Linda F. Johnson
Levittown,PA
Summary
Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.
Overview
25
25
years of professional experience
Work History
Sr. Director Revenue Cycle – East Region
Alta Hospital Systems, LLC
Chester, PA
07.2018 - 09.2024
- Company Overview: Crozer Keystone Health System
- To design and establish a Terms and Conditions unit starting with Crozer Keystone and then continuing to support other facilities along the east coast within the Prospect Health System.
- The hiring of a Senior Manager and startup of two Senior Financial Analysts.
- Reviewing Managed Care contracts prior to upload into the Contract Managing system. FinThrive product, to include contracts with both Acute and Behavioral Health Carriers.
- Ensuring the contractual allowances are correct based on contract terms & rates and are applied to individual patient accounts.
- Established as the Business Office Champion for the upcoming Cerner conversion estimated Go-Live date of Spring 2020.
- In the long term, once Prospect Medical establishes a central business office for the entire eastern region, establish a Director Revenue Analysis in each of the hospitals to act as the liaison between facility and business office and then oversee those positions.
- Was involved full scope in the revenue cycle. Admissions, charge master, billing, denials, appeals, AR follow-up. Identified missed revenue opportunity across all departments within the hospital.
- Crozer Keystone Health System
Director Revenue Analysis
Tenet Health System
Philadelphia, PA
11.2000 - 06.2018
- Company Overview: St. Christopher’s Hospital for Children/ Hahnemann University Hospital
- Worked with hospital leadership in association with revenue cycle issues.
- Worked with hospital departments to resolve revenue cycle issues identified such as physician orders, charging, patient access, DNFB etc.
- Collaborated with hospital related entities, Clinics, practice plans etc.
- Facilitated monthly revenue cycle meetings along with disputes and denial management.
- Responsible for the review and adjudication of revenue reclassifications, contractual and denial adjustments along with approvals for refunds and charity cases.
- Reviewed proposed managed care contracts and identified any issues or concerns with implementing the terms prior to the contract being finalized with the payer.
- Reviewed contract loading into the contract management system prior to rolling out into production.
- Responsible for the preparation and completion of the monthly contractual reserves for the CFO/Finance department.
- Performed analysis to identify any items or trends that significantly impacted the net revenue.
- Assisted with calculating self-pay cash rates for international patients.
- Attended monthly payer AR meetings along with quarterly JOC meetings.
- Responsible for overseeing clinical research billing compliance.
- Support/coordinate/monitor the following: Department Head meetings, Chart Audit Committee meetings, Compliance Committee, charge master review and updates, complex in-house patient meetings, Hospital Revenue Cycle implementation initiatives, Internal/External audit assistance and was member of Facility Research committee.
- Provided high quality customer service to both internal and external customers.
- St. Christopher’s Hospital for Children/ Hahnemann University Hospital
Facility Coordinator
Tenet Health Systems
Philadelphia, PA
07.1999 - 11.2000
- Company Overview: PA Region/CBO
- Served as the on-site Patient Accounts Manager for the hospital.
- Responsible for monitoring the overall hospital operations for patient finance.
- Facilitated timely and accurate billing of patient accounts.
- Active member on the hospital Chart Audit Committee.
- Participated in activities supporting the performance improvement regarding reimbursement.
- Provided on-going feedback to patient access, billing, and collection follow-up staff when issues were identified.
- PA Region/CBO
Education
High School Diploma -
Neshaminy Maple Point High School
Langhorne, PA06.1979
Skills
Decision-making
undefinedTimeline
Sr. Director Revenue Cycle – East Region
Alta Hospital Systems, LLC
07.2018 - 09.2024
Director Revenue Analysis
Tenet Health System
11.2000 - 06.2018
Facility Coordinator
Tenet Health Systems
07.1999 - 11.2000
High School Diploma -
Neshaminy Maple Point High School
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