bad debt.
Led cross-functional teams for the successful completion of major projects, resulting in increased efficiency and client satisfaction.
Collaborated with senior management to develop strategic initiatives and long term goals.
Established a culture of continuous improvement, fostering innovation and driving sustainable growth across the organization.

Director of Revenue Cycle Operations

The Institute for Family Health

06.2017 - 08.2020

Responsible for managing revenue cycle teams that processed claims, collections, and cash reconciliation for state-wide multi-specialty clinics (Medical, Dental, Mental Health) and various community-based programs compliant with state and federal regulations for Federally Qualified Healthcare Clinics and Accountable Care Organizations (Medicare, Medicaid, Managed Care, Commercial). (837P, 837I, 835R)
Realigned the revenue cycle staff into a team-based model, streamlined processes that maximized resources, improved productivity, and increased staff retention.
Initiated the adoption of KPI and SMART metrics monitoring using dashboards measuring clean claims, denials, aging, collection rates, productivity, and revenue goals.
Spearheaded ICD-10 and CPT-4 internal provider coding and documentation improvement program. Conducted medical chart audits and training.
Participated in quality measures: CDI, HEDIS, NCOA, and Value Based Care contracting and risk models.
Constructed documentation templates, billing system algorithms, and coding for new and revised services.
Facilitated committee meetings with clinical leaders for inpatient care, diabetes program, school-based healthcare, women’s health, CQI and behavioral health to drive revenue.
Project manager facilitating a weekly meeting with key department VP’s and Directors to improve use of technology and interdepartmental workflows.
Updated policy and procedures for billing and collections, slide fee, financial assistance, and private pay in compliance with the department of health, HRSA and NCOA standards.
Established changes to workflows and better use of technology resulting in an immediate increase in revenue of $1mil per month, 25% reduction in denials, and overall decrease in the number of days in AR.
Developed training program, manuals, and proficiency tests for newly hired revenue cycle staff.
Responded to external and internal audits, including OMIG, HRSA, CMS, DOH, OMH, and IPRO.
Collaborated with senior management on revenue booking, balancing bad debt and accounts receivable.
Played a pivotal role in merger and acquisition activities that contributed significantly toward overall revenue generation.

Adjunct Professor

Dutchess Community College

08.2012 - 09.2018

Instructed medical office assistant and medical billing and coding certification courses to college students.

Director Accounts Receivable

Lighthouse Guild International

01.2015 - 06.2017

Managed staff using multiple technology platforms to bill services for Article 28 and Article 31 clinics, multiple government programs, Capitations for Medicare Advantage and MLTC Health Plans, Medicaid spend down, Adult Day Health Programs, Rehabilitation Clinic, Food Programs, and Transportation (Claim forms 837I, 837P, 835, 834, Vouchers).
Work directly with program VPs and Directors to improve communications and establish workflows related to revenue cycle processes.
Increased cash flow by improving denials management and follow-up standards.
Transitioned Behavioral Health and Adult Day Health programs to electronic claims billing.
Provided CPT & ICD coding guidance to staff and providers, facilitated ICD-10 transitioning.
Collaborated with senior finance on balancing revenue recognition with general ledger.
Collected data and prepared reports for senior management and external auditors.
Cultivated a positive work environment that fostered employee engagement, increased retention rates, and boosted overall team morale.

Assistant Director Billing & Business Development

Institute for Family Health

03.2013 - 01.2015

Led revenue cycle teams responsible for billing and collecting claims for Article 28 and 31 medical, dental, behavioral health clinics, and other special programs (837I, 837P, 835).
Developed claims processing policies and procedure for billing and collections of claims.
Review and respond to CMS, HMS, and OMIG audits.
Provided CPT & ICD training in person and via Web-ex to medical and dental providers, and family health residency programs.
Increased collections and decreased denials by collaborating with health information technology teams and practice operations by updating system workflows and maximizing resources.
Delegated tasks effectively, empowering team members and fostering individual growth and teamwork.
Established monthly distribution of reports routine reporting of KPI’s (denials, clean claims, days in AR, aging, net collections).
Prepared monthly reports and metrics to senior management, provided clear and concise communication about revenue performance.
Boosted departmental performance, establishing clear metrics and accountability standards.

Director Program Revenue

Inspire - Orange County Cerebral Palsy Association

09.2010 - 03.2013

Oversaw billing, and collections processes for Medicare, Medicaid, Commercial, and NYS billing systems including services for Preschool, Dental Clinic, Article 28 & Article 16 Clinics, care management, audiology, PT OT SLP therapies, home health and waiver related programs through New York State agencies such as the DOH, OPWDD, OMH.
Immediately increased collections and reduced aged accounts receivable by establishing protocols for claims processing, denials management, increased use of technology, and educating staff.
Facilitated 5010 transition and initial ICD-10 guidance.
Provided Practice management software support & set-up, participated in development of new software to document and bill for Medicaid Service Coordination.

Summary

Overview

Work History

Fractional Revenue Cycle Consultant

VP of Revenue Cycle and Billing

Director of Revenue Cycle Operations

Adjunct Professor

Director Accounts Receivable

Assistant Director Billing & Business Development

Director Program Revenue

Education

Bachelor of Science (B.S.) - Community and Human Services, Healthcare Management

AA - Liberal Arts in Concentration in Health Sciences

Skills

Certification

Systems

Accomplishments

Timeline

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