Amy Graham Email & Phone Number

Portland, Maine, Us

Portland, Maine, Us

Healthcare Finance & Revenue Cycle leader providing strategic insight and guidance to optimize financial returns and departmental efficiencies.

Tennessee

-Oversee the Revenue Cycle activities for an Anatomic, Clinical and Molecular Pathology laboratory. Lead team of 160 employees and $143M AR • Developed strategy, vision and structure for the RCM department including realignment of resources to like purposes and onboarding new acquisitions• Created Payment Integrity department responsible for addressing specific patient concerns regarding claims denied• Stood up Prior Authorization unit which resulted in $1M additional collections for molecular diagnostic testing. This included registering tests in the NIH registry for GTR tracking purposes.• Implemented production and quality standards for hourly associates establishing performance benchmarks and KPIs. Key measures tracked: Billing Days Lag; Cash Collections per Day, Client Billing DSO, Insurance/Patient DSO• Member of PathGroup Compliance committee• Introduced Six Sigma to RCM which included establishing a Green Belt Certification program and Kaizen events• Participated in RFP and ROI process for RCM AR System o Systems reviewed Athenia IDX, XiFin, Telcor, Quadax• Designed and oversaw buildout of new billing center including move of employees from two separate locations into a consolidated space• Led team in creation of online patient portal where patients can view statements online, make payments• Developed strategy for addressing Palmetto GBA’s MolDx registry requirements and MBI changes• Worked with Clients to develop payment strategies on past due accounts • Completed financial due diligence for potential acquisitions and mergers

Bentonville, Arkansas, Us

Oversaw the Global Business Services activities for Health and Wellness Support (Pharmacy and Vision claims). Leading team of 100 associates in AR Reconciliation activities through strategic initiatives and collaboration with business partners.• Responsible for remote facility including facilities, emergency response, business continuity planning• Financial responsibility for $7M PL, $1B receivables and $16B in collections• 7% improvement YOY cost efficiency – FY15, FY16 and FY17• Implemented production and quality standards for hourly associates establishing performance benchmarks• Collaborated with business partners to deliver better than industry standards in Unapplied Cash and outstanding AR balance DSO• Worked with team to identify claims required to be submitted under medical plan vs pharmacy benefit• Developed insurance verification strategies for pharmacy immunization claims

Oversaw Billing & Reimbursement functions for a $500M Specialty Pharmacy. Led team of 20 associates in entire AR process from initial dispense of medication through resolution of account through payment posting• Provided executive updates on all revenue management issues (business mix; payer requirements, contract pricing etc.)• Established goals and monthly monitoring for Billing, Cash Posting and Collections teams• Designed communication tactics to optimize revenues and cash flow from California IPA groups

Contractual engagement to provide accounting support and project management for a startup Clinical and Molecular Laboratory• Developed Budgets and Forecast models in Great Plains and FRx• Oversaw month end accounting consolidations• Created accounting policies and procedures for intercompany transactions

- Perform monthly sales tax returns- Analyze financial results for CEO and Board Members- Develop Accounting policies and procedures

Us

- Direct Responsibility for $28M in AR- Received 2009 Revenue Services Performance Achievement AwardMost Improved AR>90 Days Performance Within AmeriPath AP- Continued AR>90 Success with over 10% Reduction in 2010.- Improved FTE Efficiency for Orlando Billing Center- Reduced Bad Debt Expenses for 2009 and 2010- Oversaw the activities related to three phases of the Flowcast Billing System implementation and Legacy System Shut Down- Managed staff of 80 employees located in Orlando and Ft Myers FL- Monitored all compliance activities for Florida billing centers- Worked with Regional Sales team to develop collection policies for clients and customers

Us

- Director of the Orlando Billing Center and Corporate department responsible for maintaining and updating the billing systems used by the AmeriPath billing centers- Oversaw the activities related to three phases of the Flowcast Billing System implementation and Legacy System Shut Down- Administrative advocate to the IT Clearinghouse for all AmeriPath billing centers. - Conducted biweekly meetings, escalated issues within the Clearinghouse- Member of the Ameripath Enterprise System Committee- Managed staff of 100 employees located in Orlando FL and Dallas, TX

Us

- Direct financial activities for $200M Revenue Region- Oversight of $75M in AR- Managed staff of 100 employees located in 3 states- Transitioned billing activities from Ft. Lauderdale to Orando, activities included establishing severance packages, selecting, designing and overseeing build out, developing new staffing model and hiring employees- Responsible for $10M budget- Project Manager on Billing IT implementation in Indianapolis and Orlando.- Cash Collections increased 10% in 12 month period.

