Open To Work
METISSA TODD
Sunrise,FL
Summary
Strategic Healthcare Revenue Cycle & Practice Management Executive with 18+ years of leadership experience driving operational transformation, financial performance, and enterprise revenue cycle optimization across medical, dental, behavioral health, and surgical healthcare organizations. Proven leader in claims operations management, revenue cycle transformation, and process improvement, with deep expertise in complex reimbursement environments including Workers’ Compensation, accident-related services, VA programs, government payers, and commercial insurance contracting. Recognized for building and leading high-performing cross-functional RCM teams, identifying operational inefficiencies, and implementing scalable process improvements that increase operational efficiency while ensuring regulatory compliance and adherence to payer contractual requirements. Experienced in developing and executing strategic operating plans that improve departmental performance, scale revenue cycle operations, and drive enterprise financial outcomes. Track record includes improving clean claim acceptance rates to 95%+, reducing claim denials by 75%, accelerating accounts receivable performance, and generating multimillion-dollar revenue gains through operational and contract optimization. Trusted advisor to executive leadership and boards on revenue integrity, operational strategy, payer contracting, and practice growth initiatives.
Knowledgeable Director, Claims Operations, Process Improvement with proven track record of leading organizations to growth and success through strategic planning and innovative problem-solving. Successfully managed diverse teams, driving operational efficiency, and fostering collaborative environments. Demonstrated excellence in financial oversight and stakeholder engagement.
Overview
16
16
years of professional experience
Work History
Executive Director, Operations & Revenue Cycle Management
360 Degree Business Solutions & Consulting (BSC)
Plantation, FL
05.2024 - Current
- Provide executive-level consulting and operational leadership for medical and dental practices, MSOs, and specialty groups focused on revenue cycle transformation, operational efficiency, and scalable practice growth.
- Key Contributions
- Lead cross-functional revenue cycle teams overseeing claims operations, billing, accounts receivable management, and denial resolution across multiple provider organizations.
- Identify operational inefficiencies within claims processing workflows and implement process improvement initiatives that enhance accuracy, compliance, and reimbursement performance.
- Develop and execute strategic operating plans designed to improve operational efficiency, scale revenue cycle operations, and achieve departmental performance metrics.
- Directed RCM system transitions to hybrid U.S./global billing models, achieving 95%+ clean claim acceptance rates and reducing denials by 75% within 60 days.
- Deliver executive KPI dashboards, revenue analytics, and AR performance reporting to support financial forecasting and strategic decision-making.
- Lead and execute strategic initiatives that optimize revenue cycle workflows, strengthen payer compliance, and increase revenue capture.
- Manage offshore and nearshore operational teams, vendor partnerships, and system integrations supporting multi-practice scalability.
- Launched new consulting service lines generating $300K+ in incremental annual revenue.
Senior Operations Manager, Revenue Cycle (EMS & Emergency Services)
Gulfstream Outsourcing & Specialized Billing
Plantation, FL
04.2022 - 09.2025
- Directed national EMS and emergency department billing operations for high-volume healthcare providers.
- Key Contributions
- Managed 20+ onshore and offshore revenue cycle staff, overseeing claims operations, AR follow-up, and billing compliance.
- Implemented operational improvements across charge capture, claims submission, denial management, and AR workflows.
- Increased operational efficiency and revenue recovery, generating $2M in annual revenue improvements.
- Developed performance metrics and operational dashboards to monitor team productivity, payer performance, and revenue cycle KPIs.
Senior Contract Analyst, Revenue Integrity & Contract Consulting
Cancer Treatment Centers of America
Boca Raton, FL
08.2020 - 04.2022
- Supported revenue integrity initiatives and payer contracting strategies for a national oncology provider.
- Key Contributions
- Conducted payer contract audits and reimbursement analysis identifying $3.5M in underpayments across multiple payer agreements.
- Negotiated payer contract revisions generating $1.5M+ in additional annual revenue.
- Ensured reimbursement compliance with VA, government, and commercial payer regulations.
- Collaborated with revenue cycle, finance, and compliance leadership to strengthen revenue capture processes and reimbursement policies.
