Kimberly Handegard

Work History

Executive Director

KAV Health Group

02.2023 - Current

Successfully executing program objectives in all of the following key performance areas: effective patient/client care outcomes, appropriate fiscal management, maintenance of license, accreditation and other regulatory criteria, implementation of focused business development processes, medical staff compliance with regulatory and accreditation guidelines
Effectively managing contract negotiations and contract compliance with the commercial payer community to include rate negotiations and services provided, increasing monthly net revenue 150%
Ensuring an effective survey readiness plan is active at all times including a comprehensive auditing plan, corrective actions taken to address non-compliant areas, and preventative actions to maintain continuous accreditation and regulatory compliance.
Promoting a culture of continuous improvement by encouraging professional development opportunities for staff members.
Representing organization to local public by giving presentations and speeches and participating in community events.
Collaborating with external organizations including non-profits, businesses and government agencies to create mutually beneficial partnerships.
Developing strategic partnerships with key stakeholders to expand the organization''s reach and influence.
Advocating for organization and company mission to raise awareness and support.
Advocated for policy changes at both local and national levels to further support the organization''s goals and objectives.
Created promotional materials and provided insightful information to social media, websites and print media to educate public.
Spearheaded new program initiatives to address unmet community needs and advance the organization''s mission.
Represented organization at industry conferences and events.

Chief Revenue Officer (CRO)

Colonial Management Group LP, DBA New Seasons

10.2021 - 02.2023

Maintained consistent growth in revenue, contribution margin, operating profit, and EBITDA.
Increased monthly net revenue from $3.4M to $11.3M
Provided strategic direction on provider-based initiatives to include, but not be limited to, growing company revenue by expanding payer sources, negotiating fee schedules, maximizing reimbursement of ancillary services, implementing UM and maintaining the CDM
Ensure the integrity of revenue recognized by working closely with Operations, Training, and Compliance departments
Develop and execute revenue growth strategies with the CEO, Executive Team and Board of Advisors
Create accountability by developing appropriate metrics
Monitor the revenue pipeline, adjusting as necessary to create immediate growth
Establish both short-term results & long-term strategy, including revenue forecasting
Monitor the strategies and processes across revenue cycle from acquisition to engagement to success
Coordinate Outreach for current and future patients
Unify processes to ensure Clinical Excellence
Established a pricing strategy for target markets
Managed all revenue channel development, introducing new channels and partners, and that all provisions of third-party contracts are in compliance
Provided strategic direction for provider-based initiatives and served as the Executive Sponsor on implementation projects & EHR migration
Ensured services were billed timely, correctly, and audited as appropriate to ensure revenue integrity, as well, identify, negotiate, and consummate financially beneficial contracts with additional government and commercial payors to reduce and maintain appropriate Days Sales Outstanding (DSO)
Provide strategic direction for the determination of which Third Party Healthcare Plans work with the culture and challenges of each location.

Sr Vice President Of Revenue Mgmt

Colonial Management Group LP, DBA New Seasons

03.2020 - 10.2021

Developed and executed strategic initiatives to drive business growth, resulting in higher revenues and market share expansion.
Executed enhancement and standardization of processes surrounding charge master, registration, insurance eligibility, charge processing, claim submission, payment processing, collections, accounts receivable management, proper coding, and credentialing
Assures proper controls for maximized revenue cycle performance including establishing and achieving revenue cycle KPIs, providing monthly dashboard reporting, and concurrent and retrospective auditing.
Championed innovation by encouraging cross-functional teams to pursue creative solutions to complex challenges.
Optimized budgeting processes for greater transparency and control over financial resources, resulting in more informed decision making.
Collaborated with legal, accounting and other professional teams to review and maintain compliance with regulations.
Communicated business performance, forecasts and strategies to investors and shareholders.
Devised and presented business plans and forecasts to board of directors.

RCM Project Mgmt Analyst

Samaritan Behavioral Health, Inc.

06.2019 - 11.2020

Performed data analysis, root cause analysis, customer interviews etc to define and scope opportunities
Partnered with multidisciplinary teams to execute and drive performance improvement opportunities
Provided consultation regarding best practices with emphasis on process reengineering and systemic implementation
Served as liaison with key stakeholders on tasks, deliverables and issues regarding improvement initiatives
Utilized change management principles, partners with process owners to facilitate successful project pilots and implementation
Facilitated successful transition of improvement initiatives to sustain project improvements (standard work creation, training content development, dashboards, etc.) Prioritize issues and investment based on ROI; enables teams to meet deadlines
Provide training, education and coaching to all levels of the practice to support lean daily management
Provide coaching and development to key members of improvement initiatives, departmental partners, and for team member development
Review and correction if unpaid claims in various work queues due to coding and charging issues
Audit various service lines to make sure charging is being done correctly including appropriate documentation of services rendered.
Queried databases for information needed for report processing.
Improved internal knowledge sharing by developing comprehensive documentation outlining standard operating procedures for various tasks.

Director of RCM

DeCoach Recovery Centre

12.2018 - 07.2019

Establish, implement, and execute all policies, objectives, and initiatives of organization's revenue cycle activities
Responsible for enhancement and standardization of processes surrounding charge master, insurance eligibility, charge processing, claim submission, payment processing, collections, accounts receivable management, proper coding, and credentialing
Assures proper controls for maximized revenue cycle performance including establishing and achieving revenue cycle KPIs, providing monthly dashboard reporting, and concurrent and retrospective auditing
Instrumental in developing relationships, solidifying contracts, and negotiating fee schedules with third party payers.
Monitored office workflow and administrative processes to keep operations running smoothly.
Leveraged professional networks and industry knowledge to strengthen client relationships.
Increased company revenue by streamlining processes and implementing cost-saving measures.
Implemented business strategies, increasing revenue, and effectively targeting new markets.

