Randy Juelg
Denver,CO
Summary
Collaborative process improvement leader with extensive experience in various facets of the health care industry to include revenue cycle and financial analysis, management, physician engagement, human resources, customer service and training. Driven to create and implement process improvement strategies to benefit the operational and financial well-being of health care organizations. Effective leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency.
Overview
16
16
years of professional experience
Work History
Manager, Revenue Operations Analytics
Steward Health Care
04.2020 - 06.2024
- Analyzed data across multiple revenue key performance indicators utilizing Tableau, AOM, SQL, and Excel to present findings and to propose best practice opportunities to both corporate and facility leaders including CFOs, Patient Access Leadership, HIM, and Case Management
- Managed and motivated a team of Revenue Cycle Analysts, who collaborated with key leadership stakeholders across 31 hospitals in 7 states, to optimize patient access workflows and process improvement strategies, critical to the revenue cycle
- Onsite Meditech conversion team leader collaborating with multiple departments at over a dozen hospitals in during EHR go-lives in 2020 and 2022
- Trained front end staff on the utilization of Meditech and the applicable registration and revenue cycle related workflows
- FinThrive CarePricer Payment Estimator primary internal support contact for all 31 facilities and the corporate Patient Assistance Center team
- Provided training on estimate creation and deep dive analysis of Service Category and Charge Master data including CPTs, DRGs, and Charge Codes. Trended patient estimate and claim history to identify and implement opportunities to increase estimate accuracy, and point of service collections.
Analyst, Field Operations for Revenue Operations
Steward Health Care
03.2019 - 04.2020
- Work with key stakeholders to include CFOs, Registration Directors, and Case Management, to review key performance indicators and discuss process improvement strategies for the overall revenue cycle
- Implement strategies and training that are improving POS Collections for multiple hospitals
- Utilize Cerner practice management software and provide best practices training and support to hospital registration staff and improve collection processes at all point of service locations
- Interpret data including claim scrubber edits, insurance denials, coding errors to identify error trends in order to implement improvement strategies within various hospital departments.
Client Success Manager
MedEvolve
10.2018 - 01.2019
- Responsible for developing and implementing financial & revenue improvement strategies for independent primary care and specialty practices
- Utilized data mining and Microsoft Excel to create reports of key performance indicators
- Monitor and analyze key performance indicators including gross collection ratio, net collection ratio, days in accounts receivable, and time of service collections with a goal of continuous improvement
- Interpret data to include coding, charge entry, claim scrubber edits, insurance denials to identify error trends in order to implement improvement strategies within the clinics and internal departments
- Regularly conduct Fee Schedule analysis and updates to ensure optimal reimbursement from both Medicare and commercial payers.
Senior Service Account Manager/Client Service Leader
Optum 360/Medsynergies
04.2017 - 09.2018
- Revenue Cycle Partner for a major hospital-based healthcare system in North Texas
- Developed and implemented financial & revenue improvement strategies for cardiology, cardiovascular surgery, and oncology practices, accounting for over $70 million in gross revenue
- Utilized data trend analysis to identify opportunities to improve the medical billing process, reduce insurance denials, and improve collections from insurance companies & patients
- Partner with executive & regional directors, practice administrators, and providers to positively influence performance metrics & practice workflow
- Created a variety of reports to identify financial trends, denials, and errors using Microsoft Excel, Tableau, and SQL
- Built pivot tables and graphs to put information in optimal formats
- Ultimately interpreting the data to review with client partners in order to improve practice financials.
Physician Liaison
Cook Children’s Health Care System
06.2012 - 02.2017
- Partnered with physician practices and hospitals in a 5-county area to increase inpatient and outpatient referrals to Cook Children’s Health Care System
- Established and maintained positive working relationships with both external and internal referral sources
- Identified opportunities for collaboration and processed improvement to ultimately improve patient outcomes
- Educated physicians and their staff about the various pediatric specialties and services, individual specialists, and facilitating the overall patient referral process
- Coordinated with the education departments of referring facilities to provide grand rounds and continuing education events for their physicians and nurses
- Exceeded quarterly standards for visits to physician practices, emergency departments, NICUs, hospital education departments, and healthcare conferences.
Senior Search Consultant
AMN Healthcare/Merritt Hawkins
04.2008 - 06.2012
- Established history of working with physicians & hospital system C-suite leadership in multiple locations across the country
- Provided consulting on physician compensation models and negotiated employment contracts to optimize physician retention, utilizing MGMA guidelines
- Provided recommendations on efficient & adequate staffing models while being sensitive to the costs associated with the daily work flows of clinic operations
- Recruitment & retention of physicians & allied health professionals for permanent practice opportunities in clinics and hospitals nationally
- Consulting services providing healthcare providers with recommendations to successfully reduce complexity, increase efficiency and improve patient outcomes in both clinical and hospital settings
- Established auditing reports for clinical operations, charge entries, & clinical documentation adhering to JHACO standards.
Education
M.B.A., Healthcare Management -
The University of Texas At Tyler
B.B.A., General Business -
The University of Texas At San Antonio
Skills
- Revenue Cycle Management, Analytics, and Reporting
- MS Office- Excel, Word, PowerPoint, Visio, Power BI
- Financial Management and Strategic Planning
- Tableau, AOM, and SQL
- Team Leadership, Training and Development
- Project Management and Process Improvement
- Key Performance Indicators
- Verbal and written communication
- Complex Problem-Solving
- Documentation And Reporting
- Negotiation and Conflict Resolution
- Policy and Process Implementation
Timeline
Manager, Revenue Operations Analytics
Steward Health Care
04.2020 - 06.2024
Analyst, Field Operations for Revenue Operations
Steward Health Care
03.2019 - 04.2020
Client Success Manager
MedEvolve
10.2018 - 01.2019
Senior Service Account Manager/Client Service Leader
Optum 360/Medsynergies
04.2017 - 09.2018
Physician Liaison
Cook Children’s Health Care System
06.2012 - 02.2017
Senior Search Consultant
AMN Healthcare/Merritt Hawkins
04.2008 - 06.2012
M.B.A., Healthcare Management -
The University of Texas At Tyler
B.B.A., General Business -
The University of Texas At San Antonio
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