Theresa Benson
West Chester,PA
Summary
Experienced Sr Manager, Revenue Operations with over 20 years of experience in healthcare reimbursement with an excellent reputation for resolving problems, relationship management, and driving overall operational results and improvements. Eager to leverage my abilities and experience in a new position with room for growth and advancement.
Overview
31
31
years of professional experience
Work History
Director, Revenue Cycle
Azura Vascular Care
08.2023 - Current
Manager/Sr Manager, Revenue Cycle
Azura Vascular Care
10.2019 - 08.2023
- Leadership and development of 3 direct reports managing 65 remote teammates supporting the insurance verification and authorization activities for 90+ vascular access centers, cardiac catheterization labs and ambulatory surgery centers.
- Oversight of daily operations - adherence to SLAs, quality assurance and resource management.
- Manage the execution of short- and long-term objectives with direct responsibility for results, including costs, methods, and staffing.
- Support the integration of newly acquired sites and practice expansion
- Development and implementation of management processes to monitor accounts receivable performance and trends; addressing any issues that may have a negative impact on cash collections
- Review policies and procedures with a focus on continuous improvement efforts; develop and implement policies and procedures to maximize the efficacy and efficiency of operations.
- Establish and maintain strong working relationships with cross-functional teams, management, joint venture partners, vendors and/or consultants to ensure the effective resolution of issues
- Serve as a SME to cross-functional teams in the resolution of issues
- Provide leadership, coaching and development plans for all direct reports to maintain an engaged and productive workforce.
- Manage the generation and review of routine reporting with regular summaries to Sr Director.
Sr. Manager, Revenue Operations
DaVita
01.2018 - 10.2019
- Leadership and development of 3 direct reports managing 35 Specialists supporting 5 CBOs
- Responsible for monitoring and ensuring the timely and accurate submission of 500K claims monthly for over 2500 dialysis facilities
- Partner with claim submission vendor to review trends and identify areas of opportunities resulting in increase speed of reimbursement
- Quality assurance process development, implementation and management including ongoing assessment of management control needs
- Compile data on bad debt and DSO to report information to Director, discussing trends and methods for improving results
- Streamlined operations and updated prioritization model resulting in a 30% reduction in timely filing bad debt
Manager, Revenue Operations
Davita Inc.
01.2013 - 12.2017
- Team leadership and development for 15+ employees
- Revenue cycle integration for all acquisitions
- CMS 855 status monitoring and EDI processing for government payers
- CMS guideline and reimbursement interpretation for ESRD claim processing
- Sarbanes Oxley (SOX) narrative development, implementation and management including ongoing assessment of management control needs
Manager, Mergers and Acquisitions
DaVita
05.2005 - 01.2013
- Oversight of revenue analysis for all acquisitions, divestitures, partial divestitures and start ups
- Determination of revenue sustainability with respect to market presence, contract status and historical cash review
- Post mortem monitoring to track acquisition performance
- Valuation model design
- Reconciliation between 3rd party valuations, cash and accounts receivable
Project Manager
MBNA Amercia
04.2000 - 03.2005
Supervisor, Acquisitions and Contract Management
Total Renal Care
05.1997 - 04.2000
Billing Representative
Thomas Jefferson University Hospitals
09.1993 - 04.1997
Education
Cardinal O'Hara
Skills
- Operations leadership
- Procedure standardization
- Maintaining quality assurance standards
- Relationship and team building
- Workflow design
- Account and revenue tracking
- Revenue trend analysis
- Word, Excel, PowerPoint, Outlook
- New business integration
Timeline
Director, Revenue Cycle
Azura Vascular Care
08.2023 - Current
Manager/Sr Manager, Revenue Cycle
Azura Vascular Care
10.2019 - 08.2023
Sr. Manager, Revenue Operations
DaVita
01.2018 - 10.2019
Manager, Revenue Operations
Davita Inc.
01.2013 - 12.2017
Manager, Mergers and Acquisitions
DaVita
05.2005 - 01.2013
Project Manager
MBNA Amercia
04.2000 - 03.2005
Supervisor, Acquisitions and Contract Management
Total Renal Care
05.1997 - 04.2000
Billing Representative
Thomas Jefferson University Hospitals
09.1993 - 04.1997
Cardinal O'Hara
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