The Arizona Partnership for Immunization (TAPI) is a nonprofit coalition that addresses immunizations, reproductive health and other critical care needs in the State of Arizona.Responsible for overseeing revenue cycle operations for immunizations, reproductive health, and recently COVID-19 encounters, for 10 County public health departments, including managing staff involved with billing, EOB/ERA payment posting, denial management, A/R follow-up, eligibility verification and provider credentialing.Key Responsibilities• Serve as the principal reimbursement contact and subject matter expert for county health department front office and clinical staff• Identify, implement and enhance revenue cycle processes and policies• Lead special projects, including IT planning, data analysis and reporting, and billing systems assessment• Monitor clearinghouses to capture rejections for immediate staff re-work and re-submission, proactively reducing the number of days in A/R• Ensure compliance with relevant regulations, standards and directivesKey Achievements• Effectively navigated through the complexities of billing for COVD-19 vaccine administration of hundreds of thousands of claims• Successfully implemented billing programs at three new public health county department clinics, allowing for reimbursement of additional services• Identified the underpayment of the vaccine administration code for claims from AHCCCS health plans, resulting in the reprocessing and additional reimbursement of thousands of claims• Collaborated with major payers and had denied claims reprocessed and paid in compliance with the Arizona State statute that provides for reimbursement of required school-aged immunizations at in-network rates, resulting in reimbursement of over $400k in the first year• Identified underutilization of the practice management system, implementing required use of features such as “task scheduler” to ensure timely follow up of outstanding A/R

ReachOut Healthcare America is the nation's leading coordinator of mobile dental services for underserved children and military personnel.Responsible for directing corporate staff involved in all aspects of centralized electronic billing and A/R functions, including insurance verification/coordination of benefits, billing, collections, cash posting, compliance monitoring and credentialing of hundreds of dentists.Key Responsibilities• Oversaw the establishment of performance standards for areas of responsibility, monitored and controlled productivity and encouraged innovations for improvement• Established direction and priorities of work activities within specific departments• Analyzed reimbursement trends and payer issues/denials to proactively implement effective solutions and prevent reoccurrences• Interfaced with provider relation representatives to resolve claims issues• Conducted internal audits, took corrective action and provided additional training as needed• Performed month end closing procedures within the required time frameKey Achievements• Collected 97% of outstanding claims from two different payers (150 days old) within first four months of employment• Reduced DSO (over 90-days old) from 42% to 13% within the first six months of employment• Maintained DSO below industry standards throughout tenure• Decreased bad debt percentage to less than 3% and reduced posting error rate to less than 2% through enhanced training and auditing• Created and implemented new digital filing system to streamline the credentialing process resulting in an 80% increase in productivity

Insight Imaging is one of the nation’s leading providers of diagnostic imaging centers providing outpatient, multi-modality imaging services.Responsible for identifying operational deficiencies and implementing continual process improvements of billing functions at regional sites, as well as managing a team of coders, billers, collectors and cash posters.Key Responsibilities• Responsible for daily review, completion and timely turnaround of billing and collections staff• Established standard work-queues to ensure that workflow and assignments produced optimal A/R reductions and positive cash flow• Responsible for the accurate management of over payments, credit balances, refunds, recoupments and unapplied payments• Audited delinquent accounts considered to be uncollectible; ensured maximum efforts were taken before assigning bad credit status to account• Provided training and on-going education for all employees of the department as well as perform annual reviews, recommend merit increases, monitor staff’s day-to-day performance and perform coaching and counseling• Assessed current and future internal and external health care trends in order to establish and ensure necessary actions were implementedKey Achievements• Improved revenue cycle management by coordinating efforts of center management and billing staff resulting in a reduction of bad debt• Successfully reduced claim denials and exceeded quarterly collection goals by 12% during tenure