Clemente Lopez Email & Phone Number

Dallas, Texas

 Worked person-to-person with National VP of Reimbursement in an assistance capacity Efficiently distributed financial resources to national Directors of Reimbursement to analyze, and execute in their budgets related to future financial needs and AR trends Attended key meeting documenting AR action plans that examine the budget and seek new ways to improve efficiency of workflow, polices and reimbursements Would help manage lower level associates and at times, conduct training sessions related to required information. Would also mentor associates with encouragements and self-evaluations At the beginning of each monthly budget cycle, interacted earnestly with all directors collecting components of information and reports to provide for national management team for reimbursement analysts and review Attended meetings chaired by National VP of Reimbursement with each Director of Reimbursement and documented findings, issues and follow-up items Served as the liaison between National VP and his management team. Though initially a degree in business had been preferred, my experience related to AR management, commercial agreements, personnel supervision and all the elements listed above helped with emphasizing both quantitative and analytical ideals seen as all equally important Other embraced qualifications are my strict ethical standard, objectivity and confidentiality essential to dealing with financial information, personalities and management on all levels I have a strong oral and written communication skill also very essential when guiding, mentoring and replacing personnel

Dallas, Texas

 Manager of commercial collection group consisting of ten people Provided guidance, coaching, mentoring to ensure company quality/productivity standards were achieved During my employment aged accounts over 90-days decreased from 33% to 17% Attended one-on-one meeting with Associate Director to discuss trends, actions plans, high dollars account status’ and process measures Chaired monthly staff meetings to discuss productivity/quality standard issues, payor updates, company policy updates Chaired bi-weekly meeting with Workflow Specialist to go over observed trends from data analysis Helped implement a Medical Records request process with PRC (Patient Record Center) that was HIPPA compliant as well as efficient and timely Attended quarterly conferences with division VP to get overview of company initiatives, monthly-yearly cash collections, year cash projections and charge, collections and front end volumes as well as company policy changes With strong interactive skills able to communicate with various personalities as well as correspond with various division levels Made recommendations of possible implementation enhancements as well as edits related to individual commercial payors Attended bi-weekly meetings with Managed Care division to discuss issues with payor reimbursements associated to their contracted obligation

Dallas, Texas

 A fee for service on a needed basis. Provided assistance identifying issues in Los Angles Credentialing Division Provided assistance with establishing new Credentialing Division in Rochester Reviewed and made recommendations with newly appointed Credentialing Director on possible applicants Worked with appointed Credentialing Director on ways to streamline process for better productivity

Dallas, Tex / Kansas

 Director of a radiology billing office for a physician group consisting for fourteen hospitals and two imaging centers from the point of charge to self-pay During my employment May 2006 through June 2007 all areas increased. Cash collections increased 8%, AR decreased by 22%, credit balances decreased 60% and gross DSO went from 62.69 days to 49.63 days Created a business plan, reviewing budgetary issues, budget for trends and evaluated office services directly related to those trends and made amendments if required Attended monthly teleconference meetings with national directors, Information Systems and VP of Reimbursement Ops to discuss implementation updates and system enhancements. Established a monitoring revenue cycle activity process by establishing specific reporting needs weekly instead of bi-weekly ensuring cash flow levels were preserved / improved Communicated with Hospital Administrators, Physician Groups, Controller Created career paths and helped with developing staff skills by mentoring to surpass their own mindsets. (Continues to receive emails from individuals I have mentored requesting dialogue and counsel related to their goals; though no longer with RedNet, Inc. I welcome such dialogue and understand the importance being mentored and providing mentoring) Scheduled bi-weekly Manager Meetings discussing trends, billing edits, claims processing production, posting payment concerns, account recovery and created the first steps in corrective action or system improvement requests Scheduled bi-weekly office meetings providing positive feedback in operations, sharing statistical data, identified trends, (creating an agenda for Manager’s Meeting to take corrective action or continued success) In the process of analytical data research constantly refined and established an acceptable expectation, productivity and quality standard process for staff and that of my mangers

Dallas, Texas / Detroit

 Communicated with US Revenue Cycle Solutions Team (USA Division) Communicated with Offshore Healthcare Billing/Review Cycle Team (India Division) Partnered with Cap Gemini Ernst & Young (CGEY) Managed St John Healthcare Group (Detroit, Michigan)o Under the umbrella of St John Healthcare Group include St John, Macomb, Riverview, Oakland, Providence and N. Shore Hospitals St John Healthcare Group’s overall revenue hovered at $78 million monthly St John Healthcare Group encompasses 7 outpatient clinics and a total of 18 FTE’s, which I managed at the various sites. Maintained six sets of contacts, issues, flowcharts and resolutions, in addition to the seven sets of contacts related directly to the clinics. Attended monthly Finance Committee meetings to discuss AR responsibilities, quarterly Finance Committee with CGEY Chaired bi-weekly meeting with staff; discussed cash goals, utilization of resources for productivity, expectations and consequences if those expectations weren’t met and discussed billing compliances, policies, procedures according HIPPA and facility Communicated with Medical Records and Clinical Operations to discuss denials resulting in a reduction of denials by 81% (approximately) Reviewed and fine-tuned policies/procedures, job descriptions, workflows and opened dialogue in regards to staff’s productivity standards; QA monitoring tools Reviewed SMS reports (delivered, pending, failed) any negative trends, impact on AR and shared with staff for correction Provided training/ development updates for staff and enrolled staff for updated seminars Calculated DSO reports for assessing billing/ collections efforts resulting in reducing days from 112 to 79 days. In addition resulted in AR reduction from over 90 days. Created full-time equivalent statistical data to insure the FTE increased percentage per quarter increased hand-in-hand with total medical revenue to meet target goals.

Dallas, Texas

 Reported to Patient Financial Services Director Involved with system implementation from HBOC system to EPIC system Created and reviewed existing policy/procedures as well as job descriptions to set acceptable standards for billing productivity as well as implementing QA monitoring to ensure those standards were being meet Managed a claims processing staff of twenty-six Organized and maintained contacts with Physicians and Patient Services resulting in reducing pending and denied claims Parkland is a hospital with 990 licensed beds and partnered with 9 outpatient clinics and countless outreach programs Parkland partners with UT Southwestern Medical Center, Children’s Medical Center, Zale Lipshy University Hospital, St. Paul University Hospital (these were claims which needed special attention) and teaching affiliations Texas Women’s University and Dallas Community College Created and monitored charge analysis to balance daily charges with claims submitted by payor code and pinpointed various errors Chaired meeting with Medical Records and Coding Manager for coding updates and provided claims analysis  I am able to work in a fast-paced environment professionally and manage multiple projects and meet deadlines and expectations Followed CMS billing guidelines Seminars and training development sessions were provided and planned for staff Chaired bi-weekly staffing meeting for dialogue on reoccurring pending, denials and issues by payor