Marie-Louise Olsen
Lagrangeville,NY
Summary
Experienced Director of Revenue Cycle Management with a proven track record of optimizing revenue cycle operations and enhancing financial performance within the healthcare industry. Over 15 years of expertise in managing inpatient and outpatient billing, collections, cash posting, and denial management for large hospital systems. Demonstrated leadership in streamlining processes, implementing innovative solutions, and fostering cross-functional collaboration to achieve organizational goals. Adept at contract management, data analysis, and compliance with industry regulations. Recognized for developing and leading high-performing teams, improving revenue capture, and driving continuous process improvements.
Overview
13
13
years of professional experience
Work History
Director Revenue Cycle Management
Northern Westchester Hospital
05.2018 - Current
- Successfully managed patient accounts operations for Northern Westchester and Phelps Memorial Hospital, ensuring efficient billing, collections, and customer service.
- Oversee back-end revenue cycle functions, including commercial and government billing, cash posting, collections, denials, underpayments, self-pay, and payer credits.
- Led a team of professionals across multiple sites, fostering cross-functional collaboration to optimize revenue cycle performance.
- Streamlined processes between the two hospital teams virtually before physically consolidating them in 2019, enhancing efficiency and collaboration.
- Redesigned and cross-trained teams to manage accounts receivable for both hospitals, ensuring versatility and improving overall performance.
- Demonstrated expertise in cash collection, account management, and analytical skills, resulting in improved financial outcomes.
- Implemented Huron work driver, increasing the visibility of payer disputes from 6.6% of AR to 25%, equating to $40 million in payer disputes.
- Implemented strategies that reduced front-end denials through standardized training, contributing to enhanced revenue recovery.
- Managed key performance indicators (KPIs) and provided metric reports to revenue cycle executives, offering insights and driving data-informed decisions.
- Streamlined vendor processes and reviewed vendor work to ensure adherence to metrics and performance standards.
- Ensured compliance with industry regulations and internal policies, maintaining the highest standards of accuracy and integrity in revenue cycle management.
- Provided training and support to staff, enhancing their skills and knowledge in billing, collections, and customer service.
Associate Director Billing Operations
Northern Westchester Hospital
05.2015 - 05.2018
- Directed the daily operations of inpatient billing groups, collections, and customer service teams, ensuring efficient and accurate billing processes.
- Played a key role in optimizing managed care and Medicaid billing processes, resulting in increased revenue capture and improved financial performance.
- I worked with Managed Care during the merger of Northwell Health to ensure all new payer contracts were accurately loaded into the Meditech system.
- Reviewed new payer contracts and compiled files to escalate to managed care and payer representatives, ensuring underpaid or unresolved denials were effectively captured and addressed.
- Conducted a thorough review of Phelps Memorial Hospital's open accounts receivable (AR), identifying $2.5 million of adjusted-off AR that was collectable.
- Collaborated with managed care and provider representatives to successfully recover the $2.5 million previously considered uncollectible.
- Educated Phelps leads and staff members on contract details and worked with IT to correct reimbursement rules, ensuring accurate expected reimbursement calculations.
- Demonstrated strong leadership skills in managing diverse teams and fostering a collaborative and productive work environment.
- Leveraged cash collection expertise to enhance financial stability and ensure timely payments from insurance providers and patients.
- Implemented process improvements and best practices to streamline billing operations, reduce errors, and increase overall efficiency.
- Collaborated with cross-functional teams to develop and execute strategies for reducing claim denials and improving reimbursement rates.
- Monitored key performance indicators and generated reports to track progress, identify trends, and drive continuous improvement in billing operations.
- Ensured compliance with all relevant regulations and policies, maintaining the highest standards of accuracy and integrity in billing practices.
- Provided training and support to staff, enhancing their skills and knowledge in billing procedures and customer service.
Manager/Trainer of Insurance Clearance
Northern Westchester Hospital
05.2014 - 05.2015
- Led staff development and training initiatives for scheduling, insurance verification, registration, and denial prevention as part of a hospital-wide program.
- Created comprehensive training materials and conducted workshops for approximately 250 employees responsible for check-ins, insurance verification, scheduling, and registration.
- Spearheaded the development and implementation of standardized training protocols to ensure consistent and accurate insurance clearance processes across the hospital.
- Collaborated with the Revenue Recovery Team to design and launch hospital-wide training programs aimed at minimizing front-end denials and optimizing revenue cycle operations.
- Played a pivotal role in reducing insurance denials, contributing to smoother and more efficient revenue cycle management.
- Provided ongoing support and guidance to staff, addressing training needs and ensuring adherence to best practices in insurance clearance and patient registration.
- Monitored and evaluated the effectiveness of training programs, making necessary adjustments to continuously improve staff performance and reduce errors.
- Fostered a culture of continuous improvement and professional development, empowering employees to enhance their skills and knowledge in insurance clearance and registration processes.
Customer Service Representative/Medicare Billing Specialist
Northern Westchester Hospital
12.2011 - 05.2014
- Processed billing for all inpatient commercial, Medicare, and Medicaid claims using Claim Master, ensuring timely and accurate submission.
- Prepared and sent hardcopy secondary claims to insurance providers, maintaining meticulous records and tracking follow-up actions.
- Conducted thorough follow-up and collections on Medicare and Medicaid inpatient claims, resolving issues and discrepancies to facilitate prompt payments.
- Managed Medicare Return to Provider (RTP) claims, identifying errors, correcting documentation, and resubmitting claims for processing.
- Addressed Medicaid denials, analyzed reasons for rejection, and implemented corrective actions to ensure successful claim approval and reimbursement.
- Maintained up-to-date knowledge of billing regulations and compliance requirements for Medicare and Medicaid, ensuring adherence to industry standards.
- Collaborated with healthcare providers and insurance companies to resolve billing disputes and discrepancies, enhancing the efficiency of the revenue cycle.
- Utilized strong customer service skills to assist patients with billing inquiries, providing clear explanations and support to ensure a positive experience.
Education
Bachelor of Science - Organizational Leadership
Capella University
Minneapolis, MN02.2023
No Degree - Medical Coding And Billing
Dutchess Community College
Poughkeepsie, NY12.2007
Skills
- Strategic Planning
- Verbal and written communication
- People Management
- Operations Management
- Team Management
- Budget Management
- Contract and Vendor Management
- Hiring and Retention
- Contract Management
- Process Improvements
- Change Management
Timeline
Director Revenue Cycle Management
Northern Westchester Hospital
05.2018 - Current
Associate Director Billing Operations
Northern Westchester Hospital
05.2015 - 05.2018
Manager/Trainer of Insurance Clearance
Northern Westchester Hospital
05.2014 - 05.2015
Customer Service Representative/Medicare Billing Specialist
Northern Westchester Hospital
12.2011 - 05.2014
Bachelor of Science - Organizational Leadership
Capella University
No Degree - Medical Coding And Billing
Dutchess Community College
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