Director, Patient Financial Services
Current• Led a 7-member management team and their direct reports, overseeing a total of 42 FTEs, resulting in a high employee satisfaction ranking in the Press Ganey survey, placing in the 97th percentile.• Developed and executed a comprehensive $3M+ annual budget, successfully managing budgetary goals and ensuring optimal resource allocation.• Successfully handled facility and professional billing operations for a 400+ bed hospital, effectively managing billing processes for various payers, including Medicare, Medicaid, Tricare, PPO/HMO, Workers' compensation, and other insurance providers.• Demonstrated exceptional oversight in creating and maintaining the chargemaster, conducting annual reviews, and implementing increases as needed, resulting in accurate and up-to-date pricing for services.• Expertly managed the legal desk, including hospital liens and affidavits, and effectively represented the hospital in litigation matters, ensuring compliance with legal requirements.• Maintained a strong working relationship with the SVP of Finance by consistently providing accurate and timely Key Performance Indicator (KPI) and performance metric reports, aiding in strategic decision-making and financial planning.• Ensured smooth operations of the Revenue Integrity department, efficiently managing denials management processes and coordinating private and government audits, including RAC and MAC audits.• Fostered open communication and collaboration with clinical departments, actively engaging in daily interactions to address billing practices and compliance concerns, and promoting streamlined processes for optimal revenue capture.
