Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Tyler Schriever

Blue Ash,OH

Summary

Results-oriented Revenue Cycle Senior Leader. Experienced in financial review, cradle-to-grave RCM functions, reporting, and auditing. Well-versed in managing detailed health records and complex operational projects. Proven track record of minimizing billed days, days in A/R and aged A/R while maximizing collections and growing revenue. Demonstrates a detailed, data-driven and patient-oriented approach to Revenue Cycle Management.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Director of Revenue Cycle Operations

CareStar, Inc.
01.2023 - Current
  • Provides direct oversight of all Revenue Cycle Management for all 22 programs including but not limited to all HIM, billing, collections, A/R follow up, denials, appeals, and payment posting processes for entire organization.
  • Contributes to the financial health of the organization by having all ERAs and EOBs worked within one week of receipt, which decreases outstanding collections and leads to optimal treatment-to-payment timeframes.
  • Collected 98.42% of receivables in 2023 prior to 90 days after date of service.
  • Collaborates with Clinical Operational leadership to ensure accuracy of clinical documentation during front-end revenue cycle processes in order to streamline billing and minimize clinical and coding rejections and denials.
  • Designs, customizes and provides C-Suite leadership with various financial and collections reporting including Accounts Receivable Aging, Clean Claim Rate, Trending Rejections, Trending Denials, Revenue Reconciliation, Income Statement and others.
  • Creates and facilitates professional relationships with provider representatives at all payors, Managed Care Organizations, and government agencies to achieve open two-way communication, leading to resolution of repetitive claims denials and a decrease in days in A/R and aged receivables.
  • Assists software developers in continual development and implementation of 5 proprietary EHR systems for multiple programs to enhance interoperability between host systems, clearinghouses, and payor portals to streamline Electronic Data Interchange.
  • Manages all provider credentialing processes across all programs including creation and renewal of NPI's, state provider ID's, renewal of licenses and certifications, and any other credentials. Current total of 44 providers.
  • Responsible for development and regular updating of all RCM Standard Operating Procedures and Key Performance Indicators
  • Instituted an entirely new process for billing Medicare and Medicare Advantage plans, because the organization had not previously been enrolled or credentialed as a provider with Medicare and/or Medicare HMO's.
  • Provides RCM-based consulting to Vice President of Contracting and Chief Executive Officer regarding new business development through reviewing of contract and payment terms with potential new clients.
  • Evaluates performance of new and existing Revenue Cycle team members to maintain organizational standards and ensure all KPI targets are exceeded.
  • Promotes an inclusive and productive work environment through recurring team engagement activities in order to maximize retention and employee satisfaction
  • Consistently demonstrates exceptional adaptability in navigating complex situations or rapidly changing environments with ease.
  • Successfully negotiated a rate increase of 15.7% for the organization's highest-volume program.

Revenue Cycle Manager

Centerprise RCM
07.2022 - 01.2023
  • Led a team of 28 revenue cycle associates including A/R Specialists, Payment/Cash Application Specialists, Medical Billers, and Customer Service professionals providing revenue cycle services to a total of six clients
  • Regularly collaborated with Sr. Director of Operations and Revenue Cycle Coordinators to optimize billing, collections and payment posting efficiency
  • Consulted with clients on EHR/EPM system logistics to increase functional automation among clearinghouses, EHR's, and payor systems
  • Created, assigned, and oversaw execution of various workflows to maximize clean-claim rates, minimize claim rejections/denials, increase collections, and decrease aged A/R inventory
  • Served as primary point of contact between Centerprise and client executive leadership
  • Responsible for all screening and hiring processes.

Accounts Receivable Manager

ENSEMBLE HEALTH PARTNERS
10.2019 - 07.2022
  • Collaborate with Revenue Cycle Directors and Sr. Director to minimize A/R aging by identifying and reducing claim payment barriers, such as registration, coding, and billing processes
  • Cultivated and maintained relationship with 9 payor provider representatives to escalate and resolve trends in claim-processing delays
  • Eliminated first-pass denials by monitoring and improving communication between EHRs, clearinghouses and EDI systems in order to maximize cash collections
  • Leveraged expert-level knowledge of third-party payor guidelines including Medicare, Medicaid, managed care, and commercial insurance plans as well as V.A. Benefits to ensure clean-claim submission and prompt payment
  • Served as a consultant for Analytics leadership on revenue cycle processes to optimize reporting automation
  • Led a team of 6 revenue cycle supervisors and 53 associates by establishing and providing education around organizational best-practices and industry best-practice to maximize HIPAA compliance
  • Delegated ownership of claim follow-up process to revenue cycle associates to ensure all claims are worked and pushed toward resolution within HFMA best-practice of every thirty days.

