Description
An accomplished Healthcare Practice Manager with a proven track record for building and leading teams that enabled revenue growth. A results oriented accomplished executive with a broad background in business healthcare and human services with operational and administrative expertise. Significant experience in single and multi-service practices urgent care and inpatient facilities. Broad knowledge of healthcare hospice utilization management dental and managed care industry. Rural Health worked proactively to build and sustain the capacity of community health systems to provide integrated efficient and effective health care services. Leadership staff training and practice empowerment (business and ethics). Proven ability to manage budgets align technology strategy with corporate strategy set business and group goals and lead large management teams to achieve project goals and exceed expectations SIGNIFICANT ACCOMPLISHMENTS Negotiated and implemented new third party contracts with increased reimbursement rates and new pre-authorization protocols that reduced denials by more than 90% and designed custom utilities to increase functionality and productivity. 500+bed facility (Boston MA based facility) * 13% increase in revenue increase in the gross collection rate reduced charge lag days to 4 reduced AR days for the imaging centers to 25 and the hospital to 39. (Richmond VA based facility) Implemented bed-side hand-off process throughout facility. (Rural Health-Interim Director in hospice care 2015-2017) * Led a process improvement project for billing collections and appeals due diligence process of two major acquisitions in 2014/2015 which subsequently accounted for 11% of the company's total revenue. (Baltimore Maryland based healthcare facility) * $22 million of improved cash collections 7% decrease in bad debt and the establishment of a denial management program resulted from newly designed and implemented processes policies and procedures. (Rockville Maryland based facility) - * Ensured continuing professional development of Staff and Senior level consultants. * Manage daily operations with clerical and clinical staff in a multi-specialty clinics. * Oversee billing, coding, account follow up, and claim denials. * Manage reimbursement, buy and bill, financial operations for physicians. * Coordinate physician's daily activities and schedules. Prepare and conduct monthly physician and staff meetings. 107 including temp employees in multi practice facility and CBO within entire revenue cycle. Designed deliverable content to precisely reflect the engagement contract and client needs and strive to improve deliverable quality through verification and validation of results. * Managed provider reimbursement process based on member product provider service and client-specific attributes. Created and trained staff on a policy-driven automated and sophisticated reimbursement strategies based on logic-intensive transactions that increase auto-adjudication rates and first-pass payment accuracy.
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