Angela M. Email & Phone Number

Frisco, Texas, Us

Frisco, Texas, Us

Developed companywide initiatives for the Denials Pillar, which includes: EOB/835 loading of disputes, Denial appeals/follow-up, Payor Resolution/Legal, Payor Audit and Terms and Conditions. Worked with company leaders to identify and implement strategic business solutions in order to meet the Revenue Cycle needs for decreasing days, improving turn-around-time for denial resolution and improving denial recovery. Designed and implemented system enhancements to support the development and implementation of automated/machine learning solutions and processes that sustain these strategic initiatives’. Developed training material for end-users for each process within the denial pillar. Oversight for denials PLM design and implementation of strategies for existing and new client integrations, including establishing protocols, end-user training material, technical documentation, process maps, etc. Perform gap analysis to identify areas of improvement, develop standard processes using process maps, job aids, and P&Ps while working with multiple departments to implement changes, which improve throughput and collections.

Oceanside, California, Us

Directly responsible for the oversight and coordination of all front end patient access, business office, and revenue cycle.Revised and implement department policies and procedures within all areas of direct responsibility. Analyzed data within the revenue cycle and implemented performance standards both quantitative and qualitative for all areas. Implemented revenue cycle teams to achieve organizations goals and promote teamwork and collaboration from all parties. Implemented Cash Price Fee Schedule and trained front-line staff how to properly secure payment at the time of service, which improved collections by 200%. Established the “Revenue Cycle Team” to handle: CDM maintenance, APC errors, Chart Audits (defense, concurrent, stop-loss and focus), improved Gross Revenue capture within all ancillary departments. Implemented patient loan program to reduce bad debt and increase cash collections. Implemented Contract Management & Denial Management system.

Clifton, Nj, Us

Oversee the daily operations for multiple client projects handling the billing and collections components of government and non-government payers in multiple states. Additionally oversaw direct operations, human resources, logistics, and finances. Established metrics to monitor operations staff for each project to ensure the client’s expectations are met. Collaborate with each client to improve the revenue cycle within their operations, and deploy onshore and offshore resources for each project. Additionally, coordinated with the business development team resulting in gaining the new clients contracting for services.

Us

Responsibilities included daily functions of the Revenue Services department for the three facilities: Centinela Campus, Daniel Freeman Memorial Campus and Daniel Freeman Marina Campus. Operations responsible were managing staff for performing charge audits, patient access audits and patient financial audits to identify areas for improvement, and additional responsibilities were: CDM, Chart Audit, APC and end to end Revenue Cycle activities for the entire health system. Performed assessments of the Revenue Cycle flow for the three campuses from all departments: scheduling, admitting, case management, health information management, nursing, ancillary services, charge capture and business office. Developed seven teams to address issues identified: Admitting, Pre-Admitting, Charge Capture, In-House, HIM, Denials, and Business Office. Developed and implement tools to improve the revenue cycle process for the system as well as tools to monitor status after implementation. Assisted with development of processes for hospital-based clinics (1206D) to optimize the revenue cycle for five newly implemented clinics

Dallas, Texas, Us

Directly responsible for the oversight and coordination of all front end patient access information for Inpatient, Ancillary Departments and Emergency, including Pre-Registration, Insurance Verification, Financial Counseling, Quality Control and PBX Communications, reporting directly to the Chief Financial Officer and Central Business Office Director. Responsible for all Month-end Accruals, Credit Balance and OTC Cash Goals and ran other reports to support and validate the financials. Revised and implement department policies and procedures in accordance with JCAHO, OIG, and Corporate Compliance. Analyzed data within the revenue cycle and implemented performance standards both quantitative and qualitative for all areas. Implemented revenue cycle teams to achieve organizations goals and promote teamwork and collaboration from all parties. Update Cash Price Fee Schedule and trained front-line staff how to properly secure payment at the time of service, which improved collections by 10%. Established the “Revenue Services Department” to handle: CDM maintenance, APC, Chart Audits (defense, concurrent, stop-loss and focus), improved late charges by 8% and concurrent audits maintained 2% of Gross Revenue. Facilities Under Tenet Healthsystems• 4/2001 - 11/2004 Centinela Hospital-Tenet Healthsystems, Dir. of Patient Financial Services• 5/2000 - 4/2001 Fountain Valley-Tenet Healthsystems Fountain Valley, Dir. of Patient Services• 11/95 - 5/2000 Century City Hospital-Tenet Healthsystems Los Angeles, Dir. of Patient Services• 11/93 - 11/95 New Beginnings--Tenet Healthsystems Lakewood, CA Business Office Manager• 11/89 - 11/90 Lakewood Regional-NME Lakewood, CA Follow-up Specialist

Dallas, Texas, Us

Dallas, Texas, Us

Dallas, Texas, Us

Mba, Business Administration

Bsbm, Business Management