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SENIOR LEVEL REVENUE CYCLE OPERATIONS MANAGEMENT
Program/Practice Management │ Health Care Systems │CDM Management │ Technology Savvy
Dynamic, results-focused and successful Senior Level Revenue Cycle and Operations leader with a demonstrated track record of leading cutting-edge program development, process improvement and staff development initiatives that impact organization’s at a fundamental and meaningful level, strengthening organizational principles and supporting long-term sustainability goals.
Reputation as leader in driving tactical market expansion strategies, identifying smart technology-driven programs that capitalize on further revenue and profitability results.
Actively pursuing Director/Executive Operations/Revenue Cycle/Program and Practice Management opportunities with a world-class employer poised for exceptional growth.
Integrated Health Care Systems
PCMH/ ACO Concepts & Knowledge
Charge Capture/Cash Oversight
Director/Patient Financial Services – Parkland Health & Hospital System, Dallas, TX 2004 – Present
Provide Community Oriented Primary Care (COPC) leadership and experience in Patient Financial Services, patient access and operational activities.
Direct overall operations, full administration, and development of programs and services that support revenue cycle initiatives; scheduling, registration, financial counseling, POS collections efforts, technical and professional billings, denials management, charge master maintenance, patient accounting and eligibility systems.
Implemented an organizational development plan, aimed at engaging our mission, values, underlying principles, and strategic guidance to achieve operational goals, in providing servant-led and patient-centric service.
Oversee development, implementation, and monitoring of business/patient financial services operations and activities for 21 primary care clinic locations including an urgent care clinic, employee physician office, and school-based clinics, with more than 150 in-direct reports for a multisite decentralized model.
Implement process and technology training for staff to achieve goals, maintain proficiency, efficiency, compliance and customer service in Patient Financial Services functions.
Serve as acting divisional compliance representative, collaborating with internal and external auditors, coordinate corrective action responses and assist in development and implementation of internal controls that ensure achievement of established standards.
Ensure data accuracy accountability for divisional financial performance, charging methodologies and capture, and revenue enhancements.
Write and assist with various grant development activities.
o Author and assist with various grant development activities.
o NCQA Status Designation Project
o Meaningful Use Project – attested this year for all providers, obtained 8.3 million in incentive payments
o Grant submission and subsequent award obtained for successive years
o Implementation of Electronic Health Record (EHR) and Electronic Financial Screening & Eligibility System
o Extensive training & development experience with both business and clinical operations
Interim Site Administrator – (2008 to 2010)
Managed daily clinical activities of assigned health centers that encompassed administrative, clinical and business operations, and provided effective facilities management that ensured patient care and superior service delivery.
Selected, trained, motivated, supervised and evaluated staff focusing on patient-centric service/support.
Numerous annual Budget development and administration (operating, capital and payroll) and provided effective fund management, and cost containment strategies.
Effective development, implementation, monitoring and communications of goals, objectives, budgets and expected performance outcomes.
Analyzed critical operations on an ongoing basis, and developed reports that evaluated and demonstrated productivity and performance gains.
Associate Director, Business Services (COPC) – Parkland Health & Hospital System, Dallas, TX 2001 – 2004
Directed healthcare revenue cycle for primary care services division including patient registration, time of service collections, charge entry, cash management, and account progression and resolution initiatives.
Identified, analyzed and resolved revenue cycle issues, and developed written processes for all daily operations.
Educated staff through ongoing professional development, on-the-job training, and performance monitoring.
Business Services Manager – Parkland Health & Hospital System, Dallas, TX 1996 – 2001
Oversaw all clinic operations, business and patient access functions of multi-specialty ambulatory primary care clinic including pediatric, adult, and geriatric medicine, and managed annual operation budget of $5M.
Managed revenue cycle functions and staff involved in patient access, coding, charge capture, up-front cash collections, office management, and account resolution activities.
Provided instruction, leadership, and supervision for team of more than 40 employees.
Program Development Section Manager – Texas Department of Health, Austin, TX 1995 – 1996
Director of Personnel – Austin Area Urban League, Austin, TX 1994 – 1995
Business Service Analyst – St. David’s Health System, Austin, TX 1990 – 1993
ADmissions Specialist – The Oaks Psychiatric Treatment Center, Austin, TX 1987 – 1990
EDUCATION / CERTIFICATIONS / AFFILIATIONS
Lane College, Jackson, TN
Texas State University, San Marcos, TX
Certified Health Access Manager (CHAM)
National Association of Healthcare Access Management
Healthcare Financial Management Association (HFMA)
National Association of Healthcare Access Management (NAHAM)