Danielle Brosan Email & Phone Number

Berryville, Va, Us

Leesburg, Virginia

• EMS Cost Recovery Manager Create and manage the County’s EMS Transportation Reimbursement Program Serves as the liaison to volunteer companies, career staff, vendors, County Treasurer, DIT and Risk Management Creation and oversight of internal billing controls to maximize revenue collection Supervision of in-house staff, vendor counterparts and vendor contracts Creation and publication of quarterly and annual financial data, along with monetary disbursements as indicated by the County Ordinance• Departmental Compliance and Privacy Officer Creation and oversight of the system’s HIPAA compliance and annual training requirements Monthly research and review of all system members within the OIG List of Excluded Individuals and Entities

Remote & Travel To Client Sites

Understands and tracks the performance goals for each client and meets with each to review their current status on a regular basis. This includes an annual review of PQRI, write-off rules, credit balances and special procedures.Assists with contract renewals.Manages the resolution and documentation of client issues. Develops creative solutions to resolve through knowledge of reimbursement and industry trends.Understands and presents new solutions, functionality and services to clients.Maintains customer database to include: demographics, utilization, satisfaction level, key contacts, and benchmarking goals.Identifies new client revenue opportunities.Maintains an expert level of knowledge of all Origin Healthcare Solutions’ products, services and tools.Lead and coordinate related projects as needed.Meet or exceed MGMA best practice standards for accounts receivable performance.Demonstrates excellent customer service skills and strong interpersonal skills.Conducts daily interactions in a way, which displays a positive organizational attitude and effectiveness while modeling the organization’s quest for continual quality improvement and excellence. Demonstrates a professional appearance and demeanor.Performs all responsibilities in accordance with OHS EOS Policies and Procedures.Maintains confidentiality and ensures compliance with HIPAA Policies and Procedures.Interacts with Clients and the Client Management Team to ensure Client goals are achieved and issues are addressed/resolved in a timely and appropriate manner, to ensure customer satisfaction.Ensures compliance with Federal and State Regulatory Requirements on the part of self and Operations.Works with two contract coding and AR teams internationally.

Fishersville, Va

○ Manages daily operations of a nineteen-provider hospitalist group○ Supervises a staff of coding and charge entry personnel; accuracy auditing and entry timeliness○ Develop and adhere to an annual budget○ Performs coding and documentation audits for the practice to ensure that providers and staff stay compliant with Federal, State and Payor guidelines○ Auditing and Coding for other in-patient specialties: Pulmonology, Cardiology, Infectious Disease and In-Patient Psychiatry○ Provide Regulatory and Compliance updates to providers and office staff○ New provider on-boarding and orientation○ Hiring, termination & discipline of office staff; Payroll for providers and office staff○ Maintain CME files for Boards, Malpractice Insurance and facility-contract adherence ○ Keep all providers up-to-date on State medical licensure, DEA licenses and Board certifications

o Serves as point of contact for clients of medium to large size, independently providing high level client management services as well as ensuring client access and exposure to specialized financial, reimbursement strategic and information management services o Regularly conducts client meetings to review accounts receivable performance, payer issues and trends, client's business strategies, and physician compensation plans. Discussions and recommendations are expected to take into consideration the Company operations, local and national issues and trends as they affect the client and other issues as needed o Maintains day-to-day relationships with existing clients, medium to large in size, collecting and clarifying information with the client, communicating project or program plans and progress, and answering client questions, all within the Director area of expertise o Performs periodic billing audits for assigned clients to ensure that utility files, billing parameters, electronic transmissions, demographic, billing, payment and insurance verification interfaces are utilized as appropriate o Supervises the preparation, analysis and presentation of all Client Management deliverables (including A/R measurement statistics and payer trends, fee schedules, ad hoc financial reports) ensuring their relevancy, accuracy and overall quality. This may require interaction with operations management and third party payers. o Interventional Radiology and Diagnostic Radiology Coding - Personally code 25,000 IR procedures annually o Ensure timely and accurate billing of radiology charges for over 20 hospital-based physicians and two Independent Diagnostic Testing Facilities o Regulatory and Compliance Updates and Education to physicians and their office staff o Construct agenda and educate physicians on annual changes from CPT, AMA and ACR o Negotiate Commercial Insurance payer contracts o Physician credentialing and licensing

o Supervise office of Revenue Cycle Management personnel, 10+ employees (coding, demo/charge entry, payment posting, denial management, collections) o Ensures claims are billed in an timely and accurate manner, and in accordance to payer requirements o Develops procedures to reduce claims errors and ensures that denied claims are resolved in a timely manner o Identifies slow paying accounts and recommends a course of action to collect on past due balances o Provides training and development of reimbursement A/R associates and ensures that all associates are compliant with department policies o Helps develop, implement and monitor employee performance to measure productivity and to identify areas for improvement o Conducts employee reviews, coaching and counseling sessions and disciplines associates when appropriate o Ensure compliance with government healthcare reimbursement regulations o Develop and modify work processes o Audit billing and payment practices to Medicare and other Governmental Payers, Commercial Insurance Payer contracts and OIG compliance

o Marketing: Exhibit at state chapter and national society meetings for radiology and pathology o Outside Sales:Territories including: Virginia, Maryland, Pennsylvania, Ohio and West Virginia