Myoka McElroy
American Canyon
Summary
To utilize management, service, change management and strategic and systems thinking to support organizational initiatives.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Director of Revenue Cycle
Greater Sacramento Surgery Center
07.2024 - Current
- Responsible for the overall operation of the Business Office
- Oversees supervision of the scheduling, admissions, medical records, and billing departments
- Coordinate the reimbursements of patient accounts, accounts payable, and claims processing
- Interview and hire personnel as needed due to staff changes
- Payroll Processing, Timecard /PTO Approval
- Negotiate Contracts with Commercial and Government Payers
- Supervise, train, and orient assigned personnel
- Evaluate performance and recommend merit increases, promotions, and disciplinary actions
- Develop processes and procedures for the effectiveness and efficiency of the billing process
- Evaluate monthly accounts receivable reports prior to monthly closure of computer database with Business Office manager
- Audit accounts to ensure compliance with applicable laws and regulations
- Collaborate with Executive Director, Clinical Staff, and Business Office Staff to promote positive teamwork and a productive working environment
Revenue Cycle Manager
Optum
10.2020 - 07.2024
- Hiring and supervision of Billing Specialists, which includes work allocation, training, auditing, coaching, and achieving established productivity standards and key revenue cycle metrics
- Motivates staff to achieve peak productivity and performance
- Consult medical services staff to coordinate changes to patient management software
- Evaluate billing and collections systems regularly and make recommendations for continued quality improvement
- Collaborates with the Revenue Cycle Management team in the planning, implementation, and evaluation of existing operations, coding, systems, and procedures to ensure reimbursement maximization and quick turnover of patient accounts receivable
- Perform/coordinate/supervise timely, accurate billing of all Medi-Cal, Medicare and third-party payers, track and collect outstanding accounts receivable
- Assist in determining billing requirements of new Managed Medi-Cal and/or commercial contracts; ensure correct coding
- Assist in maintaining relationships with contracted payers
- Provide effective leadership, coaching and mentoring of staff to identify and implement opportunities to maximize office collections and improve posting and billing processes/methods
- Coach and mentor less experienced subordinate team members and create an environment for knowledge transfer and cross-training and provide staff with assistance in performing difficult or complicated duties
RCM Sr. Manager
CHMB/Allscripts
01.2018 - 10.2019
- Responsible for providing general oversight 40 FTE’s of the office/facility, in addition to management and tracking the productivity of the account team to insure that billing and collection activities are timely and accurate
- Supports the company’s objective of efficiently and effectively providing management, oversight and assurance that clients’ cash collections, adjustments and accounts receivable balances are accurate and meet client benchmarks and expectations
- In addition, I review monthly reports, analyze outcomes, identify trends, and ensure timely and proactive communication to clients
- Deliver timely required reports to the RCM Director; initiate and communicate the resolution of issues, such as payor denial trends, collections accounts, inaccurate or incorrect charges, vendor input and implementation
- Meet regularly with staff; in-person and as a group to confirm the status of client accounts
- Maintain a schedule of client meetings either monthly or quarterly depending on the size and scope of client
- Track clients’ AR productivity (charge, payments, collections, adjustments) on a daily, weekly and/or monthly basis as needed to ensure the client and company expectations are met
- Professionally interact with clients and patients to resolve questions and concerns
- Provide training and mentoring to staff; ensure standard operating procedures (SOP) are followed and improvements occur
Administrative Services Manager
Kaiser Radiology Imaging Services
01.2014 - 01.2018
- Manage the daily operations of the diagnostic imaging department Hospital and Emergency, overseeing 152 employees in 7 locations: Radiology Technologist, Imaging Assistants, Digital Librarians, Senior Cashier Receptionists, Cashier Receptionists and Support Service Representatives
- Manage all administrative, technical and clerical operations of the diagnostic imaging department to ensure quality, access and budget goals are achieved
- Chair the ISD Regional Peer Group and participate in local meetings
- I assist the Imaging Service team in meeting the clinical needs of physicians, staff and members
- Support and actively develop a strategy to achieve an integrated service line for diagnostic imaging
- Manage the daily operations of department by maintaining appropriate schedules (both staffing and patient), and monitoring performance improvement, safety, quality and regulatory standards
- Participate in the planning of major facilities construction/renovation projects to ensure the safe and effective placement of imaging equipment and efficiency of operations
- I ensure equipment and procedures are safe, functional, and capable of meeting the diagnostic needs of the medical staff in a timely manner
- Partnered with department LMP/UBT to develop strategies that support revenue cycle objectives and maintain an effective working relationship to achieve a UBT Level 5 for 2016
- Utilized UBT efforts to create/implement Radiology Department vision and define/clarify staff roles in changing environment to improve members’ experience
- Increased department MPS scores from 83% to 84%
- Started and managed local facility TPMG 24/7 Centralized Staffing office overseeing 8 employees: Developed policies and procedures and departmental workflows for staffing and payroll
- Hired, trained, oriented new employees to the department
Manager, Kaiser Staffing and Payroll
Kaiser
01.2013 - 01.2014
- Managed Staffing and Payroll Hospital operations overseen 10 employees: Senior Support Services Representatives and Support Services Representatives
- Managed $2.0M on the job budget; met fiscal goals for capital and payroll/nonpayroll expenses through financial/staffing analysis
