Rosa Bowling
Kennewick
Summary
Revenue cycle professional with over 35 years of experience in healthcare management and operations across various settings, including academic and acute care environments. Proven track record in leadership roles such as Chief Compliance Officer and Vice President of Revenue Cycle, driving efficiency and compliance in financial services. Extensive Epic implementation and optimization experience, enhancing revenue cycle processes at multiple healthcare institutions. Recognized for strong analytical skills, strategic project management, and a commitment to maximizing revenue while upholding integrity.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Partner
Chartis
Chicago
02.2017 - Current
- Oversee and guide large scale projects – from project inception to optimization
- Ensure project goals and outcomes are aligned with client’s business objectives and healthcare goals
- Provide expert guidance and expertise in technology optimization and workflows to improve financial performance
- Lead and manage teams while maintaining high quality standards
- Develop detailed workflows to meet current-state needs and improve overall performance while preparing for future-state transition to new technologies, as needed
Chief Compliance Officer
Physician Partners of America
Tampa
03.2016 - 02.2017
- Responsible for development and implementation of Corporate Compliance Program
- Development of internal and external audit program
- Negotiation of managed care contracting and oversight of provider credentialing
- Facility audits to ensure compliance with all regulatory requirements
- Oversight of medical records department and release of information procedures
Senior Vice President- Finance
Physician Partners of America
Tampa
01.2015 - 01.2016
- Responsible for revenue cycle operations for a large, multi-state enterprise comprised of specialty/primary care physician clinics, urgent care centers, ambulatory surgery centers, laboratories and pharmacies.
- Tripled monthly collections within first 12 months in role
- Provide leadership for all front end and back end revenue cycle departments
- Participate in Mergers & Acquisition team to ensure smooth transition of clinics to our systems
- Significantly reduced revenue cycle team turnover, hired core team and stabilized staff
- Optimized processes and workflows
- Revamped standard operating procedures and documentation
Interim VP Revenue Cycle (Consultant)
Maricopa Integrated Health System
Phoenix
01.2014 - 01.2015
- Project manager for optimization of Epic revenue cycle applications
- Provided interim revenue cycle leadership to facilitate collaboration between two consulting firms as well as reorganization of department staff
- Workflow optimization; worked closely with IT to conduct needs assessment and prioritization of work needed
- Oversight of all revenue cycle staff
Senior Manager, Revenue Cycle (Consultant)
Boston Medical Center
Boston
01.2014 - 01.2015
- Analyzed revenue cycle and revenue integrity in an Epic environment, including charge capture, compliance, and departmental structure redesign
- Performed workflow analysis and optimization for coding
- Performed root-cause analysis and workflow optimization for denials
Senior Project Manager, Revenue Cycle Solutions
University of California San Diego Medical Center
San Diego
01.2013 - 01.2014
- Analyzed revenue cycle and revenue integrity, including charge capture and compliance
- Optimized operational workflows to take advantage of Epic design and functionality
Vice President, Revenue Cycle Operations/ Epic Revenue Cycle Project Manager
Kadlec Regional Medical Center
Richland
01.2010 - 01.2013
- Project manager for all Epic revenue cycle applications, including coding; oversaw build, integrated testing, go-live support, and optimization
- Supported 270-bed acute care hospital with 18 outpatient primary care and specialty clinics
- Oversaw capture and management of patient service revenue in all hospital departments and in specialty and primary care physician practices
- Performed revenue integrity and charge reconciliation; ensured integrity of registration data to support billing and collection functions
- Maintained high standards for coding accuracy and timeliness
- Worked with physicians to address medical record deficiencies and provide greater specificity to support transition to ICD-10
- Built strong clinical documentation improvement program to help physicians document medical necessity
- Developed collaborative relationship with case management and utilization review staff to support patient and organization needs
- Analyzed, updated, and maintained CDM to ensure appropriate billing, coding, and compliance
- Worked with facilities design and construction staff to create patient-centered areas that were in keeping with Lean initiatives
- Implemented Lean in revenue cycle operations, with the following results: Increased workloads without need to increase FTEs, Reduced accounts receivable (AR) days, Increased employee satisfaction
