Accomplished Sr. Vice President at Nova Medical Centers, adept in strategic planning and organizational leadership. Spearheaded revenue cycle innovations, enhancing financial performance through system integrations and team management. At Kelsey Seybold and MD Anderson, refined insurance collections, marrying executive communication with operational efficiency for substantial growth. Expert in project management and staff development, consistently achieving organizational goals.
Overview
30
30
years of professional experience
Work History
Sr. Vice President, Revenue Cycle
Nova Medical Centers
550 Club Drive, Suite 244, Montgomery TX 77316
06.2004 - Current
Strategic Leadership:
Develop and implement comprehensive revenue cycle strategies to achieve organizational financial goals.
Analyze industry trends and identify opportunities for improvement in revenue cycle process.
Monitor key performances indicators (KPIs) related to revenue cycle processes.
Team Management:
Lead and manage a large team of revenue cycle professionals including billing, coding, collections, pre-authorization, cash posting, diagnostic, and specialist referrals.
Provide coaching, mentorship, and professional development opportunities to team members.
Foster a culture of collaboration and accountability within the revenue cycle department.
Operational Oversight:
Ensure accurate and timely patient registration.
Monitor coding compliance and quality to minimize claim denials.
Oversee the billing and claims submission process, including electronic health records (EHR) integration.
Manage accounts payable (AR) and implement strategies to improve collection rates.
Compliance Management:
Stay abreast of all relevant healthcare regulations and compliance requirements related to revenue cycle management.
Implement internal controls and quality assurance processes to maintain compliance
Collaborate with legal and compliance teams to address any potential issues.
Financial Performance:
Develop and manage the revenue cycle budget, tracking expenses, and identifying cost savings opportunities.
Analyze financial data to identify areas for improvement and implement corrective actions.
Report on revenue cycle performance.
System Integrations and Programming:
Developed EHR custom system.
Customized programming to complete electronic appeals.
Developed exam template - coding - MDM reporting.
Developed HL7 interface from custom EHR to billing system.
Developed lock-box denial mapping 835 files.
Developed pre-authorization and scheduling rules within EMR scheduling system.
Developed custom EDI clearinghouse rules.
Developed custom tools for Operations - scheduling, document control, bar coding, electronic check-in, COD process, electronic customer communication (employers)
Developed auto-posting of 835 files.
Developed auto-fax capabilities and reporting from EMR.
Developed medical record portals for employers, Lab TPAs, and adjusters.
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