Randy Stein
Proctor,West Virginia
Summary
Extensive experience in patient access/patient financial services/revenue cycle operations and infrastructure. Strong strategic planning and operational performance best practices supporting clinical practice, revenue cycle, optimized reimbursement and patient experience. Expertise interfacing with information technology in facilitating system implementations, workflow and work process refinement. Skilled in program, project, business and client relationship management, staff training and monitoring of personnel. Develop and promote culture of quality, compliance and continuous performance improvement and have shared expertise on regional and national levels.
Talented Executive Director offering proven background in business settings and driving organizational change at operational levels. Demonstrated leadership, planning, and problem-solving abilities focused on delivering robust, performance-oriented strategies to meet current and expected demands.
Overview
35
35
years of professional experience
Work History
Executive Director, Revenue Cycle
SAINT ANTHONY HOSPITAL
Chicago, IL
11.2020 - Current
- Company Overview: Acute Care Hospital (Chicago Safety Net Hospital)
- Executive responsibilities include overseeing Patient Financial services Departments (Hospital Billing & Collection), Physician Group Billing & Collection and Cash Posting); All Hospital & Clinic Registration (including Admitting, Emergency Room, outpatient Surgery, and clinic access departments); Medical Records & Coding Department, Chargemaster Coordinator, Denial Management; Strategic Reimbursement, Revenue Cycle Auditors, Revenue Cycle IT Financial Analyst, Case Management Department and Managed Care And Vendor Contracting
- Direct Reports: 3 Directors, 1 Assistant Director; 1 Senior Finance IT Analyst, 1 Senior Patient Access Auditor
- Oversee 200 Revenue Cycle staff
- Illinois State Task Force representative for HFS Medicaid Program representing IL hospitals
- Illinois Hospital Association Committee on Patient Financial Services
- Successfully converted from Altera Paragon HIS system to Meditech Expanse HIS system and was able to bill claims through new Revenue Cycle System (Meditech) the same week
- Exceeded all Revenue Cycle Goals for 2021, 22, 23 (Cash, Days in A/R, Bad Debt, Charity and Customer Service
- Acute Care Hospital (Chicago Safety Net Hospital)
Director Revenue Cycle
NORWEGIAN AMERICAN HOSPITAL
Chicago, IL
08.2017 - 11.2020
- Company Overview: Acute Care Hospital, (Chicago Safety Net Hospital)
- Executive responsibilities include Hospital Patient Financial Services and Physician Group Billing Practices
- Oversee, Chargemaster Coordinator, Managed Care Contracting, Revenue Cycle IT analysts, Reimbursement Analyst, Cash Posting, Insurance Verification, Medicare and Medicaid Billing and Collection, Commercial Billing and Collection, Denial Management, Self Pay collection and Vendor Management, Physician Billing and Managed Care Credentialing
- Coordination for Patient Access, Clinic Registration, Case Management and Hospital and Physician Coding
- Direct reports: 3 Directors; 1 Manager, 1 Supervisor, 1 Lead Coder, 1 Chargemaster and 80 indirect reports
- Illinois hospital Medicaid State representative for joint task force of Department of Health and Family Services; Illinois Association of Medicaid Health Plans and the Safety Net Hospital Association for Medicaid Claims issues and processing
- Illinois Hospital Association State Committee member on Patient Financial Services Committee
- Ended Hospital Fiscal year $4.5 Million over annual Cash goal, lowered days in Accounts Receivable to 35 days in A/R and maintained that going forward
- Honored as top performing Safety Net Hospital in Chicago.
- (25 hospitals)
- Installed and Implemented Quadax Billing System (1st in Klas) replacing Experian NEBO system lowering annual cost and increasing clean claims rate above 95% target
- Implement Chargemaster audit with Craneware and added $2.5 million in reimbursable charges for FY2018
- Reviewed Outside Vendors productivity ended up terminating non productive vendors and employed all new vendors in Extended business office, Bad Debt Collections, Presumptive Charity, Zero Balance recovery and small balance insurance claims
- Added Patient Loan program (Patient Financing) for Patients and implemented the Chargemaster transparency CMS requirement onto Hospital Website
- Obtained and Exceeded all PFS Financial Goals for FY2018
- CEO wrote letter of appreciation to each member of the Revenue Cycle staff in appreciation for their contribution to the success the Hospital had in its Revenue Cycle area for the year
- Exceeded Cash Goals in Physician Group practice Collection 12 months in a row! And 9 out of 12 months for the Hospital!