Operations Manager, Revenue Cycle Management
ProHealth Select / PA Surgical
Boca Raton, FL
10.2018 - 06.2020
- Directed revenue cycle and operational functions for a multi-specialty surgical practice.
- Key Contributions
- Managed end-to-end revenue cycle operations, including billing, claims processing, credentialing, and payer enrollment.
- Improved reimbursement timelines through workflow redesign and claims management optimization.
- Delivered financial reporting and operational insights supporting practice growth and strategic planning.
- Ensured compliance with payer contractual requirements and healthcare regulatory standards.
Revenue Cycle Manager
3rd Step Behavioral Health Care
Fort Lauderdale, FL
07.2010 - 09.2014
- Led revenue cycle transformation initiatives during a period of organizational growth and service expansion.
- Key Contributions
- Reduced accounts receivable aging by 28% and decreased initial claim denials by 75%.
- Built centralized billing operations and implemented KPI reporting frameworks for revenue cycle performance monitoring.
- Supported the launch of three behavioral health service programs generating $300K+ annually.
- Strengthened billing compliance and payer contract adherence across behavioral health reimbursement models.
Revenue Cycle & Practice Management Consultant
2nd Chance Behavioral Health
Port St. Lucie, FL
03.2012 - 07.2013
- Provided consulting services supporting healthcare practice start-ups and revenue cycle infrastructure development.
- Key Contributions
- Led practice start-up initiatives, including EMR/EHR system implementation, payer enrollment, and billing workflow design.
- Standardized revenue cycle processes improving charge capture accuracy, claims submission efficiency, and AR management.
- Designed scalable operational frameworks to support future service expansion and long-term financial sustainability.
Education
Master of Science - Health Informatics
University of South Florida
Tampa, FL01-2021
Bachelor of Science - Healthcare Administration & Management
University of Phoenix
Miramar, FL01-2018
Diploma - Medical Billing & Coding
Everest University
Fort Lauderdale, FL01-2011
Skills
- Revenue Cycle Strategy & Optimization
- Managed Medical & Dental Practice Operations
- Practice Start-Ups & De Novo Launches
- Multi-Site Practice Expansion
- Revenue Integrity & Contract Negotiation
- Workers’ Compensation & Accident-Related Billing
- VA & Government Reimbursement Programs
- EMR / EHR Implementation & Integration
- Denial Management & AR Reduction
- Executive Financial Analytics & KPI Dashboards
- Regulatory Compliance (CMS, HIPAA, Medicaid)
- Operational Transformation & Process Improvement
- Cross-Functional Leadership & Team Development
- Strategic Planning & Enterprise Consulting
Work Preference
Desired Job Title
Executive Director, Operations & Revenue Cycle ManagementSenior Operations Manager, Revenue Cycle (EMS & Emergency Services)Senior Contract Analyst, Revenue Integrity & Contract ConsultingOperations Manager, Revenue Cycle ManagementRevenue Cycle ManagerLocation Preference
RemoteHybridLocation: Sunrise, FL, US
Open to relocation: Yes
Salary Range
$133000/yr - $200000/yrTimeline
Executive Director, Operations & Revenue Cycle Management
360 Degree Business Solutions & Consulting (BSC)
05.2024 - Current
Senior Operations Manager, Revenue Cycle (EMS & Emergency Services)
Gulfstream Outsourcing & Specialized Billing
04.2022 - 09.2025
Senior Contract Analyst, Revenue Integrity & Contract Consulting
Cancer Treatment Centers of America
08.2020 - 04.2022
Operations Manager, Revenue Cycle Management
ProHealth Select / PA Surgical
10.2018 - 06.2020
Revenue Cycle & Practice Management Consultant
2nd Chance Behavioral Health
03.2012 - 07.2013
Revenue Cycle Manager
3rd Step Behavioral Health Care
07.2010 - 09.2014
Bachelor of Science - Healthcare Administration & Management
University of Phoenix
Diploma - Medical Billing & Coding
Everest University
Master of Science - Health Informatics
University of South Florida