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Yyyyyy x. yyyyyy

0000 xxxxxx xxxx , xxxx , xxxxx 00000 xxx-xxx-xxxx ~ abc@xyz.com

 

 

AAHAM Certified Patient Account Manager, with outstanding Executive background in Healthcare Management,

Accounts Receivable and Expense Control, seeking to utilize well-honed expertise and diversified skills toward maximizing organizational growth, development and success in a challenging assignment

 

 

Profile of Qualifications

 


  Business Operations Management

  Patient Care & Finance

  Medical Billing & Accounting

  Financial Assistance

  Contract Negotiation

  Medicare/Medicaid/Managed Care/Community Care

  Staff Training & Supervision

  Quality Assurance & Compliance

  Sales & Marketing

  Business Development

  Customer Relations

  Troubleshooting

  Public Relations

  Rehabilitation Programs

  Provider Relations

  Reimbursement

  Medical Utilization Review

  Time Management


 

 

 

Career Highlights

 

         In current assignment for Orlando Health Inc., a major regional healthcare provider, skillfully oversee Accounts Receivable activities for eight organizational hospitals, including $625M+ in AR and $1.8B in Cash Collections

         Successfully maintain Cash-to-Net at over 100% and oversaw Denial Management team activities in recovering $22M+ in first year; was recipient of top Excellent Award for Revenue Cycle in 2015 based on Denial recovery rate

         Expertly drove expense decrease activities for $24M annual budget, was exceptionally successful in reducing AR days to 49 and recorded crucial 120%+ in cash-to-net collections rates

         Performance excellence resulted in being selected as Manager of the Quarter during 2001, 2002 and 2003; also achieved score of Outstanding on critical leadership index

 

 

Career Track

 

Orlando Health, Orlando, FL, 2010-Present

Corporate Patient Accounting Director

      Successfully provide comprehensive executive management of Accounts Receivable activities for major regional healthcare provider with eight hospital facilities; monthly revenues including cash collections, and drive promotion/maximization of revenue cycle throughout organization.

      Areas of responsibility include managing the Financial Assistant Unit and Hospital Billing and Collections activities to support cash flow improvement, denial management and managing functions that support capture, management and collection of patient service revenues, assuring highest levels of Customer Service, all aspects related to Medicare/Medicaid, Managed Care and the Community Care Program.

      Employ outstanding motivational, training and management skills in overseeing work performance of 200 team members including five Managers and 11 Supervisors.

 

Orlando Regional Healthcare System, Orlando, FL, 1998-2010

Corporate Billing/Governmental Reimbursement Manager

      Steered organizational responsibilities concerning all Medicare/Medicaid-related activities including over $450M in gross monthly revenues and $35M+ in cash collections.

      Held comprehensive responsibilities concerning recruitment/training/development actions for staff of 40 personnel; was key contributor to Charge Master Taskforce Team, the policy/procedure committee and the mentor/education team, facilitated employee motivation taskforce and employee advisory team meetings and regularly participated in Medicare executive circle meetings as well as State Medicaid meetings.

      Employed in-depth experience to successfully negotiate highly positive skilled nursing contracts for consolidated billing services; additionally maintained clinical trial database, assessed data and identified trends/discrepancies, ensured meeting/exceeding all Quality Assurance and compliance requirements/standards, coordinated Medicare/Medicaid audits and was responsible for timely reporting of quarterly Medicare credit balance.


Yyyyyy x. yyyyyy Page Two

Career Track Continued

      During tenure, utilized strong subject matter expertise to implement appeal process with Medicare denials and develop a medical necessity/correct coding process with coding and clinical staff personnel; also authored important productivity/audit standards, implemented patient type conversion line and led conversion to 837I and UB04.

      Expertly met responsibilities as Interim Manager for Financial Assistance Unit; designed and facilitated work flow process and procedures for providing programmatic assistance to indigent patients, implemented Section 1011 Request for Payment and was successful in maintaining cash-to-net collections in excess of 100%.

      Provided excellent support and administrative direction during relocation of organization s central business office and was tasked with overseeing departmental budget.

      Skillfully increased electronic claims acceptance rate and oversaw conversion to new billing system as well as conversion of the HIS system.

      Acknowledgement of outstanding work performance and the achievement of an Outstanding score on the organizational leadership index resulted in being named Manager of the Quarter in 2001, 2002 and 2003.

 

GeriCare Rehabilitation, 1997-1998

Florida Region Healthcare Administrator

      For this major rehabilitation facility, held lead position in establishing organization within Florida regional area; prepared primary/extension sites to gain Medicare certification to serve as a rehabilitation agency and managed all marketing/sales activities while steering regional growth.

      Provided excellent recruitment, training, direction and any needed disciplinary actions for staff personnel; placed important emphasis on understanding crucial aspects/requirements for participating in Medicare program and continually reinforced organizational compliance with all prevailing Federal/state/local laws and regulations.

      Developed and continually updated organizational policies/procedures to ensure that all staff personnel were completely familiar with requirements for documentation accuracy, compliance parameters/requirements and any reimbursement issues.

 

Physical Capacity Testing & Rehabilitation Center, 1990-1997

President / Owner / Operator / Test Administrator

      Established this organization to provide testing for functional capacity, back-to-work capabilities, joint and grip strength, range-of-motion and body composition assessment; developed business plans, designed fitness/wellness corporate programs, utilized pre-employment screenings, developed protocols for testing injured workers and employed array of exercise/nutrition programs.

      Took industry leadership role in opening new markets focused on testing of body composition and use of exercise therapy in gaining health/fitness; successfully increased profitability with presentations/in-service activities to physicians, athletes, individuals and organizations focused on geriatric care, the Ohio State Workers Compensation Division and members of the public at large.

 

Prior to 1990, served Rehabilitex as Operations Director/Administrator, the Stress & Pain Management

Rehabilitation Center as Operations Manager/Physician Assistant, and the University of Akron Sports Medicine Department as Student Trainer/Team Supervisor. In these assignments gained in-depth knowledge and

experience regarding daily operations management, overseeing patient accounts, AR and AP, collections,

marketing, developing policies/procedures and staff development/management

 

 

Education and Professional Development / Associations

 

University of Phoenix, Master of Business Administration; in progress

University of Akron, Bachelor of Science in Education/Sports Medicine

American Association of Healthcare Administrative Management

Certified Patient Account Manager, #1091000

American Association of Healthcare Administrative Management (AAHAM), Member since 2003

Healthcare Financial Association, Member since 2002

Florida Hospital Association, Member since 2000

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