Michael SEMIAO
Revenue Cycle Executive
North Andover,MA
Summary
LinkedIn North Andover, MA Offering over 2 decades of success leading and executing optimization of revenue cycle performance for leading healthcare practices, clinics, and federally qualified health centers across the country. Highly accomplished and results-oriented professional with extensive experience in revenue cycle management, seeking a challenging position as Director of Revenue Cycle. Demonstrated expertise in driving financial performance, optimizing revenue streams, and leading cross-functional teams to achieve organizational goals. Adept at implementing revenue cycle best practices, streamlining processes, and ensuring compliance with industry regulations.
Overview
31
31
years of professional experience
6
6
years of post-secondary education
3
3
Certificates
Work History
Project Manager
ASK Consulting
Boston, MA
02.2023 - 05.2023
- Created Strategy
- Provided detailed analysis
- Completed cost analysis associated for each healthcare facility under program.
- Managed book of business totaling $2,000, 000 in accounts receivable, applying insurance expertise and exemplary customer service
- Managed time efficiently to complete all tasks within deadlines
- Skilled at working independently and collaboratively team environment
- Identified issues, analyzed information, and provided solutions to problems
Director of Revenue Cycle
Joseph Addabbo Family Health Center
Brooklyn, NY
07.2022 - 10.2022
- Lead and oversee all aspects of revenue cycle, including billing, coding, collections, and patient financial services
- Develop and implement revenue cycle strategies, policies, and procedures to optimize financial performance and ensure compliance with regulatory guidelines
- Managed team of revenue cycle professionals, providing guidance, training, and performance evaluations to drive productivity and accountability
- Collaborate with key stakeholders, including finance, operations, and clinical departments, to identify opportunities for revenue enhancement and process improvement
- Conduct regular financial analysis, monitor key performance indicators (KPIs), and generate reports to track revenue cycle metrics and identify areas of improvement
- Implement technology solutions and automation to streamline revenue cycle processes, reduce errors, and enhance efficiency
- Oversee revenue cycle vendor relationships, negotiate contracts, and monitor service level agreements (SLAs) to ensure optimal performance and value.
- Analyzed business processes to identify cost savings and operational efficiencies
- Supported financial director with special projects and additional job duties
- Created financial dashboards to provide insights into key performance indicators
- Utilized financial software to prepare consolidated financial statements
Project Manager
Community Health Center
New Bedford, MA
07.2021 - 10.2021
- Created job description for Director of Revenue Integrity position with budget allocation of $80M for finance and billing departments and team deployment of thirty-five full-time employees
- Uncovered 20% gap in reconciliation payment and contracted rates posted to accounts receivable by reviewing Charge Description Master (CDM) and related audits
- Accomplished identification of 40% of business areas non-compliant to contract requirements, regulations, and laws by reviewing systems and processes to identify potential compliance issues
- Optimized end-to-end medical billing operations by designing workflows for Central Billing Office (CBO) while producing claim that was clean, free of errors, and decreased by 25%
- Ensured attainment of three critical organizational imperatives to include operational efficiency, regulatory compliance, and optimal earned reimbursement/payment using ethical business practices and policies
- Advised finance and accounting teams to anticipate and recognize stakeholder needs
- Accomplished improvements within revenue cycle by 30% by identifying opportunities to establish standardizations throughout organization
- Standardized operational practices and procedures across business office
- Created white paper highlighting those areas of improvement
- Empowered senior leadership in making conscious management decisions by highlighting existing challenges
Director of Revenue Cycle
East Bay Community Action Program
East Providence, RI
10.2020 - 05.2021
- Managed day-to-day operations of revenue cycle department, including billing, collections, and accounts receivable
- Developed and implemented revenue cycle policies, procedures, and controls to ensure accurate and timely claims submission and payment posting
- Led team of billing and coding professionals, providing training, performance evaluations, and fostering culture of continuous improvement
- Monitored denials and appeals, implemented corrective actions to reduce denials, and collaborated with clinical and coding staff to improve documentation and coding accuracy
- Conducted regular audits and quality assurance reviews to ensure compliance with coding guidelines, payer regulations, and revenue integrity standards
- Collaborated with IT department on system enhancements, upgrades, and implementation of new revenue cycle technologies.
