Lisa Catalano

Work History

Senior Manager Group Practice Management

Massachusetts General Hospital

Boston, MA

12.2020 - Current

Responsible for as much as $450M in annual revenue for assigned BWPO departments.
Responsible for managing large-scale new business implementation for Emerson Physician Associates, as well as managing revenue cycle operations for MBG OBGYN & IVF, and MGB Blood Factor,
Manages budget forecasts and final revenue cycle budgets for assigned areas, and explains variances.
Collaborates and trains PFS teams on specialty IVF and Blood Factor billing.
Manages the team that obtains Blood Factor service authorizations, while ensuring the highest level of collaboration with departments and Patient Financial Services to ensure appropriate service level authorizations are correct and claims are appropriately reimbursed.
Responsible for gatekeeping functional areas to ensure a steady stream of charge flow, focusing on systemic issues to reduce barriers to reimbursement by developing and implementing action plans with all appropriate parties. Recommended and implemented successful strategies, operational standards, policies, and procedures to maximize revenue.
Provided strong leadership to enhance team productivity and morale.
Excellent data analysis skills used to manage the revenue cycle to standardized KPIs and work with multifunctional teams to understand root causes and resolve them.
Maintains a collaborative environment where parties from all functional areas have a collaborative environment where parties from all functional areas have n open space to be collaborative, develop new approaches, and implement strategies to support revenue cycle operations and initiatives.
Works closely with multi-functional leaders and teams to influence and standardize workflows across assigned practices, including Patient Financial Services, Payer Relations, Contracting Physician Education, Department administrators, Facility Administrators, DheC, Coding, and Compliance.
Manages revenue cycle operations and KPIs to high-level efficiencies by use of analytics, dashboards, and revenue cycle reports.
Developed and implemented processes aimed at achieving 100% reconciliation of billed services for all assigned areas.
Manages and mentors staff performance and conduct, including but not limited, to conducting performance reviews, resume reviews of potential new hires, and corrective actions.

Senior Revenue Manager, BWPO

Brigham and Women’s Hospital

Boston, MA

04.2015 - 12.2020

Responsible for $147M in annual revenue for assigned BWPO departments.
Responsible for strategic planning in preparation for the EPIC EMR implementation by sourcing staff, space, and support for the newly formed accounts receivable team for the departments of OBGYN and Pediatric Newborn Medicine.
Worked within the core team to streamline business processes and internal controls by training accounts receivable staff, which resulted in a 48% reduction of registration preventable adjustments for the Pediatric Newborn Medicine division, increased cash collections by 33%, and managed preventable write-offs to
Developed programs and strategies to support revenue cycle operations and initiatives, including but not limited to front-end practice operations, physician coding, and compliance practices, charge capture education, analytical month-end, and ad hoc reporting to improve reimbursements and efficiencies. Established processes for the managed care team to ensure the accuracy of referrals and authorizations obtained.
Functioned productively in a matrix organization across organizational levels and organized and prioritized responsibilities to meet commitments.
Performed month-end reconciliation and developed reporting metrics in coordination with corporate executives.
Sets standards for the billing office concerning D/AR, AR >90, and staff productivity to ensure accounts receivable teams are meeting targets for production.
Developed and distributed quarterly management revenue and analysis reports.
Conducts weekly team and bi-weekly individual meetings to address issues, resolve problems, and implement policies and procedures as they relate to business objectives and service standards.