- Coordinated the biweekly Revenue Cycle Meetings with CFO for maximum effectiveness for cooperation amongst the various revenue cycle and clinical departments
- Scored in the top 5% of hospital departments in employee satisfaction HR Survey
- Acute Care Hospital, (Chicago Safety Net Hospital)
Director, Central Business Office
NOBILIS HEALTH
Houston, TX
01.2016 - 05.2017
- Company Overview: 4 hospital and 6 surgical centers health system in Texas and Arizona
- Spearheaded the creation of the Central Business Office for entire health system with 10 Revenue Cycle leaders and 60 RCM staff, implementing systems processes and procedures, vendor management, electronic billing, posting and optimization of collections, reduction of denials including overseeing Patient Access 40 offshore personnel
- Revenue Cycle Management for the entire health system Including: Patient Access, Billing, Collection, Charge capturing, Cash posting, insurance verification and precertification, Coding, HIM, Case Management, Customer Service, Denial Management and Revenue Reporting
- Set up the CBO for centralizing the functions of the Revenue Cycle for the Health System
- Consistently broke cash goals for CBO monthly by increasing Point of Service Collection and insurance collection by 25%
- Implemented 'Financial Clearance' department within Patient Access to coordinate surgical scheduling, insurance verification, pre-certification, financial counseling prior to service
- Participate with senior management on monthly accounts receivable, forecasting cash, and revenue cycle management issues
- Implemented Revenue Cycle Process management workflow into each individual hospital and ASC’s.-to coordinate with Central Business Office all RCM business functions
- Converted 4 hospitals to HMS Med Host (HIS) system and 4 ASC’s to the Advantx (HIS) system within 1.5 years
- Oversee 40 Offshore staff in India coordinating with vendor to maximize RCM productivity
- Selected, implemented and managed the contracted RCM Vendors for the health system, (examples: Experian, SSI, 3M, and collection vendors
- 4 hospital and 6 surgical centers health system in Texas and Arizona
- Resigned – company preparing for acquisition
Principal Consultant- Strategic Revenue Cycle Epic Systems
SAGACIOUS CONSULTANTS/ACCENTURE
Lenexa, KS
09.2015 - 01.2016
- Company Overview:
- Company acquired by Accenture
- Resigned
- Led team of 15 consultants for Epic Optimization for Carillion Health, 9 hospital CBO in Western Virginia
- Implemented Strategic Revenue Cycle Steering Committee with VP Rev Cycle, CFO, CIO, CNO and CBO and Patient Access Directors
- Implemented cash acceleration project to recover cash over 90 days, Large balances and workable denials
- Significantly increased Collection in 1st quarter from implementation of redesign
- Implemented Epic optimization in Patient Access, hospital & physician billing & collections
- Initiated consultant team to retrain CBO employees on Epic systems usage in light of our recommended changes for Optimizing Epic for the CBO
- Met with VP Revenue Cycle weekly to make sure project was on track with client expectations and cash goals
- Company acquired by Accenture
- Resigned
Interim Senior Director – Revenue Cycle
SID PETERSON REGIONAL MEDICAL CENTER
Kerrville, TX
12.2014 - 08.2015
- Company Overview: 146-bed not-for-profit acute care hospital
- Led team consisting of direct reports; Director of Business Office, Director of Patient Access, Denial Management / Revenue Integrity Manager, PFS/PAS Systems Coordinators, and 54 revenue cycle FTEs (PFS, Patient Access, Case Management, and HIM)
- Worked with CFO to maximize revenue cycle performance in HIM, denials, and cash, to put hospital in favorable position for sale
- Optimized a multi disciplinary Revenue Cycle project in improving Cash collection by $6 million in first year and an additional $3.03 Million in net revenue through optimizing the Charge Master
- Team Efforts were acknowledged and certificates of recognition were issued by Hospital’s Board of Directors
- Implemented Revenue Cycle Steering Committee, met twice monthly to ensure ancillary-department Directors, Administrators (CEO, CFO, COO, CNO), and revenue cycle Directors were on the same page for achieving revenue goals
- Redesigned emergency registration and outpatient ambulatory registration workflow and automated a registration quality checker system to cut down on errors and registration denials
