Responsible for directing, managing, and coordinating all activities of revenue cycle management for contracted physician practices, physician group practices, hospital based physician services, and large medical groups. • Accountable for strategic and operational overview of system-wide processes including charge entry, coding, billing, electronic data interchange, insurance collections, denials, and appeals.• In coordination with the President and Executive Vice President, helped define revenue cycle department strategy relative to overall organizational goals. • Critical responsibilities include achievement of monthly and annual goals for significant statistical performance indicators such as reduction in accounts receivable and cash collections.• Organizes, prioritizes and leads the process to resolve operational issues within the revenue cycle.• Oversees and directs the production of appropriate statistical data and accurate periodic reports related to the physician clients.• Monitor key Account Receivable statistics and adjust process as needed.

Responsible for conducting statistical analysis in a preliminary and extensive health care investigations. •Performs the analytical comparison between a provider and similar provider types in a set geographic area for a set time span for both preliminary and extensive investigations. •Conducts statistical analysis in a preliminary and extensive health care investigation. •Conducts other statistical analysis as necessary •Prepares a statistically random sample for extensive investigations. •Reviews all available sources, including federal and state statutes and regulations. •Works with IT department, team members and others to develop areas of improvement concerning investigations. •Creates word documents from investigation analysis which is submitted to clients.

Manage, monitor, and lead revenue operations for 15 physician owned, joint venture, and company owned vascular access centers located throughout California, Arizona, Nevada, and Colorado.• Accountable for strategic and operational overview of system-wide processes including charge entry, coding, billing, insurance collections, denials, and appeals.• In coordination with the Vice President of Revenue Cycle Operations, helped define departmental strategies relative to overall organizational goals. • Critical responsibilities include achievement of monthly and annual goals for significant statistical performance indicators such as reduction in accounts receivable and cash collections.• Organizes, prioritizes and leads the process to resolve operational issues within the revenue cycle.• Oversees and directs the production of appropriate statistical data and accurate periodic reports related to the physician clients.• Monitor key Account Receivable statistics and adjust process as needed.

National health care consulting provider offering revenue cycle management and recovery solutions to various health care entities including acute care for- profit and non-for-profit hospitals, emergency room physician groups, and physician private practices. • Foster relationships with client personnel at appropriate levels. Consistently deliver quality client services. Drive high-quality work products within expected time-frames and on budget. • Implement new client projects and monitor project progression, manage risk, and ensure key stakeholders are kept informed about progress and expected outcomes. • Manage expectations of client service delivery. • Stay abreast of current business and industry trends relevant to the client's business.• Effectively manage and motivate internal and external engagement teams with diverse skills and backgrounds. Provide constructive on-the-job feedback/coaching to team members, creating an innovative and inclusive team -oriented work environment. • Monitor regulations impacting third-party billing and credit and collections.

• Provide project management oversight during the organization’s acquisition of Laguna Medical System’s Managed Care Division. • Cultivate and manage new and existing business development opportunities. Develop and maintain long-term client relationships and networks.

• Provide leadership and process oversight for the department of managed care including contract compliance and underpayment recovery, insurance billing, and collections. • Coordinate with hospital, health system, and physician office managers, department managers, and line staff in identifying operational issues, implementing adopted recommendations and monitoring and control of implemented recommendations.• Expected reimbursement systems management and electronic data integration.

• Develop and administer expected reimbursement financial models in compliance with contractual fee schedules and terms ensuring the capture of proper reimbursement by contracted payers and accurate variance reporting. • Assist in the coordination and management of expected reimbursement systems for managed care, third-party, and governmental agency contracted payers.