David Lane Email & Phone Number

Chattanooga, Tn, Us

Provide senior-level operations management and revenue cycle consulting services to hospitals and health systems in roles as an interim revenue cycle director, director of business services, project manager, facilitator and consultant with a focus on all areas of revenue cycle and accounts receivables-related activities. Client facility sizes range from 25 to 2,600 beds.

Somerville, Massachusetts, Us

• Implementing KPIs, policies, procedures, and processes for the Innovation and Research Revenue Cycle.• Reviewing contracts, billing, and collections with research partners to ensure compliance and maximize collections/return on investment.

Performed a comprehensive revenue cycle assessment, identifying opportunities for improvement with specific solutions and a comprehensive action plan to realize the improvements for a two-hospital health system with three urgent care centers and 23 clinics.

• Led successful Revenue Cycle project implementations.• Managed revenue cycle integration workflow, policies and procedures development, and technical design across all revenue cycle solutions and venues.• Articulated operational and financial impacts of workflow and technical decisions to client and Cerner project teams.• Represented leadership expectations for testing strategy issue management conversion readiness and post-conversion responsibilities to Cerner and client stakeholders.• Managed project escalations, tracking status and client expectations as the point of contact for revenue cycle leadership.• Led clinically driven revenue cycle CDRC conversations across venues.• Worked closely with CIO, CFO, and revenue cycle leadership as a trusted advisor to define financial metrics, key performance indicators, KPIs, and reporting before conversion.• Participated in legacy accounts receivable planning conversations and decisions.• Provided support and guidance on third-party system workflows. Provided support and guidance to the client to ensure integrated workflows, policies and procedures development, revenue cycle testing, integration, and implementation, third-party system workflows, and trusted advisor to the client.

Established monthly reporting standards along with developing the necessary reports for senior management. Also established productivity standards for staff.

Performed a performance improvement engagement which included implementation of benchmark standards (KPIs), productivity expectations for staff, revamping accounts receivable follow-up, denial management, initial claim rejections, and charge capture protocols. These initiatives resulted in an 11% increase in monthly cash collections, and an improvement of 12% in the initial clean claims rate (69% to 81%).

Overland Park, Ks, Us

Provide revenue cycle consulting services for a 25-bed CAH which include, but aren't limited to: Vendor Management & Evaluation, identification of an additional $785,000 in Medicare Bad Debt for fiscal years 2020 & 2021, additional charge capture opportunities of approximately $1.15 million in net revenue, establishing, revising, and updating processes, policies, procedures, and key performance indicators, as well as implementing up-front collections in patient access & scheduling.

Plano, Tx, Us

Responsible for daily revenue cycle operations and process improvement that include:• Working with Cerner to optimize the use of the system, workflow/process redesign, work queue set up, and assignments with particular emphasis on the self-pay, agency, and denial work queues and workflows.• Cash acceleration and accounts receivable clean-up.• Monitoring Implementation of a denials management program.• Reducing initial claim rejections and Discharged Not Final Billed.

Gallup, Nm, Us

Responsible for daily revenue cycle operations and process improvement that include:• Working with SSI to set up additional payors on automated remittance posting and secondary claims filing as well as reducing initial claim rejections.• Developing and implementing policies, procedures and best practice standards.• Working with HIM to reduce Discharged Not Final Billed accounts receivable and maintain the decreases via improved work flows and processes.Key results are: cash collections equaling 116 percent of the 60 day prior net revenue in January and 114 percent in March, reducing and maintaining a reduction in Discharged Not Final Billed of $2.3 million in three weeks in January, 2020.

Opelousas, La, Us

Responsible for daily revenue cycle operations and process improvement that have resulted in back to back record cash collection months in September and October as a result of:• Working with Cerner to optimize the use of the system via identifying and resolving issues related to the initial system build, work queue set up and assignments, workflow/process redesign and additional training/retraining of staff on the system.• Clean up of accounts receivable.• Establishing key performance indicators, productivity standards, clear expectations and goals for the department as well as individual employees.• Initiating a succession plan and reorganization to address staff turnover due to future staff retirements/turnover.• Replacement of bad debt and self-pay ‘early out’ vendors due to performance issues. • Establishing a denial management process.• Improving communication within the department as well as our internal and external customers.

King City, Ca, Us

Responsible for the daily operations of the revenue cycle function that included:• Reorganizing the patient access function via stabilizing staff turnover, setting clear expectations and goals and improving morale during a revenue cycle management transition.• Development and implementation of a training plan for patient access for the Cerner conversion.• Organized and implemented the patient access, billing and collections staff’s participation in integrated testing of Cerner Community Works. • Evaluated performance of receivables outsourcing vendor and held them accountable for substandard performance.

Performed an operational assessment that included: • Establishment of key performance indicators (KPI’s) for the revenue cycle.• Assessed current policies and procedures and made additions and revisions as necessary.• Reviewed current contracts to ensure compliance.• Assessed current and future staffing needs as well as job descriptions.• Developed productivity standards for current and future staff.• Developed a transition plan from outsourcing to on-site hospital billing and collections.

Ridgecrest, California, Us

Responsible for daily operations of the revenue cycle functions (registration, clinic coding, billing, third party follow-up, financial posting and denial management (2 managers, 3 supervisors, 56 FTE’s).• Reduced denials by 45% by establishing a denial management program, identified reserve deficiencies and realized 4 record cash collection months.• Realized improvements in employee satisfaction and morale via evaluating staffing needs, redeploying staff, replacing a manager, supervisors and line staff that had created a hostile work environment.• Provided education, training, clear expectations and accountability for coworkers.• Established KPI’s to benchmark revenue cycle performance for hospital, clinics and urgent care centers.• These actions led to improved internal and external customer satisfaction (22 and 27 percent, respectively).

Knoxville, Tn, Us

Contract position that had responsibility for the daily operations for a of the patient accounting function (billing, insurance follow up, denial management financial posting, specialty billing, self pay follow up, internal collection agency and customer service call center) for a 9 hospital system with $1 billion net revenue and 180 FTE's in a Revenue Service Center based in Knoxville, TN.• Record cash collection months in March and August 2017.• Increased cash collections by approximately $48 million over prior year.• Updated charity care policies.• Streamlined daily billing processes, which led to a 10% reduction in timely filing denials versus prior year.• Realized a 13 percent reduction in employee turnover versus prior year.

Responsible for daily operations of the revenue cycle function in a 89 bed acute care hospital with a 24 bed RTC.

Established an on-site business office for a 185 bed psychiatric hospital in Summit, New Jersey as an Interim Director of Patient Financial Services from 10/95-3/96 and at a 575-bed acute care hospital in Fayetteville, NC from 3/96-7/96.

Managed on-site accounts receivable recovery projects in hospitals throughout the United States.

Masters, Business Administration And Management, General

Bs In Business Administration, Finance, Accounting