Revenue Cycle Director

Eastway Behavioral Healthcare

07.2016 - 10.2018

Effectively enhanced and standardized processes surrounding charge master, insurance eligibility, charge processing, claim submission, payment processing, collections, accounts receivable management, proper coding, and credentialing
Assured proper controls for maximized revenue cycle performance including establishing and achieving revenue cycle KPIs, providing monthly dashboard reporting, and concurrent and retrospective auditing
Instrumental in developing relationships, solidifying contracts, and negotiating fee schedules with third party payers
Contributed to correlation of program budgeted revenue alignment with organizational productivity standards
Instrumental in Ohio BH ReDesign Policy and EDI navigation for both State and County Community Mental Health Providers.

Revenue Cycle Manager

South Community Inc

03.2015 - 07.2016

Instrumental in developing relationships, solidifying contracts, and negotiating fee schedules with third party payers
Achieved a high level of compliance by implementing strict adherence to regulatory guidelines, including HIPAA privacy rules.
Enhanced cash flow by promptly identifying and resolving discrepancies in payment postings and adjustments.
Decreased denials by conducting thorough audits of charge capture procedures and providing feedback to clinical teams on documentation requirements.
Reduced outstanding accounts receivable balances by diligently monitoring aging reports and following up on overdue invoices.
Maintained a high degree of accuracy in data reporting with regular reconciliation between general ledger accounts related to revenue cycle transactions.
Participated in industry conferences and educational sessions to stay current on emerging trends, best practices, and regulatory changes affecting healthcare revenue cycle management.
Improved overall financial performance with consistent evaluation and implementation of revenue cycle best practices.

Central Business Office Manager

Dayton Physicians Network

01.2013 - 03.2015

Supported, managed, educated and coordinated revenue cycle operations of 38 direct staff members performing credentialing, charge capture (including PQRS), EDI, payer and patient accounts receivable, payment reconciliation, bad debt & financial hardship, refunds and patient customer service; and 150+ offsite staff members performing patient scheduling, registration, referrals, insurance verification, precertification, medical necessity and financial counseling
Managing payroll, recruitment, training, performance evaluations, and ensuring a positive work environment & morale, with primary focus of improving collaboration and communication, throughout the organization
Achieved reduction in AR days from 76 to 41 by creating electronic claim edits, implemented goals for clean, timely billing and accounts receivable days
Established workflow tasking and EPM Worklog strategies for follow up leading to more expedient reimbursement
Ensured cash posting and corresponding adjustments were recorded in accurate and timely manner
Reduction in lockbox posting from 3-day lag to posting within 24 hours of receipt by maximizing ERA enrollment of all payers
Achieved organizational alignment among top in its region for key clinical and financial outcomes
Created new productivity standards as well as reporting tools for targeting and tracking of KPIs
Improved revenue cycle processes, with use of information technology, to ensure effective and efficient use of NextGen EPM and EHR, to achieve Meaningful Use and POS data capture

Business Office Manager

The Medical Center at Elizabeth Place, LLC

04.2008 - 01.2013

Lead all day-to-day financial operations of budget and supervision of revenue cycle staff members including functional responsibility over accounting, accounts payable, physician block utilization, scheduling, precertification, accounts receivable, payroll, and completing annual Medicare and Medicaid Cost Reports
Worked closely with Physicians, organizational leaders and their staff, not only to educate them regarding finance and accounting procedures but also to explore how finance functions support operations
Skillfully managed facility operations as functioning Administrator for offsite Hospital venture
Recognized in Becker's Review Magazine April 2011 for Business Office Manager of Year
Responsible for increase in positive cash flow of $600K in 12 months and over $1M in 24 months
Made recommendations to improve Net Revenue by evaluating and reducing PreOp, Anesthesia, and PACU times, maximizing OR times, and ensuring clinically appropriate length of stay
Completed case cost analysis for all services, including surgical implants, to ensure payer reimbursement supported profit margin
Influenced positive changes to improve Income Statements and reduced fixed and variable expenses
Served on Utilization Review Committee reviewing patient charts and evaluation of healthcare services, ensuring appropriate levels of healthcare services are provided, based on Millimen and IntraQual guidelines
Prepared monthly and annual expense forecasts, including any necessary recommended action required to manage costs to achieve budget.

Collections Manager

UCB

04.2004 - 04.2008

Managed accounting operations and close
Responsible for communication with Core Team, business leaders, and business consultants including Mercy Health Partners and ER Physicians
Tracked key project milestones with the ability to identify and organize project protocols to ensure consistency with client business objectives
Produced detailed reports, business decision documents, and notifications as appropriate
Supervised and participated in providing superior customer service including updating customer accounts, verification and billing of insurance, preparation for suit and garnishment, collection by phone and mail, skip-tracing, and qualifying income based repayment plans.

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Summary

Overview

Skills

Certification

Affiliations

Accomplishments

Awards

Work History

Executive Director

Chief Revenue Officer (CRO)

Sr Vice President Of Revenue Mgmt

RCM Project Mgmt Analyst

Director of RCM

Revenue Cycle Director

Revenue Cycle Manager

Central Business Office Manager

Business Office Manager

Collections Manager

Work Preference

Work Type

Work Location

Important To Me

Work Availability

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