Kay Lux
Palm Beach,FL
Summary
Self-motivated Healthcare Operations Executive brings proven leadership, organizational and customer relations skills. Independently solves problems and keeps teams on task to handle diverse business requirements. Brings 20+ years Executive experience across numerous Healthcare settings to include both Inpatient, Outpatient and Physician service lines.
Overview
33
33
years of professional experience
Work History
Administrator / DPS I
HCA Physician Services
11.2021 - Current
- Oversight, leadership and general management of the market operations, financial performance and budget
- (16 providers, 5 locations generating approximately $26 million gross revenue annually)
- Manage Foundation Model Compensation package; payment processes compliance with contract terms
- P&L performance responsibility including Revenue Cycle
- Developed effective improvement plans in alignment with assigned KRAs (Key Result Areas).
- Evaluated customer needs and feedback to drive product and service improvements.
Market Manager / Treasure Coast Market – East Florida Division
HCA Physician Services
10.2018 - 11.2021
- Oversight, leadership and general management of the market operations, financial performance and budget
- (90 providers, 17 locations generating approximately $134 million gross revenue annually)
- P&L performance responsibility including Physician Contracting and Revenue Cycle for all Market Locations
- Management and oversight of patient experience in each practice location
- Oversee practice acquisition activity and market growth strategies consistent with hospital/physician alignment
- Streamlined internal processes, enhancing operational efficiency and reducing costs.
- Ensures compliance with City, County, State and Federal rules and regulations related to physician practices operations
- Physician compensation compliance with Fair Market Values and contract terms (% net Revenue, Income Guarantee, Step Down, productivity wRVU and Foundation models
- Manage vendor relationships to ensure purchase of cost-effective goods and services
- Recommend professional development for staff.
Manager of Operations / ICC Healthcare Group
HCA Physician Services
08.2016 - 10.2018
- Oversight and management of the Provider (Physician and NPP) onboarding process
- Work closely with facility Medical Staff Offices to expedite physician privileges application process for approximately 200 employed Intensivists across approximately 40 hospitals nationally
- Manage physician payroll is processing in compliance with contract terms including add-ons such as Medical Directorship, travel rates, etc
- Participate in planning, budgets, development of new products and services
- Manage travel expenses and travel arrangements for approximately 100 physicians traveling nationally.
Area Practice Manager / East Florida Division Revenue Cycle Director
HCA Physician Services
02.2010 - 07.2016
- Maintain daily operations and general management of multiple practice sites
- Beginning January 2013, added role of Revenue Cycle Director for the East Florida Division practices to include provider enrollment, training and education
- Operational responsibility of the business and clinical functions through administrative and clinical staff including providers
- Acquired / onboarded, 10 office locations and 32 providers in the first 8 months
- Transitioned ownership and operation of a moderately complex laboratory and ancillary services department that included digital x-ray, stress testing, echo, ultrasound and nuclear cardiac/vascular studies
- Opened an 11,000 square foot multi-specialty clinic in Margate, Florida
- Developed, implemented and monitored practice budgets including analyzing financial impact of changes, contributing to forecasts and monitored expenditures
- Primary responsibility for physician contracting negotiations for all payment models and specialties
- Managed and directed all business development, practice branding and volume building initiatives
- Successfully met or exceeded operational metrics consisting of financial targets, patient satisfaction targets, risk reduction and volume growth targets during each year of employment.
- Promoted an inclusive work environment that encouraged diversity of thought by valuing each team member''s unique contributions.
- Oversaw accounting, budgeting, and financial reporting.
Practice Manager – Rural Health Clinics
Southwest Memorial Hospital Health System
02.2007 - 02.2010
- Served as Department Director for new provider-based clinic start up with goal of securing Rural Health Clinic Program Participation within the first year
- Participated in acquisition of 2nd provider-based clinic location and assumed responsibility for a hospital owned Orthopedic Surgery Practice
- Added Director of PFS responsibility beginning 11/08 and served as both Director Physician Practice and Director of PFS system wide between 11/08 and 2/2010
- Drafted policies and procedures consistent with Rural Health Clinic Program participation
- Oversight of plant operation improvements needed to comply with OSHA, Joint Commission, Infection Control, Environment of Care and Safety regulations
- Successfully passed State Survey for RHC Program participation with no deficiencies in February 2008 for first RHC location
- Assumed PFS Director in 11/2008
- A/R days reduced from 119 11/2008 to 65 in first six months
- Ending A/R days remained between 36-40
- Position included full budgetary responsibility for the PFS Department and three provider-based clinic locations
- Maintained cash as % of net revenue at 99-101% for duration of employment
- Brought cash on hand in line with bond covenant requirements which contributed to improved risk rating for operating capital and reduction of County Hospital District oversight.