Revenue Cycle Supervisor and Coordinator

ENSEMBLE HEALTH PARTNERS
03.2018 - 10.2019
  • Created innovative A/R, Billing and Denials tracking tools through report analysis and dissection (including but not limited to ATBs, trend-in-aging reports, cash collection reports, DNFB reports and recoupment reports)
  • Worked directly with Senior Leaders of A/R, including VP, AVP and Sr. Directors to coordinate and achieve departmental goals and deadlines
  • Coordinated and centralized presentations for Executive Leadership including Monthly Operations Report meetings
  • Assisted in driving-down Leadership Notes PDFU (past-due follow up) by performing in-depth review of >100 high-dollar accounts per month
  • Led internal service-line communication to all A/R associates through ownership and use of department-wide distribution groups
  • Created and maintained updates for >50 Standard Operating Procedures for acute Revenue Cycle Team as whole to increase associate awareness and standardize departmental practices.

Accounts Receivable Sr. Specialist

ENSEMBLE HEALTH PARTNERS
04.2016 - 03.2018
  • Exceeded yearly productivity expectations by >31% of goal and averaged a Quality Analysis score of 99.42%
  • Owned all government payor follow-up for two networks of hospitals
  • Worked with A/R leadership to reduce accounts aged >90 days to a 12.8% average between the two networks
  • Worked directly with Sr. Directors to identify and eliminate recurring internal issues within work queues
  • Applied knowledge of Medicare payment methodology to work down varying types of A/R reports.

Assistant Sales Manager

UNIVERSAL WINDOWS DIRECT
07.2014 - 04.2016
  • Successfully executed campaign to increase company-wide sales from an avg of $440,000 to $2.4 million per month by developing and implementing new strategies of generating and closing sales opportunities
  • Increased total number of company sales representatives from 6 representatives to 23 representatives over the course of 21 months by locating qualified candidates and assessing their potential effectiveness and productivity as a member of the UWD Sales and Marketing Department
  • Delegated various responsibilities to members of sales team to encourage teamwork, establish an enhanced sense of purpose, and increase morale
  • Finalized sales opportunities by persuading customers to buy through the presentation of detailed information
  • Sharpened public speaking abilities by attending and participating in a minimum of 12 public speaking events per year.

Education

Some College University of Kentucky
Lexington, KY
2014

High School Diploma -

Princeton High School
Sharonville, OH
05.2012

Skills

  • 8 years in Revenue Cycle, >5 in Revenue Cycle Leadership
  • Operational Efficiency
  • Data Analysis and Data-Driven Decision-Making
  • Financial Forecasting
  • Accounts Receivable and Denials Management
  • Payor and Government Agency Policy Expert
  • Professional and Institutional Billing
  • Professional Coding
  • Risk Mitigation
  • Internal and External Audit Analysis
  • Large-Scale Project Planning and Coordination
  • Client Relationship Management
  • EDI Expert
  • Detail-Oriented and Goal-Driven
  • Business Intelligence
  • Highly Proficient in Public Speaking
  • Proficient in Workplace Conflict Resolution Techniques
  • Data Analysis
  • Highly Proficient in all Microsoft Office programs including Excel, Word, Power Point and Vizio
  • Familiarity with many EHRs including Epic, NextGen, Athena, ARS-400, Artiva, HBO/STAR, and GPS
  • Familiarity with many clearinghouses including, Change, ePremis, AthenaOne, Quadax, Waystar, MedRx, and SSI
  • Familiarity with all major payor portals
  • Certifications and Licenses: Certified Revenue Cycle Representative, Certified Specialist Business Intelligence, Certified Professional Coder

Certification

  • Certified Revenue Cycle Representative (CRCR) through the Healthcare Financial Management Association (HFMA)
  • Certified Specialist Business Intelligence (CSBI) through the Healthcare Financial Management Association (HFMA)
  • Certified Professional Coder (CPC) through the American Academy of Professional Coding (AAPC)

Timeline

Director of Revenue Cycle Operations

CareStar, Inc.
01.2023 - Current

Revenue Cycle Manager

Centerprise RCM
07.2022 - 01.2023

Accounts Receivable Manager

ENSEMBLE HEALTH PARTNERS
10.2019 - 07.2022

Revenue Cycle Supervisor and Coordinator

ENSEMBLE HEALTH PARTNERS
03.2018 - 10.2019

Accounts Receivable Sr. Specialist

ENSEMBLE HEALTH PARTNERS
04.2016 - 03.2018

Assistant Sales Manager

UNIVERSAL WINDOWS DIRECT
07.2014 - 04.2016

Some College University of Kentucky

High School Diploma -

Princeton High School

Similar Profiles

CREATE PROFILE
Tyler Schriever