Chad T. Email & Phone Number

Portland, Oregon, Us

•Spearheaded the design and implementation of comprehensive metrics and reporting tools aimed at optimizing provider services within the healthcare organization.• Collaborated closely with cross-functional teams to identify key performance indicators (KPIs) and metrics essential for evaluating provider efficiency, patient satisfaction, and financial performance.• Utilized data analysis and visualization techniques to generate insightful reports, enabling stakeholders to make data-driven decisions and drive continuous improvement initiatives.• Regularly reviewed and refined metrics based on feedback, industry best practices, and evolving organizational needs, ensuring relevance and effectiveness in measuring service delivery excellence.• Led educational initiatives to keep healthcare providers abreast of the latest coding and billing regulations, specifically tailored to the nuances of Hematology and Oncologic service lines.• Developed comprehensive training materials, workshops, and presentations to enhance provider understanding and compliance with coding standards, documentation requirements, and billing protocols.• Conducted regular training sessions and one-on-one coaching sessions with providers, addressing specific coding and billing challenges, clarifying complex coding scenarios, and promoting adherence to regulatory guidelines.• Collaborated with compliance officers and coding experts to interpret and disseminate updates to coding guidelines and regulations, ensuring alignment with organizational policies and industry standards.•Played a pivotal role in identifying root causes of claim denials and inefficiencies within the revenue cycle and clinical practices, fostering cross-departmental collaboration to implement targeted process improvements.• Conducted thorough analyses of denial trends, workflow bottlenecks, and revenue leakage points, leveraging data-driven insights to develop and prioritize improvement initiatives.

Cheyenne, Wy, Us

•Designed and implemented front end collection processes increasing collections by 450% in the first quarter of implementation•Optimized authorization workflow and work drivers for the Pre-Service department reducing the number of unauthorized services to <1%•Identified manually intensive data collections tasks within the revenue cycle and reduced the manual work by 89 hours in the first quarter of implimentation•Developed denial strategies for Patient Access to review and develop mitigation plans in collaboration with Patient Financial Services, and Care Management•Developed and implemented revenue cycle communication plans to identify high impact revenue opportunities with prescribed escalation algorithms to resolve•Ensured the daily Patient Access and Financial Navigation efforts for organizations progressed toward identified metrics

Chicago, Il, Us

•Designed and implemented front end collection processes increasing collections by $13M annually•Reduction in hospital AR days from 60 days to 46 days•Identified manually intensive data collections tasks within the revenue cycle and reduced the manual work by 400+ hours each month•Developed denial strategies for multi-billion dollar healthcare organizations across the US with savings exceeding $40M•Developed and implemented revenue cycle communication plans to identify high impact revenue opportunities with prescribed escalation algorithms to resolve•Ensured the daily Denial Prevention efforts for organizations progressed toward identified metrics•Reduced avoidable denials by 35%

Centennial, Colorado, Us

•Provides leadership, mentoring and training to Financial Counselors, to improve job competencies and drive performance to achieve operational goals in the areas of customer service, quality, and collections. Develops a high performance team as measured through achievement of benchmark process outcomes, audit and compliance results, financial goals and employee satisfaction.•Develop and integrate processes across 5 hospitals in the northern metro area.•Transitioned team to a remote option, increasing employee satisfaction by 70% and employee engagement by 56%.•Partners with a broad range of National and Regional leadership, and staff including Medical Group operations, Community Benefit, Case Management, Medical Center Operations, Member Services, IT and Patient Financial Services to provide leadership, coordination, guidance, and influence to ensure seamless, effective and patient-friendly operations. Establishes and maintains effective working relationships with peers, superiors and subordinates, clinicians, and other internal/external clients to promote a collaborative environment.•Creates, plans and manages implementation of projects to re-engineer and optimize processes for Financial Counseling application processing, presumptive charity handling, member financial counseling and pre/post-service collections to achieve strategic goals and key program success indicators.•Serves as the organizational expert for all internal and external (third-party/governmental) programs that could be utilized to assist members and non-members who express difficulty paying for their care, and participates with the regional Financial Counseling community of practice to facilitate regional policy implementation.•Serves as the organizational expert for all financial counseling activities, including industry best practices.•Performs audits and reconciliations as required by internal and external compliance/regulatory groups.