- Participated in BPR to coordinate and monitor staffing ratios
- Implemented quality improvement programs: service enhancement and workflow design
- Develop policy and procedures for daily staffing, monthly scheduling, annual vacation planning and payroll
- Supervised hiring, compensation, performance evaluation
- Facilitated monthly training: coding, customer service, and team building
- Trained staff on KP OneStaff, AtHoc, and Mainframe to enter and access employee files for payroll and staffing
- Attendance accountability for support service staff
Administrative Service Manager, Kaiser Admitting Revenue Cycle
Kaiser
01.2009 - 01.2013
- Managed Admitting Department Hospital and Emergency Department operations, overseeing 21 employees (operating 24/7 schedule): Senior Admitting Representatives and Admitting Representatives
- Managed $1.65M on the job budget; met fiscal goals for capital and payroll/non-payroll expenses through financial/staffing analysis
- Participated in IGC and ROG; coordinated/monitored uninsured and charity care member cost and billing requirements
- Implemented quality improvement programs: service enhancement, workflow design, hospital booklet/brochure
- Prepared information for regulatory audits as requested, (including, but not limited to Dept of Health Services (DHS) and National Committee for Quality Assurance (NCQA)
- Recommended internal Admitting, KP HealthConnect policies/procedures for Hayward implementation
- Managed/monitored department transfer pricing agreements with Capture Technology and Xerox
- Supervised hiring, compensation, performance evaluation
- Facilitated monthly training: cash handling, customer service, new hospital orientation
- Oversaw semi-annual department preparation/readiness for Title 22, DHS, HIPPA, EMTALA, Consent, Regulations, JCAHO
- Trained staff on KP Foundation to access current member benefit information: insurance options, coordination of benefits, Medi-Cal/Medicare
- Reported to Director of Revenue Cycle, GSAA
Administrative Service Supervisor, Revenue Cycle Business Operations
Kaiser
01.2008 - 01.2009
- Supervised Admitting Department team of 24 (operating 24/7 schedule) Hospital and Emergency Department
- Collaborated with hospital manager and providers to maintain/increase customer satisfaction scores
- Analyzed daily, weekly, and monthly statistics identifying revenue collection targets
- Provided data to ROG for department planning and goal setting
- Partnered with Director resolving patient benefit notification issues
- Resolved patient, provider, and staff copayment collection for POS complaints/concerns
- Developed/maintained Admitting budget; ensured departments remained within 5% budget variance
- Designed/developed policies and training to improve staff performance
- Developed/administered KP policies, standards and practices to meet SOX control procedures (overage/shortage, reconciliation, reporting) complying with government/accrediting agencies
- Reported to Director of Operations
- Led LMP project team to reach Admitting department 2008 collection/service goals
- Facilitated weekly meetings; created stakeholder communication plans designing staff conversation scripts
- Developed MS Excel collection tracking tool; increased collection from 72% to 88%
- Reduced member complaints from 10% to 3%
- Analyzed, designed and implemented 2 functional units for Admitting in Surgery and Labor and Delivery
- Produced analytical report presenting POS improvements results for Leadership
- Reduced admitting service delays with 5-7 minute turnaround time
- Facilitated training in the Diablo Service Areas (Walnut Creek and Antioch); managed/monitored Admitting Operations weekly staff assignments appropriate staff working on member accounts to increase collections
Education
Bachelor of Science - Business Administration
University of Phoenix
Concord, CA06-2007
Skills
- Denial resolution
- Staff training and development
- Claims management
- Revenue cycle optimization
- Revenue performance
- Billing cycle expertise
- Data analytics
- Medical billing
Accomplishments
Professional with 20+ years managing and developing union/non-union employees in medical center environment. Overseeing Revenue Cycle managing insurance verification, scheduling, registration, medical records, accounts receivable, accounts payable and collections. History of achieving results through analysis, managing budgets and setting financial direction for forecasted goals. Overseeing center managed care contracts with third party payers including Medicare and Medicaid. Proven ability to build collaborative partnerships with leadership, front-line staff and physicians to strategically plan and implement initiatives. Team leader skilled at facilitating workforce changes to improve performance metrics and build efficient processes that meet quality service objectives. Strong communication skills and ability to implement efficient work schedules, policies and procedures.
Revenue cycle management professional skilled in optimizing financial performance and operational efficiency. Proven track record in identifying revenue opportunities, implementing process improvements, and leading successful teams. Strong focus on collaboration, adaptability, and achieving measurable results. Expertise in claims management, regulatory compliance, and financial analysis.
Experienced with revenue cycle management, including billing, coding, and accounts receivable. Utilizes strategic planning and process improvement to enhance operational efficiency. Track record of fostering team collaboration and maintaining compliance with healthcare regulations.
Certification
Certified Revenue Cycle Representative, Healthcare Financial Management Association, 01/01/10
Phone
Cell, 707-819-6964
Languages
English
Native or Bilingual
Timeline
Director of Revenue Cycle
Greater Sacramento Surgery Center
07.2024 - Current
Revenue Cycle Manager
Optum
10.2020 - 07.2024
RCM Sr. Manager
CHMB/Allscripts
01.2018 - 10.2019
Administrative Services Manager
Kaiser Radiology Imaging Services
01.2014 - 01.2018
Manager, Kaiser Staffing and Payroll
Kaiser
01.2013 - 01.2014
Administrative Service Manager, Kaiser Admitting Revenue Cycle
Kaiser
01.2009 - 01.2013
Administrative Service Supervisor, Revenue Cycle Business Operations
Kaiser
01.2008 - 01.2009
Bachelor of Science - Business Administration
University of Phoenix
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