Leslie Pierce
SVP Revenue Cycle
Frisco,TX
Summary
Healthcare operations leader with 23 years of multi-facility management experience and consistent success in achieving goals associated with revenue, cost, employee and patient satisfaction. Ability to guide and lead highly skilled, cross-functional teams in the design, development, and implementation of best practice solutions and processes. Effective analyst, problem-solver, and communicator.
Overview
20
20
years of professional experience
6
6
years of post-secondary education
Work History
SVP-Revenue Cycle
Methodist Health System
Dallas, TX
01.2016 - Current
- Responsible for all revenue cycle functions in 6 acute hospitals and a multi-specialty physician group
- Serve as a subject matter expert for 2 Joint Venture Surgical hospitals, 2 Acute Rehab Hospitals, and 1 Skilled Nursing Facility
- Establish and set departmental goals which align with the overall strategic initiatives for the health system
- Oversee compliance with regulatory agency requirements within the revenue cycle
- Work closely with revenue cycle leaders to achieve high employee engagement and patient experience while remaining fiscally responsible
- Works closely with hospital administration, physician groups, and clinical leaders to ensure operational and revenue cycle functions are in sync
- Participate in hospital/system initiatives to formulate and implement strategic initiatives and process improvement
- Serve as the Chair of the Billing and Coding Compliance Committee for the health system
- Serve as a member of the Billing and Coding Compliance Committee for the physician group
- Serve as the Chair of the Patient Access and Revenue Committee (PARC) which establishes revenue cycle direction within Epic and ensures the direction is integrated with clinical processes
- Areas of oversight include: Centralized Scheduling, Centralized Referrals, Insurance Verification, Pre-registration, Registration, Financial Counseling, Pre-certification, Medicaid Eligibility, Denial Management, a PRN pool, HIM and Coding, CDI, Utilization Review, Case Management, Centralized Billing Office, and Collection Agency.
- Optimized charge capture processes, resulting in increased net revenue for the organization.
- Coordinated cross-departmental efforts for timely resolution of account discrepancies, improving cash flow management.
- Worked closely with IT department to implement system enhancements that improved billing efficiency and accuracy.
- Played an integral role in annual budget planning by analyzing past performance and projecting future trends based on data-driven insights.
- Established strong relationships with insurance providers to expedite claims processing and secure timely payment of services rendered.
- Improved overall patient satisfaction with billing and insurance procedures for a more positive experience.
- Spearheaded initiatives aimed at optimizing collection efforts for self-pay patients, improving overall collection rates.
- Maintained strict adherence to regulatory guidelines by staying informed on changes in healthcare legislation affecting revenue cycle operations.
- Collaborated effectively with clinical teams to address documentation issues impacting reimbursement rates, leading to higher revenues overall.
- Streamlined revenue cycle processes by implementing efficient workflow strategies and reducing claim denials.
- Conducted regular audits of billing records to ensure compliance with industry regulations, minimizing potential risk exposure.
- Developed customized reports that provided actionable insights into key financial metrics, guiding strategic decision-making processes.
- Partnered with hospital leadership to identify revenue cycle challenges, developing strategic solutions that directly addressed problem areas.
- Enhanced data accuracy in financial reporting by closely monitoring revenue cycle metrics and flagging discrepancies.
- Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
- Identified discrepancies between budgetary targets and actual revenue and expenses.
- Built highly-efficient administrative team through ongoing coaching and professional development opportunities.
- Identified areas of opportunity within the organization''s existing payer contracts, negotiating favorable terms that increased reimbursement levels.
- Actively participated in industry conferences and workshops to stay current on best practices for maximizing revenue cycle performance.
- Assisted finance department with accurate forecasting by providing detailed analysis of historical trends and current conditions.
- Developed comprehensive training materials to educate staff on best practices in revenue cycle management, boosting team efficiency.
- Reduced outstanding accounts receivable balances through diligent follow-up and expert negotiation skills.
- Monitored and guided revenue cycle operations.
- Supported clinical team members with revenue cycle procedures and addressed issues.
- Completed financial reporting and analysis for billing revenue cycle.
- Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills.
VP-Revenue Cycle
Methodist Health System
Dallas, TX
01.2013 - 01.2016
- Responsible for driving revenue cycle initiatives and operations for a 4 hospital system plus Revenue Cycle subject matter expertise for 4 Joint Venture hospitals
- Responsibilities include leadership contact for all revenue cycle related areas and issues, including direct management of Centralized Scheduling, Insurance Verification, Pre-registration, Registration, Financial Counseling, Pre-certification, Denial Management, a PRN pool, HIM and Coding, Utilization Review and Case Management
- Daily duties included support and participation in facility activities by providing revenue cycle oversight, leadership, and coordination and subject matter expertise in a matrix accountability environment
- Monitored revenue cycle performance metrics, coordinating, developing, and implementing streamlined, customer-friendly revenue cycle processes; and driving revenue cycle awareness and education within each facility structure.