Aurora, Co, Us

•Lead project implementation of PB billing unit.•Hire and train staff for the physician billing group. •Define and develop pathways in EPIC to bill services for new service lines. •Assure billing compliance with regulatory and contracted payers. •Manage PB AR for the hospital as well as mitigate instances of avoidable denials. •This position is responsible for independent, advanced, and complex data analysis for Children's Hospital•Physician Revenue Cycle Management and requires an in-depth understanding of healthcare finance and reimbursement methodologies. •Formulates reports and presentations to communicate findings to key revenue cycle stakeholders. •Provide analytic support to C- Suite management and staff. •Prepares in-depth analyses ensuring the accuracy, reliability, and timeliness of requested analyses and provides an interpretation of findings to revenue cycle leadership. •Identifies and reports revenue performance and billing trends and opportunities to appropriate departments and staff. •Serves as revenue cycle subject matter expert in MedAssets, Invision, and EPIC Resolute revenue systems. •Utilizes MedAssets, Invision, and EPIC as well as other reporting tools to produce revenue cycle reports and performance benchmarking summaries. •Facilitates reporting and revenue cycle data workgroups as needed.

Denver, Co, Us

• Directs and coordinates the activities of virtual employees.• Develop work procedures and expedites workflow; assigns duties and reviews work.• Trains staff on varied scheduling guidelines and functions• Resolves operational and unforeseen procedural problems. Oversees staff negotiations betweenemployees.• Maintains working knowledge of each area to ensure competency in all departments’ functions.• Assures staff has accomplished all mandatory training.• Conducts all performance evaluations on time.• Conducts Quality Assurance auditing of scheduling, verification functions, call handling andcustomer service skills.• Monitors staff attendance and the use of break/lunch times to assure proper phone coverage.• Ensures adequate shift coverage. Hires new employees, conducts interviews to assure properstaffing.• Monitors call center performance live, daily, weekly and monthly.• Plans for and problem solves human resource allocation during busy times to decrease wait time.• Collaborates with IT department regarding call routing concerns and flows.• Prepares necessary and required reports to management (i.e. call center, productivity and qualityreports.• Documents, resolves, and responds to patients and/or patients’ representatives in a timelymanner• Works as a liaison between multiple clinics and appointment center to ensure clarity in standardwork and updates clinic flows as necessary to ensure scheduling accuracy and consistency.• Maintains standard work documentation, training tools and department policies and procedures.• Keeps department management and staff informed on pertinent information. Completes assignedresponsibilities in a timely manner, adheres to work schedule with a positive attitude.• Participates in LEAN projects and meetings related to department and hospital operations Establishes relevance of information and formulates logical conclusions.

Denver, Co, Us

•This position is responsible for independent, advanced, and complex data analysis for DHH •Physician Revenue Cycle Management and requires an indepth understanding of healthcare finance and reimbursement methodologies. •Formulates reports and presentations to communicate findings to key DHH revenue cycle stakeholders. •Provide analytic support to DHH management and staff. •Prepares in-depth analyses ensuring the accuracy, reliability, and timeliness of requested analyses and provides an interpretation of findings to revenue cycle leadership. •Identifies and reports revenue performance and billing trends and opportunities to appropriate departments and staff. •Serves as revenue cycle subject matter expert in MedAssets, Invision, and Signature revenue systems. •Utilizes MedAssets, Invision, and Signature as well as other reporting tools to produce revenue cycle reports and performance benchmarking summaries. •Facilitates reporting and revenue cycle data workgroups as needed. Participates in other work-groups on behalf of physician revenue cycle management. •Additional duties as required.

Aurora, Co, Us

•Provide escalation point for University Physicians. Respond to Doctors, Patients,•Faculty, Staff, and Employees of University Hospital, The Childrens' Hospital, andNational Jewish Hospitals. •Review and respond to all Collection Agency inquiries, regarding validity and legality of patient charges. •Approve patient accounts for legalaction and collection. •Monitor financial statements from collection agencies for accuracy. •Provide final point of escalation for Patient Services. •Approve contractual adjustments for non-contracted insurance companies and audit approved accounts for properpayment.•Provide clerical and research support for the Denial Specialists, including researchingrejection reports, carrier payments, and coding denials. •Help resolve carrier issues, including but not limited to, Medicare, Medicaid, managed care, and commercial insurance. •Research CPT-4 and ICD-9 coding guidelines and various carrier payment policies to resolvedenial issues. •Print, sort, mail, and file corrected or appealed claims. •Pull supporting documentation for resolution of denials, including charge forms, EOBs, operative reports, and visit documentation. •Post comments for follow-up or appeals process using IDX BAR, EPIC and/or PCS applications.

Chicago, Il, Us

•Exceeded sales targets by $1.2M•Established monthly goals and coaching for each sales representative leading to an average 6 month improvement in sales by 17% per SR•Analyzed data to identify potential up-sell opportunities with business clients leading to $550K in incremental sales

•Overhauled existing employee on boarding processes resulting in an increase in performance of 33% and quality metrics by 130% for new employees in their first 3 months•Oversaw the development of more robust reporting for the sales team to identify new growth areas for sales team•Reduced overall headcount by 23% while exceeding revenue goals by 20%•Developed processes to proactively identify underperforming contract and renegotiate terms thus increasing revenue from those programs by 17%