Kelly Straile
Summary
Revenue Cycle Director with extensive experience in healthcare leadership, driving operational transformation, compliance, and financial performance. Achieved cash collections exceeding 100% of targets and significantly reduced Days Sales Outstanding through strategic accounts receivable management and performance monitoring.
Overview
27
27
years of professional experience
Work History
Director, Revenue Cycle Management
Modivcare
01.2021 - Current
- Direct enterprise-wide revenue cycle operations, overseeing billing, collections, reimbursement, denial management, and revenue integrity.
- Consistently achieved cash collections exceeding 100% of monthly targets through proactive AR management and performance monitoring.
- Reduced Days Sales Outstanding (DSO) through strategic management of accounts receivable, improving cash flow and financial performance.
- Led monthly accounts receivable review meetings to evaluate aging trends, identify reimbursement barriers, and implement corrective action plans for improved cash flow.
- Partnered with executive leadership to establish KPIs, enhance operational efficiency, reduce denials, and strengthen overall revenue cycle performance.
- Led cross-functional initiatives focused on process improvement, compliance, and operational excellence.
- Conducted monthly one-on-one coaching and performance meetings with direct reports to enhance staff development, accountability, and achievement of departmental goals.
- Ensure compliance with EVV requirements, SOX controls, payer regulations, and internal audit standards.
- Utilize HHAeX (HHA Exchange), State Aggregators, Availity, Waystar, and NaviNet to optimize claims processing, eligibility verification, authorizations, and reimbursement workflows.
Business Office Manager
Genesis Healthcare
01.2015 - 01.2022
- Oversaw accounts receivable processes, ensuring accurate billing for Medicare/Medicaid, collections, month-end close, resident trust, financial counseling, and compliance with regulatory standards.
- Managed collections for past due residents' accounts, ensuring timely filing of Medicare, Medicaid, and insurance claims to optimize revenue recovery.
- Processed accounts receivable, adjustments/refunds, private and third party agency transactions, census information, ancillaries, cash deposits, and postings, consistently meeting daily, weekly, and monthly deadlines.
- Manages resident trust funds and maintains confidential files, ensures compliance with all state and federal regulations.
- Manages all month end processes, which include completion of data entry, review and corrections of edits, and census reconciliation.
- Established systems and controls in line with policy and procedure manuals.
- Completes medicaid application with resident/family members and follows processing of application through county office.
- Meets with or ensures that another staff member meets with to explain financial obligations.
- Maintained knowledge of Medicare Non-coverage notifications to ensure compliance.
Assistant Business Office Manager
Genesis Healthcare
01.2014 - 01.2015
- Coordinated and processed ancillaries, census, interim and private advance billing, month-end billing, adjustments, write-offs, private spend down UDA's, admission files, and refunds to ensure accurate financial operations.
- Facilitated 72-hour meetings to review financial obligations, collect private funds, and manage accounts receivable collections by making calls, sending letters, processing direct deposits, and documenting activities in collection module.
- Facilitated Medicaid application process to ensure timely approvals and compliance.
- Prepared for and attended AR reviews to support financial oversight and compliance.
Office Manager
ImmediCenter
01.2006 - 01.2014
- Managed and supervised the daily operations of a high volume family, occupational health office.
- Managed supply ordering, computerized scheduling, data management, public relations, and research on claim denials.
- Collaborated with practice manager to enhance cross-office teamwork and streamline accounts receivable and patient account collections.
- Ensured compliance with Medicare, Managed care and private insurance rules and regulations.
- Applied knowledge of ICD-9 and CPT coding in recruiting, hiring, and training administrative staff.
Medical Assistant/Credentialing Manager
Radiology Imaging Associates/Wayne MRI
01.2000 - 01.2006
Education
Medical Office Specialist/Diagnostic Cardiovascular Sonography -
HoHoKus School of Medical Sciences
Ramsey, NJ01-2000
Skills
- Revenue Cycle Management
- Accounts Receivable
- Denial Management
- Billing and collections
- Medicare
- Medicaid
- Commercial Insurance
- Managed Long-Term Services
- EVV Compliance
- SOX Controls
- State Aggregators
- Availity
- Waystar
- NaviNet
- Process Improvement
- KPI Reporting
- Team Leadership
- Medicaid Management System
- Electronic Medicaid Processing
- EMR
- Microsoft Excel
- Word
- PowerPoint
- Outlook
Timeline
Director, Revenue Cycle Management
Modivcare
01.2021 - Current
Business Office Manager
Genesis Healthcare
01.2015 - 01.2022
Assistant Business Office Manager
Genesis Healthcare
01.2014 - 01.2015
Office Manager
ImmediCenter
01.2006 - 01.2014
Medical Assistant/Credentialing Manager
Radiology Imaging Associates/Wayne MRI
01.2000 - 01.2006
Medical Office Specialist/Diagnostic Cardiovascular Sonography -
HoHoKus School of Medical Sciences