Linda Malone

• Provides revenue cycle process support to all revenue cycle personnel, including resolving procedure challenges.
• Facilitates communication among IHT and revenue cycle teams, ensuring proper follow-up on ServiceNow tickets.
• Provides expert troubleshooting and remediation support.
• Investigates and resolves billing issues to maximize cash flow and minimize liabilities. Responsible for working several work queues to achieve goals.
• Facilitates meetings between stakeholders to discuss opportunities for improving the effectiveness of the revenue cycle system.
• Collaborates with internal departments such as HIM and Revenue Integrity on projects related to enhancing the overall effectiveness of the revenue cycle system.
• Participates in revenue cycle processes, working to maximize profitability, and increase revenue.

• Responsible for the implementation and oversight of the revenue cycle services, as well as the integration of Epic conversion at multiple hospital facilities.
• Responsible for supporting the CBO leadership by discovering gaps in processes, developing and managing work tasks and risks, including pre-implementation site readiness, go-live leadership and support, and post-go-live support.
• Coordinate with Beacon staff to ensure PBS business requirements are satisfied, that the Epic build and testing are complete and accurate, and that both Epic and Revenue Cycle process training have been sufficient and delivered.
• Support CBO staff and leadership by researching Epic account issues to determine the proper resolution.
• Assess and monitor Epic WQ’s for opportunities for improvement.
• Facilitation of multiple meetings related to Revenue Cycle Management, keeping discussions on track, creating agendas, meeting minutes, and action items.
• Provide support in writing new policies and procedures for the Central Business Office to ensure they are uniformly implemented across SSM.
• Collaborate with corporate and regional colleagues throughout SSM to implement PBS services, building strong relationships along the way.

The CBO transitioned to a corporate setting in September of 2011. As part of this transition, the Billing and Follow-Up departments were restructured.

With this new title, I became responsible for the supervision, direction, and monitoring of a staff of 21, comprised of follow-up representatives for government payors in the states of Missouri, Illinois, and Oklahoma.

• My responsibilities include ensuring accurate claims and account resolution, as well as maintaining the current accounts receivable within the expectations of SSM leadership.
• I have the ability to prioritize and multitask in a fast-paced environment.
• I am able to communicate effectively with both internal and external customers, and I have developed key relationships within the organization based on respect.
• I am dedicated to the SSM mission and the values that have been developed and put forth for all SSM employees.

• Performed audits of billing and follow up functions to ensure SSM policies are followed and that quality and productivity standards are met
• Assisted in the development of the process/procedure for Medicare RAC audits
• Reviewed and assigned new billing edits for current software
• Responsible for managing the decrease of the Medicare accounts receivable and maintaining this steady state level for over one year
• Supported internal and external customers with account issues related to billing and follow-up
• Reviewed statistical reports and interprets the results to upper management in relation to the Accounts Receivable
• Communicated trends related to billing and follow up issues to upper management and creates action plans as requested to help overall financial operations
• Facilitated weekly/bi-weekly meeting/conference call with Revenue Integrity/HIM/CBO staff to review outstanding claims issues, system issues and reimbursement issues to ensure efficient workflow, system integrity and process improvements
• Nominated for the Emerging Leaders program

• Company Overview: Formally Healthcare Strategic Initiatives
• Responsible for the supervision, direction and monitoring of 13-18 billing staff to ensure proper and accurate charge entry, payment posting and claims resolution as well as maximizing reimbursement in a timely manner
• Managed all billing functions to ensure all claims were submitted accurately and timely
• Provided medical billing, coding and reimbursement assistance for clients
• Responsible for the timely turnover of delinquent accounts to the collection agency
• Responsible for maintaining the clients DSO under 35 days
• Monitored billing and collection operations to detect problem patterns
• Provided statistical reports to upper management
• Responsible for training and developing employees
• Maintained confidential employee evaluations & developed performance plan where employees needed additional training and counsel if necessary
• Responsible for weekly payroll processing
• Formally Healthcare Strategic Initiatives