- Initiated and directed eligibility and enrollment programs, (inclusive of State Healthcare Worker on site in Hospital), to serve the new uninsured/underinsured clients resulting in increasing Medicaid reimbursement and decreasing Bad Debt significantly
- Restructured bad debt to hit 4% KPI guidelines, hired outside BD vendors and wrote collection policies
- Implemented presumptive charity scoring and rewrote charity policy to abide by 501R guidelines and communication requirements
- Progressively increased POS cash collection and overall cash collection in 10 out of first 12 months
- Implemented patient web portal, CPOE programs, and upstream software to ensure accurate patient accounts, increase point of service collections, and reduce denials
- Implemented online education modules for revenue cycle employees, via BridgeFront and established certification requirements and career levels for revenue cycle employees
- 30 staff certified RCM or Patient Access professionally
- As Project Coordinator - Successfully installed Meditech Client Service 6.0 HIS system in RCM
- 146-bed not-for-profit acute care hospital
Interim Executive Director – Patient Business Services
UNIVERSITY HEALTH SYSTEM
San Antonio, TX
12.2013 - 06.2014
- Company Overview: 700-bed hospital and 20 clinics academic medical center in partnership with the University of Texas Medicine at San Antonio
- Led team consisting of Assistant Director, 2 Managers, seven Supervisors and 56 Patient Business Services Representatives and 38 staff for Physician Billing as well as Patient Access Director
- Oversight for billing, cash posting, customer service, denials, and PBS software systems for the health system’s CBO and Patient Access
- Initiated a optimization review of Revenue Cycle Processes and Cash Collection activities with goal of increasing cash collection in first six months
- Met Goal
- Coordinated a new workflow process for handling Medicaid HMO’s including regular meetings with payor and reconciliation process
- Medicaid was largest payor class for Health System
- Reviewed and installed new Policies and Procedures in Business Office to coordinate activities with University of Texas Physician Group and Health Plans
- Successfully implemented General Electric/IDX Hospital HIS System Upgrade and Physician system upgrade for health system
- 700-bed hospital and 20 clinics academic medical center in partnership with the University of Texas Medicine at San Antonio
Interim Director – Patient Financial Services
BAXTER REGIONAL MEDICAL CENTER
Mountain Home, AR
06.2011 - 11.2013
- Company Overview: 268-bed not for profit hospital with 3 regional clinics
- Directed registration, scheduling, billing, collections, customer service, insurance verification, cash management, nurse auditor and contracting with third party payers
- Led team consisting of five supervisors and 60 PFS and Patient Access FTEs
- Significantly improved patient through-put and financial clearance documentation for inpatient and outpatient registrations – minimizing denials
- As project coordinator, installed Keane HIS computer application in the RCM department for the hospital and reassessed hardware needs for both the business office and Patient Access
- Implemented collection policies and hired collection BD vendors
- Moved business office to electronic Billing and Remittance advices processing
- Increased cash collection each year
- Named to Medicare Advisory Group council for J region
- Successfully used online education and certification programs to achieve staffing stability
- 268-bed not for profit hospital with 3 regional clinics
Director – Patient Contact Center
DELL SERVICES – REVENUE CYCLE SOLUTIONS
Bowling Green, KY
10.2010 - 04.2011
- Company Overview: Formerly Perot Health Services
- 25-hospital Revenue Service Center (Billing and Collections)
- Led team of 5 Managers and team of 90 Credit and Collections including meeting service level agreement for collections, bad debt ratios, statement-processing effectiveness, and payment-posting timeliness
- Formerly Perot Health Services
- 25-hospital Revenue Service Center (Billing and Collections)
- Resigned during acquisitions
Consultant – Acting PFS Director
OSLER MEDICAL
Melbourne, FL
06.2010 - 10.2010
- Company Overview: 64-physician multi-specialty practice
- Led team consisting of four Supervisors and 45 PFS team members
- Managed charge capture, cash management, customer service, and self-pay collections
- 64-physician multi-specialty practice
