Summary
Overview
Work History
Education
Skills
Timeline
Generic
Tanice Pantry

Tanice Pantry

Oxford,GA

Summary

Dynamic Revenue Cycle Leader specializing in optimizing Hospitals, clinics and multi-specialty physician groups. Proven track record with 40-60% annual business growth. Strategic executive with expertise in implementing end-to-end revenue cycle systems, integrating technology, and driving efficiency. Oversight of revenue operations and managed care contracting, emphasizing successful negotiations and relationship management. Collaborative leader with senior teams, internal departments, and third-party providers. Meticulous in managing performance metrics and serving as a cultural motivator for both internal and outsourced teams. Committed to achieving excellence and fostering sustainable growth for healthcare facilities.

Overview

11
11
years of professional experience

Work History

VP of Revenue Cycle Management

White Wilson Medical Center
Fort Walton Beach, FL
08.2021 - Current
  • Strategic Leadership and Integration of Technology: Orchestrated and executed the seamless integration of a cutting-edge EMR, and reporting software, delivering a substantial 60% surge in collections for the physicians and overall multi-specialty group
  • Engineered a substantial reduction in accounts receivable days, reducing the timeline from 50 days to an impressive 24, amplifying overall operational efficiency
  • Designed and executed billing, coding, and clinical documentation protocols tailored to address the intricate challenges and frequent denials encountered in various specialized fields including behavioral and mental health, this initiative yielded a remarkable 65% decrease in denial rates
  • Integrated Revenue Cycle Transformation and Optimization: Revamped the entire Revenue Cycle Management (RCM) structure by consolidating functions like credentialing, patient access, coding, authorization and the business office operation
  • This transformation streamlined workflows, improved accountability, and facilitated communication, resulting in a remarkable 60% increase in collections and reduced costs
  • External Relationships and Contract Negotiations: Led intricate negotiations with payors, securing favorable terms resulting in a notable 20% augmentation in payor reimbursement and a consequential spike in overall collections
  • Cultivated and sustained robust external relationships with payers, regulatory bodies, and healthcare organizations, contributing insights that directly informed and influenced revenue cycle strategies
  • Imposed and ensured strict compliance with the nuanced requirements of third-party payer reimbursement structures
  • Key Performance Indicators (KPI) Monitoring and Data Analysis: Vigilantly monitored and measured crucial KPIs, achieving outstanding clean claim rates of 97% and reducing denial rates to an impressive 4%
  • Orchestrated a high-performing team of 75+ associates, optimizing charges by 21%, visits by 23%, and charge lag from 8 to a swift 3 days
  • Utilized advanced data analytics for insightful reporting, implementing financial forecasting to predict and achieve future revenue cycle performance
  • Financial Optimization and Cost Reduction: Improved collections from 30% to an impressive 60%, demonstrating a keen focus on financial optimization
  • Achieved optimal charges, visits, and charge lag, leading to substantial financial improvements
  • Assiduously handles budgeting, and resource allocation within the RCM department, I successfully effected a consequential reduction in the cost-to-collect metrics.

Revenue Cycle Director

United Billing Solutions
West Palm Beach, FL
01.2019 - 08.2021
  • Integrated Departmental Leadership: Oversaw seamless operations across various departments, including Credentialing, Patient Access, Scheduling, Utilization Management, Medical Records, Coding and Billing, Patient Customer Service, Collections, Revenue Integrity, Audit Team, and Contract Management
  • Strategic Reporting and Analysis: Led Reporting and KIPS Analysis, providing insightful monthly reports on issues affecting optimum reimbursement
  • Formulated strategies resulting in a 30% increase in collections and decreased denial rates from 25% to an impressive 5%
  • Achieved outstanding results in reducing Accounts Receivable (AR) to 30days by implementing strategic measures
  • Reduced denial rates and improved collections by 50%.

