Extensive background in healthcare, Revenue Cycle, SAAS and Client Success. Managed growth of Revenue Cycle Automation Solutions for start-up company that went from one product with one client to five products across over 120 hospitals. Lead enterprise and non-enterprise C-Suite Client Management and have NRR of 125% across those clients. Experience working with Cerner Charge Services Architecture, Revenue Cycle Analytics, Software Product Management and Software Delivery. Directed growth of Reimbursement and Cost Analytics Program for the largest Children's Hospitals in the world which included NRR 110%, user group management, adoption and ROI metrics.
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Managing PartnerAdvolve Partners Apr 2023 - PresentChicago, Us -
Vice President, Client SuccessAvelead Jan 2020 - Mar 2023Suwanee, Georgia, UsOversee Revenue Cycle client management for 14 clients ranging from 100 Hospital Health System with 100-500 bed hospitals to 25-Bed Community Hospitals 105% Net Revenue Retention for managed clients Primary contact for C-Suite related to 95% of revenue-generating hospitals and clinics Sold, delivered and expanded $6.5 million in Revenue Cycle business (combination of software and professional services) Provide leadership and actionable results to identify revenue and charge capture opportunities to drive an increase of 2-5% net revenue Lead project resources internally and externally for 160+ projects since 2020 Managed development and expansion of 7+ net new Revenue Cycle Automation software solutions Manage metrics related to NPS, CSAT, Product Adoption and Client Health ScoreIncreased product adoption 50% NPS improvement 20% Implemented new Client Satisfaction Program around training, education and delivery -
Director, Revenue Cycle Client Success, Delivery And ProductAvelead Jun 2017 - Jan 2020Suwanee, Georgia, Us• Provide consulting and recommendations to Cerner hospitals during pre-implementation design, implementation and post-implementation phases• Revenue cycle, charge services and patient accounting optimization • Develop Master Build Audit Tool (MBAT) report analyses and provide improvement opportunities for hospital system build, workflow guidance, implementation and maintenance services• Provide guidance to hospitals around charge capture, revenue integrity and overall revenue management• Manage multiple project tasks and revenue enhancements for multi-hospital health systems, large academic medical centers and non-profit hospitals • Provide leadership to achieve actionable results that improve hospital financial performance and system build integrity • Use combination of Clinical and Financial knowledge to ensure that the appropriate synchronization is achieved to maintain a fiscally, clinically and compliant clinical/financial system• Identify revenue and charge capture opportunities to drive positive net revenue results• Lead multiple project resources internally and externally for multiple projects -
Director, Financial Operational & AnalyticsChildren'S Hospital Association Dec 2015 - Dec 2017Washington, District Of Columbia, UsPrimarily responsible for assisting hospital members to achieve meaningful and actionable financial and operational results from Children’s Hospital Association comparative data products. Engagement methods include: • Develop opportunity-driven analyses and content for targeted member hospital executives and other audiences for financial or operational improvement work • Learn from member hospital successes and develop effective methods for spreading the knowledge • Increase value received for hospitals participating in Association data products and services • Provide performance and financial improvement consultation as needed to member hospitals • Provide input in improving tools and content -
Revenue Cycle Solution ArchitectCerner Corporation Mar 2012 - Dec 2015Kansas City, Missouri, UsClinically driven revenue cycle integration, expertise and charge captureCerner clinical application knowledge and automatic revenue generation from these applications Clinical workflow knowledge and recommendations for future state Manage multiple projects ranging from small acute care rural hospitals to large multi-hospital IDN’s from project kickoff through conversionTrack revenue and resolve revenue variance gaps Train all department directors on revenue reconciliation as well as Cerner reporting to track revenue Provides solution functionality and troubleshooting support to clientLead and manage multiple testing events; system review, design review, system validation, unit testing and integration testing Lead discussions with C-suite to resolve revenue gaps, future state revenue resolution and training/workflow gaps Have led and converted 25+ Cerner hospitals -
Database Manager / Outpatient Pharmacy Electronic Claims CoordinatorDepartment Of Veterans Affairs Jul 2011 - May 2012Run daily, monthly and fiscal year billing revenue reports for each siteMonitor electronic claims transmission from CPAC to payers Identify trends, patterns, deviations, and errors in billing databaseControls, reviews and evaluates system error reports from payers and other sourcesMaintain a log of error reports, sources, corrective action taken and timeliness Maintains control of and reports on software patch implementation and ensure that all patches are implemented in accordance with established policies, procedures and deadlines Provides assistance to billing/collections staff on system operations and enhancementsReview claims for healthcare services, equipment and/or medication in accordance with prevailing CBO guidelines Ensure systematic and ad-hoc management reports reflect correct days-to-bill, amount billed, CPT Develop remedial actions for higher claims productivityPrepare correspondence, reports and memoranda to improve billing operations Emdeon, Trailblazer and other clearinghouse support Monitor and maintain accurate and timely integrity of file databases Healthcare support collaboration with billing, health information management, accounts management, compliance, and operationsGenerate revenue for veterans medical centers through the resolution of rejected electronic pharmacy claims from third-party insurance carriersReview prescription and drugs to determine if drug is payable, correct script, quantity and provider Determine if prescriptions need further utlization review or request of information
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Health And Welfare Claims AnalystBoilermakers National Funds Mar 2007 - Jul 2011Processed and coded CPT/HCPCS and revenue codes for medical, vision, dental, and hospital claims as well as determined correct modifiers for billed claims Plan document review to follow guidelines set by board of trustees and gather any information needed for appeals analysisVerified participant eligibility and reviewed insurance files to determine effective datesChecked provider credentials (degree, license, address, etc.) to make sure it was a payable providerProject lead for $2 million Medicare reimbursements with deadline submitted and cross reference of providersNegotiated out-of-network high dollar hospital claims to save money for the fundProcessed New York and Massachusetts tax claims to pay additional tax amounts charged by each state for medical claims. Analyzed daily diagnosis codes, procedure codes, and member benefits.
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Employee Relations/Claims Improvement RepresentativeBoilermakers National Funds Nov 2008 - Nov 2009Meetings with claims manager to create efficiency improvementsAdjusted current procedures to accommodate plan document changesMonthly meetings with HR director and management regarding policies, employee relations, and contract issuesMaintain confidential employee information and recordsAssisted in formulation and writing of policy updates, adjustments, and memorandums
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Marketing SupervisorShawnee Fitness Club Dec 2005 - May 2007Ran full marketing department for $4 million, 125,000 square foot workout facility Developed marketing and advertising campaignMembership sales presentations and website managementPersonal relations and communication with club membersHandled confidential client health information and financial informationPerformance appraisals and review of marketing staffRevenue reports analysis and goal setting
Greg Forshey Education Details
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University Of Saint MaryMba With Concentration In Human Resources -
University Of Saint MarySports / Business Management
Frequently Asked Questions about Greg Forshey
What company does Greg Forshey work for?
Greg Forshey works for Advolve Partners
What is Greg Forshey's role at the current company?
Greg Forshey's current role is Vice President, Growth and Client Success.
What schools did Greg Forshey attend?
Greg Forshey attended University Of Saint Mary, University Of Saint Mary.
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