Summary
Work History
Skills
Professional Highlights
Timeline
Generic

Nicole Keeney

Chattanooga,TN

Summary

Driven Director with experience planning and coordinating all aspects of RCM related tasks and responsibility. Proficient in selecting scripts for 837 files to bill clean claims and script specificities or nuances by payer. Multifaceted leader with talent orchestrating coordination of all things ensuring the appropriate individuals are informed. I have the ability to adapt and meet Physicians based on their personality and need. Passionate about denial prevention and 95% minimum clean claim rate. (The percentage will vary in terms of what is realistic with a different practice.)

I am passionate philanthropy and volunteer often to give back to my community. I lead a class to homeless and the battered women. I try to teach basic computer skills, provide meals or what ever is needed. I will be holding another fundraiser for the Not for Profit shelters due to government grants being cut.

Work History

Senior Director, Revenue Cycle Ops

Upstream Rehabilitation
Birmingham, Alabama
2007 - Current
  • Senior Leader for the largest pure-play Outpatient Physical Therapy provider in the United States representing 1200+ clinics in 28 States servicing 4500+ Clinicians
  • Leading the largest department to include Revenue Cycle, Customer Service and Clinical Support Staff, 200+ Associates in addition to 40+ offshore support staff
  • Increased cash flow and time value of cash securing 102% cash average over a 5-year period
  • Reduced A/R days from 50.1 to 39.8 via cash infusion programs
  • Reduced days to bill from 6.9 to a steady 1.8 day average to date
  • Secured $1.9B in cash receipts exceeding cash goal by $16M over 5-year span (average reimbursement $101)
  • Led large acquisitions (300+ clinics) to successfully integrate and consolidate processes and procedures positioning Upstream Rehabilitation as the largest therapy provider in the nation
  • Created an Attribute Index assuring best positioning and required training for all Associates
  • This exercise created visibility into what makes our Associates thrive
  • Implemented E/O and B/D programs increasing patient cash 12-month average to 42% while maintaining < 4% bad debt ratio
  • Successfully directed department transition to remote option within 48 hours allowing for increased productivity and superseding cash goals
  • Implemented KPI and Performance Scorecards measures across areas of responsibility
  • Exceeded Acquisition Reserve Requirements following internal/external review expectations by $800k within the first year of the Acquisition
  • Implemented Customized Credentialing and Enrollment white-label software enterprise wide
  • M&A Implementer and data review at point of LOI
  • Created a 100 day implementation plan for De Novos and Acquisitions to ensure healthy P&L’s.
  • Built relationships with external partners, vendors, and customers in order to foster collaboration.
  • Leveraged market knowledge and studied competitive landscape to drive revenue.
  • Recruited, hired, and trained employees on operations and performance expectations.
  • Implemented change methodologies to drive 33% increase in productivity.
  • Evaluated individual and team business performance and identified opportunities for improvement.
  • Established key performance indicators to track progress towards goals.
  • Devised and implemented business plans for operational strategies, development and maintenance.
  • Facilitated meetings between internal teams to ensure alignment on initiatives.
  • Won the first ever Corporate Employee of the year.
  • Created a solid plan, putting Employees in a rotation to build solid bench strength .

Office Manager

Renaissance Medical Billing
2005 - 2007
  • Managed AR for over 20 clients in a wide variety of specialties such as but not limited to: Cardiology, Family Practice, Internal Medicine, Pain Management
  • Assessed each provider/group’s office to determine root cause
  • Once the major areas had been discovered
  • Created all new P&P’s tailored to the practice in question
  • Maintained an average of 40 days across all platforms
  • Developed and Mentored new Associates
  • Report and Meet with Owners frequently
  • This allowed trust to be built and full visibility into the practice.

Skills

  • Team Building and Motivation
  • Key Performance Indicators
  • Policy Implementation
  • Organizational Development
  • Market Understanding
  • Reporting Expertise
  • Data Analytics
  • Administrative Oversight
  • Innovation Management
  • Policy Development
  • Stakeholder Relations
  • Team Management
  • Contract Negotiation
  • Staff Management
  • Business Planning
  • Budget Control
  • Operations Management
  • Project Coordination
  • Business Development
  • Corporate Communications
  • Cross-Functional Team Leadership
  • Strategic Planning
  • Verbal and Written Communication
  • Creativity and Innovation
  • Budget Management
  • Charismatic Leader
  • Talent Acquisition
  • Company Guidelines
  • Financial Reporting
  • Hiring and Retention
  • Content Development
  • Issues Resolution

Professional Highlights

  • Secured $1.9B in cash receipts exceeding cash goal by $16M in the trailing 5-year span (average reimbursement $101).
  • Increased cash flow and time value of cash securing 102% cash average over the trailing 5-year period. This includes the losses from Covid Restrictions on Physical and Occupational Therapy.
  • Achieved highest retention rate in the company year over year.
  • Lead implementation for the 2 of largest Acquisitions to date making Upstream the largest Outpatient Rehabilitation in the Nation.
  • Renegotiated a contract that yielded over $300k annually and grows as visits grow. I was able to get a rate lock for 5 years saving a 3% annual increase.

Timeline

Senior Director, Revenue Cycle Ops

Upstream Rehabilitation
2007 - Current

Office Manager

Renaissance Medical Billing
2005 - 2007
Nicole Keeney