- Evaluated practice workflows regularly to identify areas for improvement and implement necessary changes efficiently.
- Oversaw accounting, budgeting, and financial reporting.
Owner, Healthcare Consulting
JKH & Associates, Inc.
11.2001 - 10.2004
- Provided on-site consulting services for hospitals, physician practices and other healthcare providers for operational improvement
- Projects varied based on client needs such as: Developed HIPAA and FDCPA training and compliance program for healthcare early out and collection agency
- Implemented new hiring screening process to include basic skills tests, drug testing and background checks to healthcare specific collection agency
- Developed and implemented pre-registration process for North Texas Medical Center
- Developed and drafted PFS Compliance Program policy and procedure for a Children's Healthcare System in Atlanta, Georgia
- Provided consulting services to review proposed physician payment models for both physician practices and hospitals to insure compliance with regulatory requirements.
Executive Director Revenue Cycle (PPM)
Physician's Specialty Corporation
05.2000 - 11.2001
- Provided oversight and direction of revenue and receivables functions for 9 ENT physician practices in 5 states with approximately $130 million annual gross revenue
- Provided on-site training and education as needed to improve revenue cycle performance including registration, cash balancing, information systems selection and conversion (2 locations), patient flow, billing, collection and management of bad debt expense.
Corporate Director Revenue and Receivables - PPM Division
MedPartners, Inc.
10.1998 - 05.2000
- Provided oversight and direction of revenue and receivables functions for 156 multi-specialty physician practices in 40 states with gross annual revenue totaling approximately $1.2 billion
- Hired, developed and managed regional staff of 6 A/R specialists with regional A/R responsibility
- Oversight and management of Birmingham based central business office providing billing and collection support to individual clinic locations managing gross A/R totaling $30 million
- Provided oversight through management of regional staff to those practice locations not supported by the CBO in Birmingham
- Provided A/R valuation for divestiture team negotiations and managed divested A/R in accordance with all negotiated contract terms.
Director Patient Financial Services
Scottish Rite Children's Medical Center
06.1997 - 10.1998
- Managed and directed PFS functions to include patient access, billing and collections departments to children's specialty hospital, 6 primary care clinic locations, and MSO services for 65 employed and independent physicians
- System gross revenue totaling approximately $350 million annually
- Provided oversight, direction, policy and procedure development/implementation/compliance to approximately 100 hospital employees and supporting a 40 physician MSO.
Regional Revenue Cycle Director
Tenet Healthcare (Psychiatric Division)
01.1991 - 06.1997
- Oversight of monthly bad debt reserve calculation and A/R reporting to Regional and Corporate Management teams
- Designed and coordinated regional training programs for business office managers and staff
- Insured registration and business office compliance with corporate staffing and budgetary guidelines
- Business Office Manager, psychiatric hospital in Kirksville, Missouri 1991 – 1992 / promoted to regional position 1992.
- Improved overall financial performance with consistent evaluation and implementation of revenue cycle best practices.
Education
High School Diploma -
Rogers High School
Rogers, TXSkills
- Project Management
- Operations Management
- Relationship Building
- Remote Office Availability
- Financial Leadership
- Strategic Planning
- Data Analysis
- Budget Management
- Multiple Priorities Management
Accomplishments
CHFP (Certified Healthcare Financial Professional) certification with HFM.
CMPE (Certified Medical Practice Executive) certification with MGMA.
Timeline
Administrator / DPS I
HCA Physician Services
11.2021 - Current
Market Manager / Treasure Coast Market – East Florida Division
HCA Physician Services
10.2018 - 11.2021
Manager of Operations / ICC Healthcare Group
HCA Physician Services
08.2016 - 10.2018
Area Practice Manager / East Florida Division Revenue Cycle Director
HCA Physician Services
02.2010 - 07.2016
Practice Manager – Rural Health Clinics
Southwest Memorial Hospital Health System
02.2007 - 02.2010
Owner, Healthcare Consulting
JKH & Associates, Inc.
11.2001 - 10.2004
Executive Director Revenue Cycle (PPM)
Physician's Specialty Corporation
05.2000 - 11.2001
Corporate Director Revenue and Receivables - PPM Division
MedPartners, Inc.
10.1998 - 05.2000
Director Patient Financial Services
Scottish Rite Children's Medical Center
06.1997 - 10.1998
Regional Revenue Cycle Director
Tenet Healthcare (Psychiatric Division)
01.1991 - 06.1997
High School Diploma -
Rogers High School
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