Us

- Direct financial activities for $200M Revenue Region- Supervise preparation of monthly financial statements- Perform trend analysis of Revenue and Expense items to ensure maximum operating profits- Develop new accounting office including hiring, training and managing financial accounting staff- Coordinate preparation of annual budget for region- Interact with Physicians, Administrators and Staff on financial matters

Us

- Direct financial activities for $50M Revenue Region- Supervise preparation of monthly financial statements- Perform trend analysis of Revenue and Expense items to ensure maximum operating profits- Hire, train and manage financial accounting staff- Coordinate preparation of annual budget for region- Assist with pro-forma analysis of potential acquisitions

Us

- Perform strategic analysis of AmeriPath Inc and all of it’s subsidiaries to determine long and short term goals for the organization

Us

- Direct activities of the Annual Budgeting cycle. Including: establishing timelines, coordinating regional budgeting activities to establish financial goals consistent with the corporate goals and presentation of the final budget to the Board of Directors for approval. - Annual Budget ~$500 million Revenue, ~$120million Operating Income- Direct New Acquisition transitions process for the finance and accounting departments. This process includes: notifying all appropriate parties of pending acquisitions prior to closing date, due diligence site visit post acquisition, preparation of opening Balance Sheet and initial general ledger purchase entry, integration/orientation visit at corporate office- Prepare quarterly financial results for Board of DirectorsForecast, calculate, monitor and track all contingent note payments to selling shareholders for the organization

Us

- Responsible for monthly consolidation and download process, including adjusting journal entries, eliminations, reclass entries, top-sided entries, monthly tax provision and EBITDA- Completed schedules used in preparing SEC reports (including 10-K,10-Q’s, etc.) including preparation of MD&A discussion, footnotes, litigation and business updates- Worked closely with external auditors in their review of quarterly and year-end financials. - Completion of flux analysis, client assistance and disclosure checklists, representation letters and legal letter updates. - Coordinated preparation of management letter comment responses and summary of proposed audit adjustments.- Assisted in the preparation of quarterly bank covenant calculations and acquisition pro-forma calculations

- Participated in implementation of SAP software - Accounts Payable and Materials Management- Identified ways to improve processes while increasing the level of service the internal and external customers received - Member of Service Level Agreement team. Responsibilities included creating agreement, and receiving buy in from other teams and the customer

- Completed the month end closing process for the Aggregate Division and PRECON pipe plant- Assisted with the Forecast and Budget preparation- Participated in the Aggregate Accounting Natural Work Team

- Direct supervision of Accounting, Cash Control and Cashiers, Payroll and Data Processing – including hiring, training and evaluating of personnel- Coordinated general ledger closing for the 250-bed Hospital, 3 Surgical Centers, 1 Home Health Agency, and 2 Medical Office Buildings – involving monthly variance analysis and development of annual operating budget- Served as Acting CFO during periods of position vacancy; Departments included: Business Office, Materials Management, Medical Records, Nutritional Services, Plant Operations, Senior's Association, Utilization Management- Completed Hospital portion of the Medicare Cost Report, and was the government contact person for the Yearly Medicare Audit- Compiled reports for State of Florida Agency for Health Care Administration- Ensured hospital was in compliance with Internal Audit guidelines- Projected weekly financial outcomes- Assisted in compiling Pro Formas for new hospital services- Liaison between external auditors and hospital

- Developed an understanding of Humana's Financial Policies and Procedures- Supervised the Data Processing and Purchasing Departments- Selected by Regional Management to assure that another Florida facility was meeting Internal Audit requirements- Assumed managerial responsibilities of Assistant Executive Director/Finance (Controller) position for 10 weeks for the 200-bed Hospital

Mba

Bs, Accounting