- Contract Completed – Medical group hired permanent Director
Director – Business Office
CITRUS MEMORIAL HOSPITAL
Inverness, FL
10.2008 - 06.2010
Owner/Consultant
IGV CONSULTING
Coral Springs, FL
01.2007 - 10.2008
Director – Patient Financial Services / Patient Access
HOLY CROSS HOSPITAL
Ft. Lauderdale, FL
12.2004 - 10.2007
Director – Hospital Business Services (PFS and PAS)
UNIVERSITY OF MIAMI – BASCOM PALMER EYE INSTITUTE
Miami, FL
09.1996 - 08.2000
Director – Business Office
PALM SPRINGS GENERAL HOSPITAL
Hialeah, FL
04.1991 - 08.1996
Director – Patient Financial Services / Patient Access
BETHESDA MEMORIAL HOSPITAL
Boynton Beach, FL
07.1989 - 04.1991
Education
CRCR - Credentialed Revenue Cycle Representative
HFMA
Oak Brook, IL01.2010
Graduate Certificate - Health Care Management
University of Miami – Schools of Business Administration and Medicine
Miami, FL01.1998
Graduate Certificate - Managed Care and Capitation
University of Miami – Schools of Business Administration and Medicine
Miami, FL01.1997
MA - Hospital Administration
The International University
Independence, MO01.1988
BA - Public Administration
San Diego State University
San Diego, CA01.1973
Skills
- Board relations
- Coaching and counseling
- Operational planning
- Compliance and regulations
- Negotiation
- Team leadership, training, and development
- Government relations
- Budgeting and financial management
Affiliations
- HFMA – Healthcare Financial Management Association, Oak Brook, IL
- AAHAM – American Association of Healthcare Administrative Mgt., Fairfax, VA
- Illinois Hospital Association, Member
Publications
Introduction to Patient Accounts, Randy Stein, Jessy Huebner, Martin Kofski, International University Press, 1989
Systemsexpertise
- Meditech Expanse
- Majic & Client Server 6.0
- McKesson Star
- HealthQuest
- Altera Paragon
- GE/IDX Hospital & Professional Systems
- Siemens/Cerner Enterprise & Pro Fit
- HMS MedHost Hospital System
- EPIC Hospital System
- One Source/Advantx Ambulatory Surgical System
- AHIQA and RQI patient access QA systems
- SSI
- Care Medic
- Relay Health/ePremis billing systems
- MedAssets contract-manager & Denial Management system
- 837 / 835 data sets
- PFS benchmarking systems
- Experian insurance-verification and patient-estimate systems
- NextGen Physician Billing systems
- Eclinical EMR
- Quadax Billing System
- Denial Management System
- Athena Physician Billing System
- PARO charity Scoring System
Educationcertifications
- MA Hospital Administration, The International University, 1988, Independence, MO
- BA Public Administration, San Diego State University, 1973, San Diego, CA
- CRCR - Credentialed Revenue Cycle Representative, HFMA, 2010, Oak Brook, IL
- Graduate Certificate in Health Care Management, 1998
- Graduate Certificate in Managed Care and Capitation, 1997
Timeline
Executive Director, Revenue Cycle
SAINT ANTHONY HOSPITAL
11.2020 - Current
Director Revenue Cycle
NORWEGIAN AMERICAN HOSPITAL
08.2017 - 11.2020
Director, Central Business Office
NOBILIS HEALTH
01.2016 - 05.2017
Principal Consultant- Strategic Revenue Cycle Epic Systems
SAGACIOUS CONSULTANTS/ACCENTURE
09.2015 - 01.2016
Interim Senior Director – Revenue Cycle
SID PETERSON REGIONAL MEDICAL CENTER
12.2014 - 08.2015
Interim Executive Director – Patient Business Services
UNIVERSITY HEALTH SYSTEM
12.2013 - 06.2014
Interim Director – Patient Financial Services
BAXTER REGIONAL MEDICAL CENTER
06.2011 - 11.2013
Director – Patient Contact Center
DELL SERVICES – REVENUE CYCLE SOLUTIONS
10.2010 - 04.2011
Consultant – Acting PFS Director
OSLER MEDICAL
06.2010 - 10.2010
Director – Business Office
CITRUS MEMORIAL HOSPITAL
10.2008 - 06.2010
Owner/Consultant
IGV CONSULTING
01.2007 - 10.2008
Director – Patient Financial Services / Patient Access
HOLY CROSS HOSPITAL
12.2004 - 10.2007
Director – Hospital Business Services (PFS and PAS)
UNIVERSITY OF MIAMI – BASCOM PALMER EYE INSTITUTE
09.1996 - 08.2000
Director – Business Office
PALM SPRINGS GENERAL HOSPITAL
04.1991 - 08.1996
Director – Patient Financial Services / Patient Access
BETHESDA MEMORIAL HOSPITAL
07.1989 - 04.1991
CRCR - Credentialed Revenue Cycle Representative
HFMA
Graduate Certificate - Health Care Management
University of Miami – Schools of Business Administration and Medicine
Graduate Certificate - Managed Care and Capitation
University of Miami – Schools of Business Administration and Medicine
MA - Hospital Administration
The International University
BA - Public Administration
San Diego State University