SUSAN A. SCAFIDI
McKinney,TX
Summary
Accounting manager with deep experience in financial reporting, variance analysis, balance sheet reconciliations, and month-end close. Leads accounting teams, manages cash flow and cost control, and supports accurate physician and operational financial reporting across multi-site healthcare organizations.
Overview
24
24
years of professional experience
Work History
Accounting Manager, Operations Finance
Tenet Physician Resources
Frisco, TX
05.2018 - Current
- Managed a team of six accountants, ensuring accurate and timely account management while driving effective cash flow management and cost control across the business.
- Ensured the timely and accurate completion of monthly, quarterly, and annual physician financial accounting reports, including accrual-based statements, journal entry reviews, and financial statement variance analyses.
- Oversaw cost allocations in practice financials and managed monthly physician contractual reporting, including salary adjustments and productivity calculations, enhancing financial transparency.
- Collaborated with practice leadership to identify opportunities for enhancing EBITDA and cash flow, while participating in finance-related physician onboarding activities.
- Conducted contractual and bad debt reserve analyses, performing balance sheet reconciliations to ensure no outstanding reconciling items for over 30 days.
- Educate practice management on the utilization of the MSO chart of accounts, reviewing and understanding practice financials, and various operational finance activities.
- Texas region of Physician Practices: San Antonio, El Paso, Valley, Nacogdoches, and Houston area
Controller
Lumin Health LLC
Plano, TX
01.2018 - 05.2018
- Managed accounting department operations, supervising staff to deliver accurate and timely financial reporting, enhancing overall departmental reliability.
- Prepared financial statements and documentation for bankruptcy proceedings, ensuring compliance with legal and regulatory requirements while facilitating informed decision-making.
- Collaborated with physicians to implement integrated healthcare systems, improving operational efficiency and patient care coordination.
Accounting Manager
Christus Health Plan
Dallas, TX
01.2016 - 01.2018
- Managed the accounting department of 4 senior accountants and 1 governmental reporting specialist while supervising Billing and Cash Collections Department of 10 staff members to maintain operational efficiency.
- Oversaw accounts receivable, cash management, revenue tracking, month-end close processes, reconciliations, and generation and reporting of financial statements to ensure accurate financial management.
- Maintained statistical analyses and performance reports for each CHRISTUS Health Plan line of business, supporting data-driven decision-making.
- Analyzed federal and state regulatory reports and external documents to ensure compliance and accuracy in reporting requirements.
- Health plans include Medicare, Medicaid, Tricare, TPA Population, Health Management, and Health Insurance Exchange.
Controller
Forest Park Medical Center, LLC
Dallas, TX
08.2015 - 10.2015
- Managed financial operations in a general medical and surgical hospital with 84 beds, ensuring compliance and accuracy in reporting.
- Provided financial consulting to the executive management team, delivering actionable insights to support strategic decision-making.
- Contracted through Robert Half International to deliver specialized financial services.
Senior Software Consultants
Financial Resource Group, LLC
Dallas, TX
01.2013 - 07.2015
- Developed customized software packages using Axiom EPM to deliver budget modeling, productivity analysis, forecasting, dashboards, and dynamic financial reporting that addressed each client's unique requirements.
- Consulted with clients to identify specific accounting needs and designed tailored solutions to enhance product functionality.
- Assisted with troubleshooting and provided comprehensive accounting and software consulting services, including budgeting and fund accounting, to streamline monthly accounting processes.
- Created data import processes and trained end users to ensure effective system operation and user adoption.
- Performed calculations for net revenue to ensure accuracy in financial reporting.
- Financial Resource Group is a consulting firm that offers CFO services in accounting, budgeting, decision support, and materials management to hospitals seeking process improvement or interim assistance.
Controller
Senior Care Centers
Dallas, TX
01.2005 - 05.2012
- Provided oversight of the Finance Department, including general ledger management, payroll, accounts payable, cost reporting, fixed assets, and treasury management.
- Ensured the accuracy of internal and external financial reporting and collaborated with operations teams to ensure proper utilization and accounting of capital and operating resources.
- Developed systems to integrate financial, general ledger, and payroll information from acquired facilities into Senior Care Centers' systems, enhancing data consistency and reporting accuracy.
- Developed financial performance models for proposed new long-term facilities to ensure the financial viability of contracts.
- Developed a process using pharmacy software and third-party applications to accurately match inventory receipts with vendors' packing slips, reducing processing time from two days to two hours and decreasing reporting errors in our inventory system by over 95%.
- Reduced the monthly book close process by six days through the establishment of a close schedule with clearly defined responsibilities, deadlines, and enhanced coordination of efforts with operating facilities.
- Implemented prepaid payroll card system for employees without direct deposit, achieving 15% cost savings by reducing bank service fees and associated reconciliation expenses.
- Identified arrears in lost revenue by reviewing Managed Care payments and contracts, saving the company $35K in lost revenue per facility.
- Established approval matrix and internal controls for payables, streamlining processes and reducing processing time by 20%.
- Senior Care Centers operates 38 long-term care facilities, known as Residential Health Communities, exclusively in Texas and generates total annual revenues exceeding $250 million.
Senior Accountant
Tenet Healthcare Corporation
01.2003 - 01.2005
- Executed monthly closing process, conducted general ledger reconciliations and monthly reviews; prepared Medicare and Medicaid reporting schedules.
- Performed the monthly closing process, conducted general ledger reconciliations, and completed monthly reviews; and prepared Medicare and Medicaid reporting schedules.
- Redesigned the reconciliation process for general ledger monthly reviews, significantly reducing preparation time.
- Analyzed material budget variances and collaborated with managers; completed month-end closing procedures, including analysis and review of results.
- Delivered financial analysis that strengthened internal controls.
- Directed the implementation of the VisionWare Productivity System, which improved staffing levels and reduced overtime. Trained department heads to use the system more effectively to evaluate their staffing requirements.
- Tenet is the owner and operator of acute care facilities and community medical/surgical hospitals.
Education
Bachelor of Science - Business Administration in Accounting
Texas A&M University
College Station, TXSkills
- Variance analysis
- Financial data analysis
- Month-end closing
- Closing procedures
- Balance reconciliation
- General ledger
- Cost accounting
- Budget planning
- Revenue recognition
- Statement preparation
- Payroll management
- Asset management
Timeline
Accounting Manager, Operations Finance
Tenet Physician Resources
05.2018 - Current
Controller
Lumin Health LLC
01.2018 - 05.2018
Accounting Manager
Christus Health Plan
01.2016 - 01.2018
Controller
Forest Park Medical Center, LLC
08.2015 - 10.2015
Senior Software Consultants
Financial Resource Group, LLC
01.2013 - 07.2015
Controller
Senior Care Centers
01.2005 - 05.2012
Senior Accountant
Tenet Healthcare Corporation
01.2003 - 01.2005
Bachelor of Science - Business Administration in Accounting
Texas A&M University