Randy Foster
Healthcare and Business Administrator
Littleton,NH
Summary
Results-driven Healthcare and Business Administration professional with over 10 years of experience leading patient access and service operations. Proven success in enhancing efficiency, compliance, and financial stewardship at North Country Charter Academy and Littleton Regional Healthcare. My strategic planning skills and commitment to quality management have led to significant improvements in operational performance and patient satisfaction. I am adept at budgeting, policy development, and fostering team excellence, ready to drive organizational success in a dynamic healthcare administration role.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Business Administrator
North Country Charter Academy
02.2024 - Current
- Direct all financial operations, including accounts receivable/payable, general ledger, payroll processing, and reconciliation of accounts, ensuring accuracy and compliance with state and federal reporting requirements.
- Prepare monthly, quarterly, and annual financial reports, assist with annual budget development, and provide fiscal analysis to the Superintendent and Board of Directors to support data-driven decision-making.
- Manage grant funding and prepare documentation for external audits, consistently achieving positive audit outcomes and ensuring compliance with DOE and federal guidelines.
- Oversee payroll and benefits administration for all staff, maintaining accurate personnel records, contracts, and benefit programs while safeguarding confidentiality.
- Lead policy and compliance oversight, including NHDOE reporting, Title IX coordination, and Emergency Operations Plan updates, aligning with state and federal mandates.
- Support the Superintendent and Board by preparing meeting agendas, drafting board minutes, and developing materials to ensure transparency and effective governance.
- Enhance operational efficiency by streamlining business office processes, implementing technology solutions, and improving reporting accuracy.
- Coordinate fundraising and graduation event finances, tracking funds, and providing transparent reporting to stakeholders.
- Foster collaboration with staff, district partners, and community stakeholders, ensuring the business office operates with professionalism, accuracy, and a commitment to the company's mission.
Patient Access and Service Center Manager
Littleton Regional Healthcare
09.2022 - 02.2024
- Led the implementation of a high-priority eligibility verification tool, streamlining insurance validation processes and significantly reducing registration errors—directly supporting payer compliance and improving front-end revenue capture.
- Successfully supported the rollout of a new electronic medical records (EMR) system, ensuring seamless integration with existing financial and registration workflows and improving data accuracy across departments.
- Executed compliance protocols for the federal No Surprises Act, aligning front-end billing and patient communication practices with regulatory requirements, and protecting the organization from billing disputes and reimbursement risks.
- Oversaw patient access and service center operations, leading a team to deliver high-quality patient services with a keen focus on compliance with healthcare and billing regulations, routinely achieving significant improvements in operational quality and efficiency.
- Led strategic planning and process improvement initiatives, resulting in a rise above industry standards by 2%-4% for quality assurance rates and proactively enhanced customer satisfaction through the development of tailored actions.
- Enhanced team performance and productivity by recruiting and training skilled staff, providing targeted coaching, conducting performance appraisals, and reducing overtime by over 20%.
- Managed financial data with accountability by developing and monitoring annual operating and capital budgets, and negotiating cost-saving equipment upgrades.
- Conducted a comprehensive annual review and revision of policies and procedures for the Patient Access and Service Center, ensuring coverage of all essential operational areas.
Service Center Supervisor
Littleton Regional Healthcare
09.2021 - 09.2022
- Coordinated and led teams in the service center department, ensuring the delivery of high-quality patient care through efficient service coordination and robust quality management processes.
- Enhanced team performance and patient satisfaction by providing leadership, developing and implementing process improvements, and proactively meeting patient needs.
- Drove strategic alignment and process optimization by collaborating with stakeholders and executing initiatives that exceeded performance metrics, such as achieving call handling percentages over 85%.
- Focused on staff development through comprehensive recruitment and training programs, leading to high levels of team competency and performance.
- Acted as the primary contact for day-to-day operations, prioritizing compliance and efficiency in insurance verification, precertification, referrals, and clinic registration services.
- Contributed to the organization's fiscal health by assisting in policy, procedure, and budget reviews, ensuring judicious staff delegation and IT collaboration for system enhancements.
Service Center Team Lead
Littleton Regional Healthcare
04.2021 - 09.2021
- Led a team of service center coordinators, ensuring efficient coordination and delivery of patient services, and fostering a collaborative environment for process improvement initiatives.