- Mentored leadership team to leverage individual talents, skills, and abilities to strengthen revenue cycle team
- Negotiated managed care contracts for organization and physician practices to optimize reimbursement
- Was member of IT and ICD-10 steering committees
- Educated hospitalists and intensivists; built collaborative relationship between clinical documentation improvement team and physicians to position organization for transition to ICD-10
Director of Patient Financial Services
Memorial Hospital
Weiser
01.2006 - 01.2009
- Supported 25-bed critical access hospital
- Directed revenue cycle operations, including patient access, CDM management, and PFS
- Was member of board finance and quality improvement committees
- Educated board members on issues affecting revenue, including CDM maintenance and Medicare recovery audit contractor (RAC) preparation
- Reduced AR days from 96 to 65 in the first year and increased cash flow to organization, improving facility’s financial position
- Interacted with members of medical staff to ensure appropriate billing paperwork was completed and to help with any questions or issues
Director of Reimbursement
Novacare Rehabilitation
Roseville
01.2002 - 01.2005
- Supported national physical medicine and rehabilitation company operating acute inpatient rehabilitation facilities and outpatient clinics throughout United States
- Operated central billing office, handling all patient revenue for locations west of Mississippi
- Interacted with clinicians to ensure appropriate billing was completed and to help with questions or issues
- Traveled to clinic sites to enhance communication and provide education related to revenue cycle
Director of Patient Financial Services
Oroville Hospital
Oroville
01.2000 - 01.2002
- Supported 133-bed acute care hospital
- Directed revenue cycle operations, including patient access, PFS, and telecommunications
- Supervised more than 100 employees
- Ensured compliance with all healthcare facility, HMO, and insurance requirements
- Oversaw anesthesia billing
- Educated physicians on clinical documentation needed to support billing
- Performed CDM maintenance
Financial Analyst V
UC Davis Medical Center/UC Davis Medical Group
Davis
01.1995 - 01.2000
- Supported 619-bed acute care hospital
- Ensured full compliance with applicable local, state, and federal rules and regulations involving healthcare transactions and patient care delivery
- Maintained system databases to ensure claims contained all data necessary for payer processing
- Analyzed AR and identified processes needing improvement
- Worked with health information management staff to develop processes that decreased lag time from discharge to final bill, thus stabilizing cash flow
- Helped develop and implement system-wide customer service initiative to improve front-office operations and provide impeccable customer service in patient-centered environment
- Developed and implemented strategic marketing plan for UC Davis Medical Group
- Analyzed market needs and developed plan for physician recruitment
- Recruited primary care and specialty physicians to enhance market share; helped develop infrastructure for successful participation in full risk capitation contract
- Identified opportunities for growth of UC Davis Medical Group
- Worked closely with facilities design and construction staff to identify strategic locations for new clinics; participated in oversight of construction to ensure that plans received appropriate union review and approval and projects were completed on time and on budget
Education
Master of Health Care Administration -
Kaplan University
Davenport, IABachelor of Science - Health Care Administration
University of Phoenix
Boise, IDSkills
- Healthcare project management
- Revenue cycle operations
- Provider billing and coding
- AR Management
- Clinical documentation improvement
- Patient access management
- Lean healthcare practices
- Regulatory compliance
- Data analysis and reporting
- Team leadership and mentoring
Certification
- Certified Epic Resolute with SBO
Timeline
Partner
Chartis
02.2017 - Current
Chief Compliance Officer
Physician Partners of America
03.2016 - 02.2017
Senior Vice President- Finance
Physician Partners of America
01.2015 - 01.2016
Interim VP Revenue Cycle (Consultant)
Maricopa Integrated Health System
01.2014 - 01.2015
Senior Manager, Revenue Cycle (Consultant)
Boston Medical Center
01.2014 - 01.2015
Senior Project Manager, Revenue Cycle Solutions
University of California San Diego Medical Center
01.2013 - 01.2014
Vice President, Revenue Cycle Operations/ Epic Revenue Cycle Project Manager
Kadlec Regional Medical Center
01.2010 - 01.2013
Director of Patient Financial Services
Memorial Hospital
01.2006 - 01.2009
Director of Reimbursement
Novacare Rehabilitation
01.2002 - 01.2005
Director of Patient Financial Services
Oroville Hospital
01.2000 - 01.2002
Financial Analyst V
UC Davis Medical Center/UC Davis Medical Group
01.1995 - 01.2000
Master of Health Care Administration -
Kaplan University
Bachelor of Science - Health Care Administration
University of Phoenix
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