| Candidate Information | | Title | Revenue Cycle Customer Support | | Target Location | US-GA-Atlanta |
| | 20,000+ Fresh Resumes Monthly | |
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Click here or scroll down to respond to this candidatePROFESSIONAL SUMMARY:Experienced Operations Professional with 25 years of experience leading client and consumer-based business operations. I specialize in and have been committed to supporting client needs to improve the healthcare consumer experience by conducting financial analyses, benchmarking, supporting the implementation and improvement of customer support platforms, and process improvement implementation. My success in this field is a direct result of my results-oriented approach, client relationship development, and ability to achieve positive outcomes.PROFESSIONAL SKILLS, ABILITIES, and SYSTEM(S) EXPERIENCE:Applications/EHR: Microsoft Office Suite, EPIC, Cerner, GE/Centricity, Meditech, Siemens/OAS Gold, IDX, CPSI, MedAssets, Tableau, PowerBI, Advisory Board Compass, Revenue Cycle Pro, Monarch, PMMC, Lucid Chart, HubSpot, Salesforce, Artificial Intelligence (AI)Other Areas of Expertise: Revenue Cycle Management, Strategic Leadership, Detail Oriented, Critical Thinking, Outstanding Organizational and Problem-Solving Skills, Effective Task Prioritization and Execution, Improvement Strategy Development, Leadership and Staff Management, Project Management, Client/Customer Service Delivery, Change Management, Presentation and Facilitation, Client Relationship Development, Sales and Client Onboarding Support, Technology/SaaS Implementation, Healthcare IT and EDI, Documentation and Control, Policy and Procedure Development, Training and Education, Performance Improvement, Logistics and Vendor Management, Cost Management, Proposal Development, and Reporting/Deliverable Development and ManagementPROFESSIONAL EXPERIENCE:HURON CONSULTING GROUP 2023 2024Manager, Revenue Cycle Process Improvement Remote As part of my responsibilities, I collaborated with internal and client teams to identify opportunities for operational improvements and oversaw the implementation of initiatives. I also managed cross-functional teams, analyzed metrics, and maintained client relations across remote and multi-disciplinary work streams.Improved Epic EHR work queue efficiencies to streamline financial counseling processes and improve claim submission follow-up timelines.Achieved effective management of weekly KPIs and benchmarks for all Patient Finance Departments in the Revenue Cycle, identifying variances that impact financial performance.Client stakeholders were effectively communicated with to ensure project concerns were addressed in the scope and work plan.Evaluated patient financial services and financial counseling performance standards. Achieved work queue performance and reduced timely filing write-offs by $800K over four (4) months.Analyzed Epic and Experian claim edit reports to improve clean claim submission rates due to billing volume inaccuracies.Implemented denial resolution process improvement opportunities through cross-departmental collaboration, resulting in reduced write-offs and improved cash collections.WINDHAM BRANNON, LLC 2015 2022Director, Healthcare Advisory Services Remote Managed business development activities, including implementing enterprise initiatives and projects, while overseeing cross-functional team activities, business portfolios, strategic planning, and client relations across remote and multi-disciplinary work streams.Oversaw the success of the facility Patient Access customer support team to respond to consumer needs effectively.Collaborated with government and non-government payers to evaluate payer reimbursements to hospitals and physician practices.Facilitated communication with payers to negotiate accurate reimbursement for hospital and physician practices.Served as a cross-functional leader for various medical practices, including obstetrics, oncology, and others within The Emory Clinic and Physician Group.Coached and mentored a team of 150+ employees, leading to a cash improvement of $25M through process enhancements and vendor oversight.Rural Healthcare Division Lead, authored workbooks and developed technical tools to assist rural hospital leadership teams in identifying areas for process improvements. Through this work, I assisted hospital organizations in realizing over $2 million in cash accelerations over nine months.Partnered with C-suite executives and clinical directors to improve processes, increasing cash collections, net revenue, and patient satisfaction.Independent Consulting Firm 2014 2015Remote Responsible for evaluating organizational claim and denials data to develop process improvement recommendations and deliverables to Senior Leadership for implementation.Collaborated with facility executives to develop plans and models for extracting 835 and 837 data to analyze performance and payment.Developed future state process flow and system designs to improve operation and cash flow.CYMETRIX 2013 2014Senior Revenue Cycle Consultant RemoteProvided leadership and recommendations for designing and testing Patient Access applications in the Cerner EHR system for a 180-bed acute care facility. Collaborated with hospital leaders to improve cash collections and reduce denials.Orchestrated the development of patient access workflows, departmental policies, and procedures, and conducted testing alongside the Cerner build team to ensure efficient system performance.Collaborated with Cerner Implementation team to build the acute care facility Charge Description Master including inpatient, outpatient, ED, OB, and nursing services.Managed revenue cycle staff for a 4-facility hospital system, overseeing denial and payment variance.Enhanced the visibility of rejected claims by approximately $600,000 per week.Developed processes to capture pre-cert codes, reducing Patient Access denials.Developed a tiered approval process based on the dollar amount to ensure the accuracy of denied and underpaid claims for write-off/adjustment.Identified cash flow improvements, staff engagement, and technology barriers and distributed them to Executive Leadership.Conducted audits to ensure accurate Patient Access, Financial Services, and HIM data to prevent billing delays.QUORUM HEALTH RESOURCES (QHR) 2010 2013Revenue Cycle Consultant RemoteDirectly collaborated with facility stakeholders to gather data, observe processes, and interview clinical and financial department leaders for successful management of CDM and ICD-10 assessment and implementation projects.Developed financial dashboard deliverables for client C-suite members.Leveraged and managed client data in Salesforce for all Revenue Cycle projects.Implemented ABN process and self-pay initiative, resulting in approximately $100K increase in POS cash collections.Participated in monthly Revenue Cycle Committee meetings with client C-Suite members.Created queries to effectively analyze AR, DNFB, Case Management, and denial data to identify changes in monthly KPIs.Developed a Microsoft Access database to identify root causes of DNFB/DNFC changes, resulting in a reduction of 1.5-2.0 days.ST. JOSEPHS HOSPITAL OF ATLANTA 2005 - 2010Internal Revenue Cycle Management Consultant Atlanta, GAEDUCATION:M.B.A., PROJECT MANAGEMENTKELLER SCHOOL OF MANAGEMENTB.S., TECHNICAL MANAGEMENT- HEALTHCARE MANAGEMENTDEVRY UNIVERSITYPROFESSIONAL ASSOCIATIONS:HFMA/GA-HFMA - Healthcare Financial Management AssociationACHE (GA Chapter) American College of Healthcare ExecutivesNAHSE Atlanta - National Association of Health Services ExecutivesCERTIFICATIONS:Healthcare Financial Management Association (CRCR) Certified Revenue Cycle Representative |