- Provided targeted training and development to coordinators, enhancing their skills and knowledge, which contributed to the team's optimal performance and improved care delivery.
- Acted as the primary point of contact for day-to-day service center operations, emphasizing the importance of process development and adherence to service guidelines.
- Analyzed performance data, identified areas for enhancement, and implemented strategic plans that resulted in significant improvements in service delivery and customer satisfaction.
Family Service Specialist I
State of New Hampshire
08.2020 - 04.2021
- Evaluated and determined client eligibility for various State and Federal assistance programs, ensuring those in need received appropriate support services.
- Served as a critical liaison between clients and agency partners to coordinate aid for emergencies, including homelessness, utility disruptions, and instances of domestic violence.
- Maintained up-to-date knowledge of State and Federal policies and procedures, emphasizing continuous education to provide accurate and effective service to clients.
Scheduling and Referral Coordinator
Littleton Regional Healthcare
01.2019 - 08.2020
- Managed appointment scheduling and coordinated referrals as a receptionist for six physician offices, ensuring efficient patient flow and service delivery.
- Organized and scheduled cardiology service testing, contributing to the timely and accurate diagnosis and treatment of cardiac patients.
- Performed insurance precertification functions, verifying and authorizing necessary healthcare services to maintain compliance and facilitate care.
Registration Specialist
Littleton Regional Healthcare
06.2015 - 01.2019
- Reviewed and corrected claims using Epremis to ensure accuracy and compliance with healthcare billing and insurance requirements.
- Handled registration duties, including obtaining consent for diagnostic services, to support patient processing and uphold healthcare standards.
- Contributed to patient experience improvement by developing the Patient Access Survey Comment Card and performed additional duties such as switchboard operations, collection of emergency department copayments, and maintenance of medical records, including the merging of medical record numbers (MRNs).
Education
Master of Education - Educational Leadership And Management
National University
San Diego, CA07-2026
Bachelor of Science - Business/Healthcare Administration
Southern New Hampshire University
Hooksett, NH02-2020
Skills
- Billing Compliance (10 years)
- Customer Relations (10 years)
- Process Optimization & Strategic Planning (10 years)
- Financial Oversight (8 years)
- Policy Development (5 years)
Certification
- Certified Healthcare Access Associate, NAHAM - 01/2017 - 06/2023
Languages
English
Native or Bilingual
Timeline
Business Administrator
North Country Charter Academy
02.2024 - Current
Patient Access and Service Center Manager
Littleton Regional Healthcare
09.2022 - 02.2024
Service Center Supervisor
Littleton Regional Healthcare
09.2021 - 09.2022
Service Center Team Lead
Littleton Regional Healthcare
04.2021 - 09.2021
Family Service Specialist I
State of New Hampshire
08.2020 - 04.2021
Scheduling and Referral Coordinator
Littleton Regional Healthcare
01.2019 - 08.2020
Registration Specialist
Littleton Regional Healthcare
06.2015 - 01.2019
Master of Education - Educational Leadership And Management
National University
Bachelor of Science - Business/Healthcare Administration
Southern New Hampshire University
Professional Engagements
Presenter, Experian Health Summit • 2023
- Provided an educational session on achieving Patient Access denials of less than 1% and increasing Registration Quality Scores to a 98% overall quality rating across all patient access locations, including three offsite locations.
Insider and Developer, Experian Health • 2023
- Collaborated with Experian Health to develop and test new reporting software, providing critical feedback and improvements.
Conference Planning Committee Member, New England Rural Health Roundtable • 2017-2020
- Served on the Conference Planning Committee, contributing to the organization and execution of annual health conferences.
Committee Involvement at Littleton Regional Healthcare (LRH) • 2015-2024
- Risk Feedback Committee: Participated in risk management discussions and initiatives.
- Department Quality Committee: Contributed to quality improvement measures for the facility.
- Safety Committee: Engaged in promoting and enhancing workplace safety.
- EHR IT Committee: Assisted in the implementation and optimization of Electronic Health Records.
- Cerner CommunityWorks Implementation: Acted as a Superuser and Developer, ensuring a smooth transition and effective use of the Cerner system.
- Revenue Cycle Committee: Worked on optimizing the revenue cycle processes and improving financial performance.
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