Debbie Jefferson Email & Phone Number

Salt Lake City, Ut, Us

Responsible for developing and executing the strategic plan for revenue cycle management and oversight of Billing and Customer Support teams to set the standard for quality, delivery and cost.

Austin, Texas, Us

Owns the revenue cycle's strategic direction, goal setting, and performance management with a $2.2M budget and $195M gross earnings. Provides oversight and operational guidance of billing and collections with 1 Manager, 2 Supervisors, and an indirect team of 1 Supervisor, 1 Lead, and 47 FTEs.▻ Reduced AR by $8M within 6 months and moved AR <90 from 74% to 89% by converting the collections team from a paper-based to an electronic workflow. ▹ Added the ability to capture, trend, and develop collections actions/weekly strategy based on account status and denial trends. ▹Formalized escalation process for aged balances.▻ Transitioned team to remote work during Covid-19 without negative impact to billing or collections performance by implementing web-based training and virtual team-building events and partnering with IT to set up infrastructure including MS Teams and shared drives.▻ Engaged with External Collectors, External Legal offices, and service providers including litigation, bad debt agencies, reducing bad debt, and write-offs.▻ Executed collections strategies including implementing a system to prioritize resources to attack outstanding balances, improving team performance and delivering the best results based on individual account circumstances while maintaining customer relationships.▻ Distributed annual, quarterly and monthly forecasts to the executive team by partnering with finance to develop cash flow projections and contractual adjustments accrual models.▻ Developed and oversaw strict internal controls over policies procedures, safeguarding the company from potential losses while complying with HIPAA, Medicare, and government regulations. Prepared responses to formal external audits.

Austin, Texas, Us

Supervised a revenue cycle team of 33 specialists and a budget of 1.9M to ensure revenue and billing information integrity. Provided input in strategic planning with the Revenue Cycle Leadership team as a subject matter expert. Responded to complex and escalated cases.▻ Reviewed outstanding accounts receivables and initiated collection actions including contacting each unpaid account, decreasing days in AR from 68.2 to 60.5, reducing AR from $34.7M to $28.6M, and increasing cash collections on average $1.7M per month. Captured $160M gross revenue annually.▻ Created a dashboard and multiple reports in Excel and developed KPIs and associated procedures to address limited documented processes, improving leadership teams' access to actionable data. Trained leadership and executive team on new capabilities including why the KPIs were necessary to track.▻ Developed formal escalation protocol for reviewing and recommending accounts for legal action, proactively compiling necessary records and safety checks in well-vetted documentation packaged together for the legal team.▻ Coordinated with SMEs from cross-functional departments to create and deliver training, improving communication and functional understanding in the team. Opened opportunities to brainstorm process changes and established ongoing feedback loops.▻ Reviewed and reported on accounts for charge-offs, gaining leadership approval. Supervised charge-off procedure and creation of reporting documentation for the collection agency.▻ Monitored and managed retail credit portfolio via Excel spreadsheet with data imported from PIMS Billing System and Tableau, minimizing bad debt provisions and reducing losses.

Round Rock, Tx, Us

Led a team of 3 direct and 21 indirect staff with $17M gross revenue and an average Gross AR of $2.4M. Created and implemented best-practice revenue cycle metrics for a national clinical diagnostics laboratory. Providing strategic direction for the department and company vision with a $1.4M budget.▻ Drove average Gross Days in AR down from 106 to 36 with monthly collections averaging $1.58.M by developing and utilizing trending metrics as a springboard for improving multiple processes and initiatives. Established 360 performance transparency to executives, department heads, and the Revenue Cycle Team.▻ Shortened average days to bill from 7 to 2; improved accuracy of data integration with Tableau, increased AR under 90 days old from 38% to 86% by overhauling existing Billing System. ▹ Reviewed and corrected the setup of all system tables and parameters. ▹ Implemented billing, collections, and cash posting work queues. ▹ Established metrics and productivity tracking and created a tool to estimate cash flow projections.▻ Championed smooth RCM operations while minimizing cash flow disruption during two changes of ownerships occurring within 10 months, maintaining stable cash collections.▻ Led implementation of Billing Information System as a key stakeholder, improving insights and providing vital information to the leadership team. Designed Excel dashboards and reports and created analytics. Partnered with IT to integrate billing data with laboratory information system

Us

Managed, implemented, and maintained revenue cycle metrics services and professional billing for rural or small community healthcare systems in Texas, Oklahoma, and Louisiana including 5 hospitals and 19 clinics with a team of 2 Project Managers and 1 Vice-President with indirect reports (2 Managers, 2 Team leads and 38 FTEs).▻ Swiftly onboarded clients in financial crisis to implement cash increase and acceleration processes, facilitating annual Gross Revenue of $313M+ and Collections of $101M+ with a $2.1M budget.▻ Managed 4 billing system conversions in 1 year for multiple healthcare facilities, transitioning facilities to compliant systems that increased efficiencies with minimal cash flow disruption.▻ Presented at 2 industry conferences as SME for all things revenue cycle to 60+ attendees, generating executive-level leads including CFOs and CEOs.

Us

Recruited by founders as the first employee. Served as the Revenue Cycle management Expert to pitch the company's revenue cycle outsourcing services in front of hospital Boards of Directors, CEOs, and CFOs. Assisted executives in landing new clients. Holistically grew team from 0 to 33 employees including 2 managers and 1 lead.▻ Hired, mentored, and trained a collaborative team to provide proven value to customers, consistently achieving KPIs, meeting client collections goals, and achieving both company and team bonus thresholds.▻ Attended Client Development functions, association conferences to network and present to conference attendees, developing leads and assisting sales team to land clients.▻ Created KPI, metrics, and reports, providing a transparent review of monthly performance with the CEO, CFO, and Board of Directors or Finance Committee for each facility.

Us

Oversaw revenue cycle activities at 4 hospitals and 7 clinics across two states (TX and OK). Achieved and maintained leading practice revenue cycle metrics throughout the organization. Directly supervised 3 managers with an indirect team of 34 employees, 1.6M budget, and $85M gross revenue.▻ Reduced Days in AR from 127 to 46 within 8 months, increased cash collections by $436K (avg.) per month; reduced AR over 90 days sold from 68% to 7% within the first year by analyzing AR and creating a system to prioritize collections assignments.▻ Identified process opportunity and partnered with CFO to implement compliant bad debt process, resulting in a $1.25M Medicare Cost Report receivable.▻ Spoke at TORCH Conference in Dallas, presenting "Innovative Approaches to Revenue Cycle Management" to 100+ attendees followed by Q&A.▻ Improved insurance benefits verification, increased cash collection, lowered bad debt write-offs, and decreased patient complaints and billing errors by Consulting with key stakeholders to identify revenue cycle performance issues and partnering with patient financial services leadership to develop action plans

Greenwich, Ct, Us

Director of Patient Financial Services, Heart Hospital of Austin, Austin, TexasDirector of Billing and Client Services, Esoterix, Inc. (Laboratory Corporation of American, Inc.), Austin, TexasDirector of Business Services, HCA Healthcare Network, Austin, Texas