- Championed change management initiatives within the organization to ensure smooth transitions during periods of growth or restructuring.
- Collaborated closely with various department heads on strategic planning initiatives to ensure alignment between corporate goals.
- Implemented cost-saving measures by conducting thorough financial analysis and identifying areas of inefficiency within the organization.
- Drove digital transformation efforts within the organization by implementing advanced technology solutions that streamlined workflows and improved customer experience.
- Revised corporate policies and procedures to ensure compliance with evolving industry regulations, mitigating potential risks.
- Cultivated a high-performance culture within the organization by setting clear expectations for employees at all levels, providing regular feedback, and recognizing achievement.
AVP-Capella Client Relations
HCA- Shared Service Center
Nashville, TN
01.2009 - 01.2013
- Responsible for developing relationships and ensuring metrics are met at a corporate level for outside entities purchasing services from the company
- Responsible for driving revenue cycle, billing, and claims resolution initiatives for 8 non-HCA hospitals in a shared service center environment
- Responsibilities include leadership contact for all revenue cycle related areas and issues, including direct management of Patient Access Directors and oversight in Centralized Scheduling, Insurance Verification, Pre-registration, Registration, Financial Counseling, Pre-certification, and Upfront Denial Management
- Daily duties include support and participation in facility activities by providing revenue cycle oversight, leadership, and coordination and subject matter expertise in a matrix environment
- Monitored front and back end revenue cycle performance metrics, coordinating, developing, and implementing streamlined, customer-friendly revenue cycle processes; and driving revenue cycle awareness and education within each facility structure.
- Streamlined communication channels between departments, facilitating better collaboration on projects across the organization.
- Maintained compliance with industry regulations by implementing risk mitigation measures and maintaining accurate documentation.
- Negotiated contracts with suppliers, securing favorable terms and conditions for the company''s benefit.
Regional Patient Access Director
HCA- Shared Service Center
Nashville, TN
01.2004 - 01.2009
- Responsible for driving revenue cycle initiatives and operations for 28 hospitals in a shared service center environment
- Responsibilities included leadership contact for all revenue cycle related areas and issues, including direct management of Centralized Scheduling, Insurance Verification, Pre-registration, Registration, Financial Counseling, Pre-certification, Upfront Denial Management, and a PRN pool
- Daily duties included support and participation in facility activities by providing revenue cycle oversight, leadership, and coordination and subject matter expertise in a matrix accountability environment
- Monitoring revenue cycle performance metrics, coordinating, developing, and implementing streamlined, customer-friendly revenue cycle processes; and driving revenue cycle awareness and education within each facility structure.
- Served as the primary liaison between Patient Access and other hospital departments, facilitating effective cross-functional collaboration.
- Fostered positive relationships with external stakeholders such as insurance companies and regulatory agencies to facilitate smooth operations.
- Maintained compliance with all relevant healthcare regulations, conducting periodic audits to identify areas for improvement.
- Developed comprehensive training programs for new hires, fostering a knowledgeable and high-performing team.
- Reduced denied claims by ensuring thorough insurance verification and pre-authorization procedures were followed by staff members.
- Managed a diverse team of Patient Access professionals, fostering an inclusive and supportive work environment that promoted collaboration and high-quality service delivery.
- Created a metrics-driven approach for tracking departmental performance against established benchmarks, driving continuous improvement in key areas.
- Conducted regular performance evaluations for staff members, providing constructive feedback and identifying opportunities for growth or skill development.
- Ensured accurate data collection for billing purposes by overseeing the implementation of a new electronic health record system.
- Increased employee engagement through regular communication, feedback sessions, and recognition programs.
- Promoted a culture of continuous improvement, leading numerous process optimization initiatives that improved overall department efficiency.
- Implemented best practices in revenue cycle management to maximize reimbursements while minimizing denials and write-offs.
Education
Masters in Healthcare Administration -
University of Phoenix
Phoenix, AZ 01.2010 - 07.2011
Bachelor of Science Toxicology and Chemistry -
Northeast Louisiana University
Monroe, LA 01.1993 - 01.1997
Skills
Revenue performance
undefinedAffiliations
Member HFMA
References
Available Upon Request
Timeline
SVP-Revenue Cycle
Methodist Health System
01.2016 - Current
VP-Revenue Cycle
Methodist Health System
01.2013 - 01.2016
Masters in Healthcare Administration -
University of Phoenix
01.2010 - 07.2011
AVP-Capella Client Relations
HCA- Shared Service Center
01.2009 - 01.2013
Regional Patient Access Director
HCA- Shared Service Center
01.2004 - 01.2009
Bachelor of Science Toxicology and Chemistry -
Northeast Louisiana University
01.1993 - 01.1997
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