Strategic RCM Director with 15 years of experience leading and overseeing CBO's in SaaS business models. Strong history of devising precise and targeted business operations plans, managing compliance and forecasting, reviewing performance and driving change. Forward-thinking leader with expertise in setting KPI's, vendor management and process improvement initiatives while leading quick and efficient attainment of objectives.
Overview
6
6
years of post-secondary education
16
16
years of professional experience
Work History
Director of RCM Operations
Integrated Practice Solutions
Duluth, GA
05.2015 - 10.2020
Devised, deployed and monitored processes to boost long-term business success and increase profit levels 50% year over year 2016-2020. Oversaw and improved CBO deliveries worth over $4.17M in 2020 per year through efficient coordination of daily operations.
Managed 112 team members across 6 departments' day-to-day activities and launched staff engagement. Designed modern employee recognition program which boosted productivity and improved morale.
Resolved escalated customer issues and boosted retention rates from 73% to 92%.
Spearheaded overhaul of company best practices, leading to significantly increased staff retention rates including clearly outlined career paths for internal growth. Supported top-level decision-making and strategy planning, forging productive relationships with top leaders and serving as key advocate for various personnel issues.
Lead national SaaS growth operations to ensure low churn, increased MRR and evaluate LTV. Oversaw partner relationships, enabling footprint expansion into new markets.
Owned and managed new client onboarding program and used consistent positive communication tools to promote memorable, consistent and positive client experiences.
Coordinated monthly leadership workshops to educate team members on best practices to optimize productivity. Observed each employee's individual strengths and initiated mentoring program to improve areas of weakness.
CBO Revenue Manager
Physician Interlink LLC
Atlanta, GA
03.2011 - 05.2015
Directed operations in busy 25-person billing group managing $6M in monthly client collections.
Resolved escalated customer issues and boosted retention rates from 80% to 96%.
Assessed current CBO internal revenue cycle procedures and implemented improvements to foster efficiency. Worked with practices to develop internal workflows and bring accounts current.
Completed financial reporting and analysis for billing revenue cycle. Identified discrepancies between budgetary targets and actual revenue and expenses.
Reviewed billing problems, researched issues and resolved concerns. Trained and mentored staff on procedures, compliance requirements and collections techniques.
Engaged employees in business processes with positive motivational techniques. Enhanced team production rates by handling staff conflicts, evaluations, hiring/termination processes, coaching employees on company protocol and payroll operations.
Medical Billing Manager
Resurgens Orthopedics
Lawrenceville, GA
01.2005 - 03.2011
Prevented impending loss and increased profitability by enforcing scheduled collection campaigns, consistently achieving targeted recovery rate.
Trained and mentored staff on procedures, compliance requirements and collections techniques. Reviewed billing problems, researched issues and resolved concerns. Worked with patients to develop payment plans and bring accounts current. Helped employees with day-to-day work and complex problems by applying motivational and analytical strategies.
Enhanced collaboration between team members by preparing meeting materials and taking clear notes to distribute to stakeholders. Maintained and updated collections tracking spreadsheet to help organize payment information.
Evaluated patients' financial status and established appropriate payment plans. Pre-certified medical and radiology procedures, surgeries and echocardiograms.
Accurately posted surgeries, hospital visits and payments for assigned carriers. Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy. Located errors and promptly refiled rejected claims.
Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.