Senior Revenue Manager

Brigham and Women’s Hospital

Boston, MA

10.2010 - 03.2015

Responsible for $110M in annual revenue for the department of OBGYN and IVF.
Excellent knowledge of revenue cycle processes and systems collaborates in an all-inclusive and professional manner.
Excellent oral, written, and presentation skills, ability to conduct and attend meetings, as well as present at meetings to a wide variety of stakeholders.
Manages and monitors key performance indicators (KPIs) and data to identify trends in payers’ rejections, and develops processes aimed at reducing denials and increasing revenue through operational efficiencies.
Works closely with department chairs, directors, CFOs, finance managers, and department administrators, to plan, discuss, and report on monthly and yearly budget targets as well as report budget variances.
Launch strategies aimed at standardizing revenue cycle best practices across the billing office.
Collaborated on the annual operating budget and achieved budget targets.
Achieves revenue cycle goals by leading complex projects based on analytical data to understand and implement operational enhancements for assigned physician practices aimed at improving revenue cycle strength.
Collaborates on space and support contracts as well as operational setup for offsite specialty satellite offices.
Proven track record dealing with payers and payer contracts concerning outstanding A/R projects.
Collaborates with company leadership to develop and standardize self-pay programs to improve access for patients, as well as improve the patient experience and ease of the financial process.
Sets standards for the billing office concerning D/AR, AR >90, and staff productivity to ensure accounts receivable teams are meeting targets for production.

Revenue Cycle and Operations Manager

Brigham and Women’s Hospital

10.2004 - 09.2010

Responsible for managing the accounts receivable for $110M dollar budgeted receipts for Brigham and Women's Department of OBGYN.
Optimized physician revenue by increasing patient cash collections by 37%; decreasing D/AR by 28%; reducing write-offs by 61% and maintaining AR>90 at 15% of total AR.
Collaboratively through building practice relationships, responsible for a 23% increase in office copay collections.
Created, developed, and mentored managed care team (MCC) operations for the department of OBGYN IVF and specialty surgical service lines.
The MCC team documents and reviews the benefits of more than 10,080 scheduled appointments annually to ensure accurate service authorizations, resulting in the successful acquisition of more than 3,300 specialty IVF and surgical authorizations annually. The MCC team also collects approximately 4,370 prepayments annually, totaling $2.9M in cash collections
Designed, collaborated, and implemented policies and procedures intended to maximize physician revenue, reduce administrative costs, create efficiencies, and ensure optimal processes that enhance employee satisfaction and revenue cycle performance.
Specialized in root cause analysis and process improvement which provided a 28% increase in the reimbursement rate in the accounts receivable space.
Led hiring, onboarding, and training of new hires to fulfill business requirements. Mitigated business risks by working closely with staff members and assessing performance.
Developed and implemented strategies to maximize customer satisfaction.
Established positive and effective communication among unit staff and organization leadership, reducing miscommunications, and missed deadlines.
Managed revenue cycle operations staff and kept employees compliant with company policies and procedures.
Remains current on third-party payer policies and communicates changes to accounts receivable staff at designated staff meetings.
Developed and implemented processes aimed at achieving 100% reconciliation of billed services for all assigned areas.

Accounts Receivable Manager

Beth Israel Deaconess

09.1996 - 09.2004

Managed revenue cycle and operations for the Department of Psychiatry, including inpatient, ambulatory, and special programs.
Managed a $4 million dollar annual gross patient service revenue professional billing operation,
Responsible for increasing gross collections by 25%; reducing write-offs by 45% and increasing patient satisfaction with the billing service.
Collaborate on daily revenue operations in conjunction with the Ambulatory Director, Inpatient Director, Operations Director, Practice Manager, and Residency Training Program Directors.
Coordinate and direct revenue cycle activity including but not limited to physician education, revenue capture, billing and collections, billing compliance, insurance standards and guidelines, provider credentialing and provider third-party payer enrollment, payer contracting, establishing policies and procedures, and technical system enhancements.
Consistently maintained billing activity benchmarks and operational enhancements for cost-effective revenue collection.
Set standards for revenue cycle, front desk performance, billing, and customer service and implemented key initiatives. Trained revenue cycle staff on interaction with patients, consistent performance in billing activity, and key revenue cycle benchmarks.
Responsible for representing the Department of Psychiatry at various meetings.
Responsible for hires and training of revenue cycle staff.

Summary

Overview

Work History

Senior Manager Group Practice Management

Senior Revenue Manager, BWPO

Senior Revenue Manager

Revenue Cycle and Operations Manager

Accounts Receivable Manager

Education

Masters of Business, Healthcare Management - Healthcare Administration

Bachelor of Arts - Business Management/Italian Literature

Skills

Additional Information

Systems

Awards

Timeline

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