Renee Cook
Summary
Highly effective professional with twenty-five years experience emphasizing innovation and creativity in solving complex problems within hospital revenue cycle and managed care. Energetic and results-focused with success in developing and leading diverse teams to achieve outstanding results.
Overview
11
11
years of professional experience
Work History
Regional Operations Manager
Revecore
06.2019 - Current
- Manage and oversee operations of five hospital systems, including high profile clients.
- Establish and maintain work plans for underpayment teams to ensure strong results.
- Hire, mentor, manage and motivate hospital analysts to continuously improve knowledge and abilities in complex claims and underpayment reviews.
- Establish and maintain production and collections metrics.
- Facilitate meetings with clients to review performance, payer issues and trends.
- Participate in new client implementations.
- Introduce and implement new service lines to increase revenue.
- Responsible for client reporting and ad hoc reports to meet client needs.
- Client engagements consistently meets quarterly goals.
- Ensure analysts received ongoing training, education and development opportunities.
- Assist teams and specialty departments with complex contract language and unresolved issues with carriers.
- Assist with client Request for Proposal (RFP).
- Recommend process improvement to clients to reduce days in AR and enhance internal processes.
- Collaborate with leaders of internal teams to brainstorm, discuss strategy and mitigate known and potential issues.
- Develop and maintain relationships with clients through continual communication and delivery of favorable results.
- Inform management of delays and challenges, as well as suggested resolutions.
Regional Operations Manager
Revecore
12.2011 - 12.2014
Regional Operations Supervisor
Revecore
09.2017 - 06.2019
- Oversaw daily operations of internal teams and client objectives.
- Led and supported 62 analysts and multiple internal departments using hands on approach.
- Established and maintained work plans for five clients to maximize opportunity.
- Hired, onboarded and mentored multiple analysts.
- Prepared month end reports for multiple clients.
Lead Managed Care Analyst
Revecore
11.2015 - 09.2017
- Performed Medicare, Medicaid, Commercial and Self-Pay Account Receivables reviews.
- Identified and collected underpaid and denied claims resulting in increased revenue and feedback to improve processes and contracts.
- Key contact for client and internal departments.
- Reviewed and approved month end reports.
- Collaborated with internal departments to implement processes to increase client satisfaction and overall results.
- Consistently met department and company goals.
Eligibility Services Manager
Revecore
09.2013 - 11.2015
- Continued role as Operations Manager while developing and managing the start-up of a new specialty department that provided service to over eighty clients
- Service increased revenue for clients and Revecore.
- Researched and verified insurance coverage to resolve AR, self-pay, charity adjustments, retro-Medicaid and technical denials resulting in decrease in AR days and reducing balances in self-pay.
- Assisted proprietary database team with incorporating eligibility processes and functionality into database.
- Established partnership and collaborated with Eligibility vendor to ensure maximized results.
- Established and maintained workflow utilized companywide.
- Established ongoing training processes to ensure associates used department efficiently and effectively.
- Educated management and marketing teams to assist with promoting service to current and prospective clients.
Education
State of Ohio certificate - Medical Assisting
Fort Hayes Career Center
Columbus, OHHigh School Diploma -
West High School
Columbus, OHSkills
- Payment Methodologies and Reimbursement
- Critical Thinking
- Project Planning and Development
- Budget Planning
- Relationship Building
- Employee Development and Retention
- Multi-site and Remote Operations
- Organizational Efficiency
- Process and Procedure Refinement
Timeline
Regional Operations Manager
Revecore
06.2019 - Current
Regional Operations Supervisor
Revecore
09.2017 - 06.2019
Lead Managed Care Analyst
Revecore
11.2015 - 09.2017
Eligibility Services Manager
Revecore
09.2013 - 11.2015
Regional Operations Manager
Revecore
12.2011 - 12.2014
State of Ohio certificate - Medical Assisting
Fort Hayes Career Center
High School Diploma -
West High School
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