- Supported clinical team members with revenue cycle procedures and addressed issues
- Monitored and guided revenue cycle operations
- Completed financial reporting and analysis for billing revenue cycle
- Collaborated with C-level executives and stakeholders to develop long-term financial plans
Project Manager
Public Consulting Group
05.2020 - 08.2020
Director
Revenue Integrity Codman Square Health Center
02.2019 - 01.2020
Director Revenue
Cycle North Shore Pain Management
03.2018 - 01.2019
Project Manager
BDO South Boston Community Health Center
09.2017 - 12.2017
Interim Director of Revenue
Integrity Morris Heights Health Center
02.2016 - 06.2017
Project Manager
12.2015 - 02.2016
Project Manager
Dorchester House
10.2015 - 02.2016
Project Manager
Codman Square Health Center
06.2015 - 10.2015
Project Manager HealthCare
Revenue Strategies Southern Maine Medical Center
03.2015 - 06.2015
Project Manager
Harbor Homes
12.2014 - 03.2015
Director
Revenue Integrity Codman Square Health Center
01.2014 - 11.2014
Interim Manager
Physician Network Southern Maine Health Center
10.2012 - 01.2014
Project Manager
University Medical Group Adult and Pediatric Dermatology
06.2009 - 11.2012
Supervisor
The Mentor Network
02.2012 - 04.2012
Billing Manager
Insulet Corporation
01.2007 - 01.2009
Director of Insurance & Patient Billing
Repromedix
01.2005 - 01.2007
Manager, Patient
Registration Quest Diagnostics
01.2002 - 01.2005
Billing Manager
Laboratory Services Elliot Hospital
01.2000 - 01.2002
Supervisor / Third Party
Hebrew Rehabilitation Center For The Aged
01.1992 - 01.2000
Education
BBA - Finance
Bryant College
North Smithfield, RI 09.1980 - 06.1986
Skills
Practice RCM Workflow Optimization
Certification
Certified Six Sigma Black Belt
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Project Manager
ASK Consulting
02.2023 - 05.2023
Director of Revenue Cycle
Joseph Addabbo Family Health Center
07.2022 - 10.2022
Project Manager
Community Health Center
07.2021 - 10.2021
Director of Revenue Cycle
East Bay Community Action Program
10.2020 - 05.2021
Project Manager
Public Consulting Group
05.2020 - 08.2020
Director
Revenue Integrity Codman Square Health Center
02.2019 - 01.2020
Director Revenue
Cycle North Shore Pain Management
03.2018 - 01.2019
Project Manager
BDO South Boston Community Health Center
09.2017 - 12.2017
Interim Director of Revenue
Integrity Morris Heights Health Center
02.2016 - 06.2017
Project Manager
12.2015 - 02.2016
Project Manager
Dorchester House
10.2015 - 02.2016
Project Manager
Codman Square Health Center
06.2015 - 10.2015
Project Manager HealthCare
Revenue Strategies Southern Maine Medical Center
03.2015 - 06.2015
Project Manager
Harbor Homes
12.2014 - 03.2015
Director
Revenue Integrity Codman Square Health Center
01.2014 - 11.2014
Interim Manager
Physician Network Southern Maine Health Center
10.2012 - 01.2014
Supervisor
The Mentor Network
02.2012 - 04.2012
Project Manager
University Medical Group Adult and Pediatric Dermatology
06.2009 - 11.2012
Billing Manager
Insulet Corporation
01.2007 - 01.2009
Director of Insurance & Patient Billing
Repromedix
01.2005 - 01.2007
Manager, Patient
Registration Quest Diagnostics
01.2002 - 01.2005
Billing Manager
Laboratory Services Elliot Hospital
01.2000 - 01.2002
Supervisor / Third Party
Hebrew Rehabilitation Center For The Aged
01.1992 - 01.2000
BBA - Finance
Bryant College
09.1980 - 06.1986
Custom
I am currently in the process of writing a memoir. I am a strong advocate for work life balance and exercising each day is part of that commitment.