Revenue Cycle Director

Convergent Revenue Cycle Management
Boca Raton, FL
04.2017 - 01.2019
  • Operational Excellence and Quality Control: Implemented and refined operational procedures and quality control standards for the entire facility, covering credentialing, registration, patient access/scheduling, insurance verification, physician and hospital billing, claim audits, accounts receivable follow-up and resolutions, underpayment management, insurance collection, financial reporting, KPI analysis, and reporting which resulted in increased collection by 30%, coding accuracy and timely billing
  • Revenue Cycle Optimization: Spearheaded strategic initiatives to enhance revenue cycle processes, resulting in a 60% increase in collection and 15% increase in clean claims which included remote monitoring and virtual care services
  • Developed and implemented KPI-driven strategies to streamline revenue cycle functions, improving cash flow and reducing claim denials by 10%
  • Industry Insight & Communication: Proactively monitored industry changes and communicated updates to internal and external stakeholders, translating complex regulatory requirements into actionable insights
  • Presented financial impacts and opportunities to executive leadership, guiding strategic decision-making and driving revenue growth
  • Client Engagement & Implementation: Led customer implementation activities, ensuring seamless integration of revenue cycle enablement solutions and optimizing performance to meet client requirements
  • Actively participated in client meetings, providing expertise in revenue cycle management to support business development conversations and address client needs effectively
  • Reimbursement Reporting & KPI Analysis: Reviewed and enhanced reimbursement reports, to ensure accuracy and performance aligned with client KPIs and objectives
  • Developed and implemented meaningful metrics for revenue cycle reporting and performance tracking, driving continuous improvement initiatives and achieving measurable outcomes
  • Subject Matter Expertise: Served as a trusted advisor and subject matter expert on provider revenue cycle needs, focusing on mid-cycle and back-end processes to optimize revenue capture and maximize reimbursement rates
  • Supported client relations with payers and providers, facilitating negotiations and implementing strategies to improve reimbursement rates and revenue outcomes
  • Strategic Contract Management and Vendor Relations: Skillfully negotiated, directed, and oversaw contracts, showcasing expertise in deal-making and favorable rates and reimbursements
  • Selected and managed key vendor partners, strategically fostering alliances for impactful outcomes
  • Established visionary relationships with cutting-edge service providers, contributing to innovative collaborations and revenue optimization.

Revenue Cycle Manager and RCM Trainer

Convergent Revenue Cycle Management
Boca Raton, FL
08.2014 - 04.2017
  • KPI Analysis and Reporting: Provided strategic data analysis/assessments for clients and vendors that resulted in long-term RCM transformational work which improved scheduling, patient access, coding and overall collections, cash flow
  • Generated reports and evidence-based recommendations to senior leaders and physicians
  • Training and Management for Specific Multi-Specialty Groups: Developed and implemented customized workflows and conducted targeted training sessions for clinical documentation, billing, and coding, addressing challenges and common denials in specialized groups
  • Focused on podiatrists, orthopedics, internists, cardiologists, radiologists, vascular surgeons, anesthesiologists, and orthopedics
  • This initiative achieved a remarkable outcome, reducing denial rates to an exceptional 3%, surpassing industry standards
  • Training and Development: Created and developed a curriculum for new hires and all employees to ensure that revenue cycle performance standards are defined and consistent with the company's standard operating procedures
  • Epic Trainer, technology performance, and clinical documentation improvement
  • Multiply Sites Operations Management and Training: Managed over 300 employees from different sites and states with an annual collection of 340 million.

Revenue Cycle AR Resolution Specialist and Staff Attorney

Convergent Revenue Cycle Management
Boca Raton, FL
07.2013 - 08.2014
  • Resolution of Complex Claims and AR Management: Resolved underpaid and complex denied claims
  • Minimized bad debt by following protocols to educate patients and identifying errors early
  • Claim Tracking and Analysis: Monitored and Tracked claim patterns and trends from all payers
  • Provided data to manager to identify pitfalls
  • Appeals Writing and Training: Wrote and developed Appeals templates to overturn erroneously denied claims
  • Trained staff to identify issues; and apply contractual rules and healthcare law to overturn claims denied by insurance companies in various states.

Education

Law Certificate, Legal Practice and Procedure. (BAR) -

Norman Manley Law School
01.2013

Juris Doctorate- Healthcare and Business Law (Hons) -

The University of the West Indies Mona
01.2010

Bachelor of Arts: Linguistics and Language Communication (Hons) -

The University of the West Indies Mona
01.2005

Skills

  • Financial Planning, Budgeting and Data Analysis
  • Revenue Optimization
  • Contract Management and Payment Negotiations
  • Coding, Billing and Denial Management
  • Extensive Healthcare Regulation Knowledge
  • CDI, EMR and medical records Management
  • Expert Knowledge of Athena/ EPIC/ CMD
  • Comprehensive Knowledge metrics and KPIs
  • Operational Reporting

Timeline

VP of Revenue Cycle Management

White Wilson Medical Center
08.2021 - Current

Revenue Cycle Director

United Billing Solutions
01.2019 - 08.2021

Revenue Cycle Director

Convergent Revenue Cycle Management
04.2017 - 01.2019

Revenue Cycle Manager and RCM Trainer

Convergent Revenue Cycle Management
08.2014 - 04.2017

Revenue Cycle AR Resolution Specialist and Staff Attorney

Convergent Revenue Cycle Management
07.2013 - 08.2014

Law Certificate, Legal Practice and Procedure. (BAR) -

Norman Manley Law School

Juris Doctorate- Healthcare and Business Law (Hons) -

The University of the West Indies Mona

Bachelor of Arts: Linguistics and Language Communication (Hons) -

The University of the West Indies Mona
Tanice Pantry