THERESA A. AQUINO-KESSLER
Albemarle,USA
Summary
With a proven track record at Nueterra Healthcare, I spearheaded initiatives that significantly reduced AR days to 45, showcasing my strong leadership and detail-oriented approach. My expertise in revenue cycle management, combined with exceptional communication skills, consistently exceeds financial targets and enhances customer service relationships.
Overview
17
17
years of professional experience
Work History
Billing Manager
Nazareth Child & Family Connection
Rockwell, NC
01.2023 - Current
- Maintain all billing processes for the organization
- Review billing cycle aging report, contacting Insurance companies for denied claims and timely reimbursement of claims
Freelance - Contractor
Self-Employed
08.2016 - 12.2021
- Review, analyze, and develop policies and procedures for Business Offices
- Offer professional advice, guidance, and actionable solutions to businesses experiencing issues and implement approved solutions for business offices
Director, Business Office
Summit Cancer Care
Savannah, Georgia
11.2014 - 06.2016
- The main responsibilities are to increase finances and decrease AR
- The facility's AR accounts were close to $8 million when I joined the facility
- Currently, AR is $5 million to decrease AR to $3 to 4 million
- The collection has increased with the process developed and implemented by me
- The goal is to increase collection to $4 million
- Since overseeing the Business Office I have managed to direct a great team for collecting 100% or better
- Accomplishments:
- Analyze AR with its high volume in the 90+aged bucket
- Analyze reports to achieve a decreasing the aged accounts
- Build a new office team that had the same goals and mission as what the providers wanted in decreasing the aged accounts and increasing collections
- Several months later achieved 100% Month-to-Date and Year-to-Date in collections/net collections
- Decreased aged accounts from $7 million to $4.5 million
- Increased patient collections
- Meet weekly with team members to discuss collections to obtain their feedback on what we can do as a team to increase collections
- Implemented team member’s ideas for overall operational improvements
Director, Patient Access
Conifer Health Solution
Savannah, Georgia
12.2012 - 09.2014
- Company Overview: Memorial Medical Center is a 500-bed Level 1 Trauma Center, the only Trauma Center in Savannah, Georgia
- Memorial Medical Center is contracted by Conifer Health Solution to provide staff for the Patient Access Department
- Promote excellent Customer Service Relationships between departments and patients
- I provide registration at 15 points of entry for the facility
- Implementing bedside registration in ED
- The Insurance Revenue Scorecard goal is 95% which has been met consistently
- Met Cash Collection goal exceeding the monthly goal
- Memorial Medical Center is a 500-bed Level 1 Trauma Center, the only Trauma Center in Savannah, Georgia
- Memorial Medical Center is contracted by Conifer Health Solution to provide staff for the Patient Access Department
Director of Business Services
Nueterra Healthcare
Leawood, KS
05.2008 - 01.2012
- Company Overview: Nueterra manages physician-owned specialty hospitals, physician-owned community hospitals, and ambulatory surgical centers nationally; 90 + for-profit/nonprofit surgical and outpatient facilities
- Managed 8 Business Offices Managers for 3 Ambulatory Surgical Centers, 3 Endoscopy Centers, and 2 small Acute Care Hospitals Business Office/Revenue Cycle processes
- Promote excellent Customer Service Relationship
- Conducted weekly meetings with Business Office managers to align weekly targets with quarterly goals
- Implemented monthly cash goal for each facility with the success of each facility meeting goal
- Appointed by the Board of Directors (Physicians) Acting-Interim Business Office Manager for a Surgical Hospital for 6 months directing the Business Office, Patient Access, and Medical Records Departments including, hiring, firing, and disciplinary action, leading the staff to meeting goals in collections and decreasing aged accounts and denials
- Collaborated with the facilities in reducing their AR days to 45 or less (>60 days 25% or below, >120 days 10% or below, cash collection 100%) and ensure all Business Office staff are knowledgeable in the collections and filing of claims on time
- Created a corrective action plan for Business Offices not meeting the projected budget goal set forth by the management corporation, meeting with the Business Office Manager and the facility administrator for implementation of a plan
- Developed and conducted on and off-site revenue cycle management training for all Business Office staff in all areas including
- Scheduling, pre-authorizations, billing, collections, medical records, inventory management as it relates to/impacts billing functions and accounts receivable
- Guided the Business Office managers in leading and evaluating the Business Office personnel and processes
- Assisted in evaluating staffing needs for the Business Office and making a recommendation as needed and assisted in resolving specific issues affecting the billing and collection process
- Reviewed and implemented policies and procedures
- Monitor facilities billing and collection performances utilizing weekly/monthly reports
- Software – Implement and instructed in McKesson Paragon and EMR, AdvantX, SIS
- Traveled 85%
- Nueterra manages physician-owned specialty hospitals, physician-owned community hospitals, and ambulatory surgical centers nationally; 90 + for-profit/nonprofit surgical and outpatient facilities
Education
BS -
Warren National University
Cheyenne, WY04.2009
Skills
- Communication
- Customer Service
- Scheduling
- Time Management
- Ability to work Independently
- Flexibility
- Dependability
- Dedicated
- Detail-oriented
- Determination
- Responsible
- Respectful
- Recover quickly from setbacks
Phone
cell, 912-433-7190
Timeline
Billing Manager
Nazareth Child & Family Connection
01.2023 - Current
Freelance - Contractor
Self-Employed
08.2016 - 12.2021
Director, Business Office
Summit Cancer Care
11.2014 - 06.2016
Director, Patient Access
Conifer Health Solution
12.2012 - 09.2014
Director of Business Services
Nueterra Healthcare
05.2008 - 01.2012
BS -
Warren National University
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