Julie Lynch
Chagrin Falls,OH
Summary
Results-driven Revenue cycle executive, with strong technical and financial experience that encompasses over 25 years. Proven track record of optimizing financial performance, strategic leadership, processes improvement and finance transformation. Proficient in directing cross function teams to streamline IT, billing, collections, pricing, and reimbursement processes. Proven ability to leverage automation to enhance revenue cycle efficiency while remaining compliant and maximizing revenue and reducing cost.
Overview
33
33
years of professional experience
Work History
Sr Manger, Revenue Cycle Operations
Omnicare Inc. A Division of CVS Health
06.2015 - Current
- Lead the design and implementation of several robotics process automation projects to save over 500 K in labor savings and ensuring maximum accuracy
- Managed the vendor selection, customization, and implementation of a cash application software that increased cash matching rate to 92% allowing for a labor saving over 350K annually and 250K in annual maintenance
- Created an Accounts Receivable financial dashboard to display Key performance indicators and provide insights into trends
- Analyzed complex billing, pricing, and reimbursement data sets to derive actionable insights for improving internal processes related to revenue cycle management
- Manage a Cross-functional team to collaborate and analyze claim rejection data to change operational workflows and technician response and to minimize claim rejections and maximize reimbursement rates from insurance providers
- Designed and build a system using Robotics to process and account for new regulatory requirements as a result of a corporate integrity agreement
- Negotiated contracts with third-party vendors for billing-related services, achieving cost savings without compromising quality
- Monitored industry trends to anticipate changes that may impact the organization's revenue cycle performance.
Director, Revenue Cycle
Omnicare
01.2011 - 06.2015
- Build a department, designed an 835 payment receipts system, and implemented financial end of month procedures for a proprietary pharmacy system which processes 100 million dollars (monthly) of insurance and Medicaid cash receipts
- Provided detail profitability analysis for each Med D plan and directed the payment reconciliation and implementation of the Medicare Part D program
- Centralized the payment receipts and banking relationships for Medicare Part D and National Account customers
- Collaborated with IT on developing an internal system that provides access to clinic and financial information for nursing home customers
- Used technology to automate the processing of pricing discrepancies for large national account customers
- Collaborated with vendors and external partners to build a database of 835 payment remittance detail from our PBM clients to reconcile Accounts Receivable and build analysis on Part-D plan profitability.
Principal Consultant
Strategic Health Care Advisors
08.2005 - 01.2011
- Provided consulting services for Nursing Homes, outpatient treatment centers, physician billing operations, independent retail pharmacies and physician group practices
- Conducted in-depth data analysis to identify areas of improvement and opportunities for growth
- Managed large-scale consulting projects, ensuring timely completion within budget constraints
- Collaborated with subject matter experts to develop best practices and industry-leading methodologies
- Integrated technology and business operations to identify targeted solutions to customer issues.
Independent Billing Consultant
NeighborCare Inc.
02.2005 - 08.2005
- NeighborCare was a leading independent provider of pharmacy services to long-term care institutions
- Acquired by Omnicare July 2005
- Implemented an LTC/AR committee lead including senior management to improve the Accounts Receivable balances in the pharmacies
- Identified key risk areas in the billing operations with respect to profitability and developed a work plan to reduce those risks
- Reviewed pricing and billing practices in all pharmacies and identified billing practice improvements and pricing strategies
- Built a OKR system to identify and prioritize claim rejections for Insurance Plans
Director of Financial Operations
NCS Healthcare, Inc.
05.1997 - 12.2003
- Built and managed a Third-party Central Billing office responsible for monitoring rejections and processing reject claims that were not processed at Point of Sale
- Managed the General Ledger conversion of 71 pharmacy locations onto a common system
- Managed the implementation of financial standards for NCS operating locations
- Designed several internet-based applications to facilitate centralization of KPI financial data
- Centralized and automated 480M of annual cash receipts in one processing center and one banking relationship
- Centralized accounts receivable monitoring and collection efforts for insurance and Medicaid payers
- Worked with the IS department to build a Data Warehouse to provide gross margin and revenue reports for senior management and customers
- Reduced insurance and Medicaid accounts receivable from 80 days to 30 days by implementing a third-party software system
- Participate in due diligence activities relating to existing and new pharmacy acquisitions
- Main responsibility includes accounts receivable determination
- Built a department that gathers enterprise-wide financial data to analyze solve business issues such as product gross margin, customer profitability, revenue trends, and inventory shortages.
IT Project Manager
Cardinal Health
07.1994 - 05.1997
- Recipient of the chairmanship award for my outstanding performance & contributions
- Member of the best practices team responsible for formulating strategic business decisions regarding the reengineering of Cardinal's core business systems and processes
- Managing the design, implementation, documentation, and testing of an Obsydan/AS400 customer information system which will be distributed to 30 distribution centers to support the order process and pricing needs of a 10-billion-dollar drug wholesaler
- Coordinated the implementation of several warehouses onto our central accounts payable system
- Designed and implemented database applications to support customer, vendor, and marketing program profitability analysis
- Contributed to the analysis and design of a decision support data warehouse.
Business Services Program Analyst
Mellon Bank
07.1993 - 07.1994
- Responsible for analyzing, designing, programming, and testing of new business products
- Performed database queries to support customer requests.
Accounting Intern
Deloitte And Touche, L.L.P.
01.1991 - 04.1991
- Assisted in the audited of a real estate company
- Prepared account reconciliations.
Education
Bachelor of Science in Business Administration - Information Technology
John Carroll University
Cleveland, OHMaster of Science - Industrial Engineering
University of Pittsburgh
Pittsburgh, PASkills
- Data Analytics
- Continuous Improvement
- Problem-solving abilities
- Financial Administration
- Revenue Enhancements
- Cash Flow Management
- Financial Transformation
- Metrics
Timeline
Sr Manger, Revenue Cycle Operations
Omnicare Inc. A Division of CVS Health
06.2015 - Current
Director, Revenue Cycle
Omnicare
01.2011 - 06.2015
Principal Consultant
Strategic Health Care Advisors
08.2005 - 01.2011
Independent Billing Consultant
NeighborCare Inc.
02.2005 - 08.2005
Director of Financial Operations
NCS Healthcare, Inc.
05.1997 - 12.2003
IT Project Manager
Cardinal Health
07.1994 - 05.1997
Business Services Program Analyst
Mellon Bank
07.1993 - 07.1994
Accounting Intern
Deloitte And Touche, L.L.P.
01.1991 - 04.1991
Bachelor of Science in Business Administration - Information Technology
John Carroll University
Master of Science - Industrial Engineering
University of Pittsburgh