Melinda Harvey
Waldorf,MD
Summary
Experienced and successful healthcare Revenue Cycle Management Professional brings a results-oriented approach to help organizations achieve outstanding outcomes. With 35 years of expertise in revenue cycle, I am eager to contribute value to your team.
Overview
35
35
years of professional experience
1
1
Certification
Work History
Revenue Cycle Director
University Of Maryland Charles Regional Medical
05.2005 - 11.2019
- Directed and coordinated overall operations, functions, services, expenses, and staff related to Patient Access department, Health Information Management, (HIM), department, and Patient Accounting department.
- Planned, directed, organized, and managed activity of HIM department according to facility guidelines and Medical Staff Bylaws, rules, and regulations.
- Ensured adherence to all relevant healthcare agency regulations, including HIPAA, CMS, and other federal and state guidelines and requirements.
- Ensured adherence to all applicable state and federal requirements for medical record content, quality, and completeness of documentation, records retention, and release of information.
- Accurately identified and planned for capital and operating budgets; anticipated changes that necessitate adjusting forecasts and allocation of funds.
- Monitored budget/actual variances and promptly made necessary adjustments to comply.
- Ensured proper evaluation of receivables on balance sheet, including establishment of appropriate reserve requirements of third-party payor allowances and bad debt.
- Collaborated with other departments, including finance, clinical operations, and IT to streamlined processes, resolved issues, and drive cross-functional improvements.
- Evaluated, selected, and led implementation of revenue cycle management software, systems, and tools to leverage technology to improve workflow, accuracy, and efficiency.
- Contracted with, managed utilization, and monitored performance of collection agencies and external vendors.
- Analyzed revenue cycle performance metrics, identified opportunities for improvement and implemented data-driven strategies to maximize revenue and minimize denials and write-offs.
- Reduced claim errors and payer rejections through development and implementation of quality assurance analysis and process audits of all core functions across revenue cycle.
- Developed, prepared, and presented regular financial reports to executive leadership highlighting revenue cycle performance trends identifying opportunities for improvement and recommendations for improved outcomes.
- Developed and implemented departmental goals, performance standards, policies/procedures, budget, and projection plans.
- Ensured staff met or exceeded quality and productivity, standards, code of conduct, behavior, and civility standards.
- Provided coaching to engage and motivate team members; identified and applied career advancement opportunities for team members,
- Led cross-functional team of 4 direct report managers: 2 direct report department secretaries, and 75 indirect report Supervisors, Team Leaders, and staff.
Business Office Manager
Calvert Memorial Hospital
12.2003 - 05.2005
- Responsible for day-to-day management of facility's Patient Accounting revenue cycle functions.
- Maximized cash flow through optimal billing and collection processes.
- Assisted with preparation of annual operating and capital budget.
- Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
- Assisted with selection, implementation, and revenue cycle tools, software, and systems.
- Managed vendors utilization and performance
- Maintained positive customer relations and employee relations by addressing problems head-on and implementing successful corrective actions.
- Developed and implemented policies and procedures to streamline operations.
- Recruited, interviewed, hired, coached, and terminated employees 20 FTEs. implemented mentoring program to promote positive feedback and engagement.
- Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
- Evaluated employee performance and conveyed constructive feedback to improve skills.
- Established team priorities, productivity and quality goals and monitored performance.
- Prepared and submitted monthly, quarterly, and annual AR performance to inform decision-makers.
Senior Manager
Inova Health System
01.1998 - 09.2003
- Provided oversight, leadership, and managed centralized business office, (CBO), patient accounting operations.
- Ensured adherence to governmental and third-party payers billing rules and regulations.
- Developed and maintained reporting of Key Performance Indicators, (KPI), dashboard.
- Developed and implemented operational standards, policies and procedures, employee behavior standards and expectations and monitored performance and ensured compliance.
- Increased staff productivity and quality by enhancing monitoring and implementing systematic review audits, coaching, and instituting motivational approaches.
- Assisted with preparation of annual operational and capital budget; monitored and ensured compliance to operations budget and staffing levels.
- Initiated and led patient registration patient accounting cross-functional teams to improve quality of front-end processes to back-end third party rejections, write-offs, and denials.
- Consolidated vendors and renegotiated contracts to optimize efficiency and reduce cost.
- Maintained positive employee relations by addressing problems head-on and implementing successful corrective actions.
- Evaluated employee performance and conveyed constructive feedback to improve skills.
- Responsible for employee satisfaction, and staff retention through practices that promote communication, rewards/recognition, teamwork and administration of effective employee relations.
- Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
- Cultivated and promoted positive workplace culture to ensure employee job satisfaction to boost department morale and promote employee retention.
- Established performance goals for employees and provided feedback on methods for reaching those milestones.
- Successfully managed budgets and allocated resources to maximize productivity.
- Launched quality assurance practices for all functions in Patient Financial Services
Education
Associate of Applied Science - Accounting
College of Southern Maryland
La Plata, MD05.2021
Skills
- Revenue Cycle Management
- Compliance Accountability
- Facility and Physician Billing
- Effective Leadership and Team-Building
- Employee Motivation and Empowerment
- Staff Training and Development
- Project and Time Management
- Process Improvement Plans and Goal Setting
- Quality and Productivity Standards
- Verbal and Written Communication Skills
- Analytical Problem-Solving
- Critical Thinking
Accomplishments
- Successfully led Meditech system migration to EPIC EHR mainframe across revenue cycle - Patient Access, Health Information Management.
- Efficiently moved the facility's patient accounts billing and collections from an external agency to in-house operation.
- Led the successful implementation of the ICD-10 coding system.
- Successfully led Meditech implementation and upgrades thereafter for over 10 years.
- Efficiently brought the facility's outsourced receivables in-house.
- Designed and delivered unique customer service seminars for facility leaders and staff that greatly improved morale and employee relationships.
Affiliations
- American Association of Healthcare Administrative Management, AAHAM
- Healthcare Financial Management Association, HFMA
- American Health Information Management Association, AHIMA
Certification
- CRCE-I - Certified Revenue Cycle Executive - Institutional
- CRCS - Certified Revenue Cycle Specialist
- CRCP - Certified Revenue Cycle Professional
Timeline
Revenue Cycle Director
University Of Maryland Charles Regional Medical
05.2005 - 11.2019
Business Office Manager
Calvert Memorial Hospital
12.2003 - 05.2005
Senior Manager
Inova Health System
01.1998 - 09.2003
Associate of Applied Science - Accounting
College of Southern Maryland
- CRCE-I - Certified Revenue Cycle Executive - Institutional
- CRCS - Certified Revenue Cycle Specialist
- CRCP - Certified Revenue Cycle Professional
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