Harold Barnes, Mba Email and Phone Number
Harold Barnes, Mba's Location
Greater Boston, United States, United States
Harold Barnes, Mba's Contact Details
Harold Barnes, Mba work email
- Valid
- Valid
- Valid
- Valid
Harold Barnes, Mba personal email
n/a
Harold Barnes, Mba phone numbers
About Harold Barnes, Mba
Self starter motivated by new and challenging opportunities. Strong development and communication skills which enhances 'outside the box' approaches to improving productivity, efficiency, and performance. Driven to improve outcomes and bottom line, while keeping passion for quality patient care as primary focus. Strongly believe in developing others to embrace vision and servant leadership in all they do.Specialties: Organized, motivator, communicator, self-starter, trainer, developer, team player, focused on the tasks at hand, reliable; and always improving, learning and seeking new challenges.
Harold Barnes, Mba's Current Company Details
Harold Barnes, Mba Work Experience Details
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Manager, Strategic Initiatives - Revenue Cycle ManagementShields Health Solutions Feb 2022 - PresentStoughton, Massachusetts, UsFind, implement and support initiatives that improve outcomes and efficiencies in the Revenue Cycle Management process that will maximize resources and improve outcomes. Focus areas include: DIR assessments and performance improvements, Medicare Part B and updating pharmacy partners on industry trends and areas that impact financial performance. Oversee entire patient AR, statement processing, payment reconciliation and billing process for 10 specialty pharmacies.Utilize PB Billing in EPIC, QS1, Rx30, Cerner, EMPOROS, INMAR, Provider Pay, TPMS, etc. across multiple pharmacy partners.
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Manager, Revenue Cycle Management And Medical Billing DepartmentsShields Health Solutions Nov 2016 - Feb 2022Stoughton, Massachusetts, UsOversee Revenue Cycle Management Department that currently supports 34 individual pharmacies with 23 Hospital systems in 14 states with over 150 million in monthly receivables. Fully manage pharmacy reimbursement and reconciliation, continually work to improve optimization, and support specialized needs, such as: Patient AR, HCFA 1500 manual billings, Pharmacy Part B billing, cash reconciliation, etc. In 2019 launched a Medical Billing Team to support billing for Hemophilia and LDD related specialty medications. Provide monthly reporting to include payer adjustments, audits, payer initiated takebacks (DIR, Payer fees, etc.) and actively keep current with trends that may impact a pharmacies bottom line.Utilize multiple reconciliation platforms (InMar, TPMS, Provider Pay and McKesson Concierge), as well as working knowledge with multiple dispensing systems (QS1, RX30, EPIC, etc.) and multiple POS systems (EMPOROS, RMS, etc. ) Act as department representative for all new pharmacy implementations from start to go-live, as well as, collaborate with multiple stakeholders such as pharmacy management teams, implementation teams, contracting, hospital finance and treasury departments.Shields Health Solutions is the healthcare industry's first, largest and most experienced specialty pharmacy integrator, partnering with health systems since 2012 to build their own specialty pharmacy programs and accelerate existing pharmacies in a manner proven to improve and assist hospitals ability to care for their most complexly ill patients, significantly improve patient health outcomes and increase scarce revenue for non-profit systems.
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Manager, 3Rd Party Audit, Claims Reconciliation And Unapplied CashPharmerica Jan 2016 - Nov 2016Louisville, Kentucky, Us3rd Party Audit: Manage all inbound 3rd Party Insurance pharmacy audit communications (Single claim, Desk or On-site Audits) and distribute to pharmacies nationwide. Ensure compliance, deadline adherence, appeal support, enlist resources as needed and developed solid relationships with auditors and payers. Provide monthly reports on all audit activity and at risk revenue. Contributed to reducing audit discrepancy rate by 50%.Claims Reconciliation: Manage all 3rd Party Insurance receivables for the company. Successfully reduced 120+ aging skin by 80% over 5 years. Manage a staff of 24 people and streamlined work processes and developed performance tracking and quality assessment protocols. provide monthly reports on AR agings, cash to revenue, at risk revenue, payer performance, and all revenue adjustments.Unapplied Cash: Oversee reconciliation of receivables not posted to claim at time of payment. Identify and process 3rd Party payer refunds and develop process for identifying cash posting and reconciliation issues. provide monthly reporting on unapplied cash balances and refunds. Exceeded individual and department performance goals and overall short term incentive goals for past 4 years. -
Manager, 3Rd Party Claims Reconciliation & 3Rd Party AuditPharmerica Oct 2014 - Jan 2016Louisville, Kentucky, UsOversee all company 3rd Party accounts receivables, including: Claim level reconciliation, unapplied cash, open or recouped receivables over 90 days, negative and net zero remits, PLB Line Item Adjustments, manual billing for non-adjudicating customers and department reporting matrix's (i.e. Productivity, AR reporting, non-complaint payers, payer recoupment's and revenue adjustments). 3rd Party Audit - Manage all in-bound 3rd Party Pharmacy Audit communications, ensure timely compliance by pharmacies, review audit outcomes in preliminary, appeal and final stages and facilitate compliance with all state and federal rules and regulations. In addition provide detail reporting of all audit activity, revenue risk and provide statistical analysis of final outcomes for potential operational improvements to multiple levels of Senior and Corporate Management.
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Manager, 3Rd Party Claims ReconciliationPharmerica Sep 2011 - Oct 2014Louisville, Kentucky, UsOversee all 3rd party open accounts receivable for company including: Claims reconciliation, pending payments, unapplied cash, open A/R over 90 days, payor audits and recoupments, reporting and reconcilation, and open items. Supervise and manage a staff of 34 plus associates.
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Corporate Trainer - Pharmacy OperationsPharmerica Sep 2007 - Sep 2011Louisville, Kentucky, UsTrain on-site with pharmacies throughout the United States on denial resolution, billing and insurance adjudication - primarily with Medicare Part D, Medicaid, Hospice, Workman's Compensation, Auto and Commercial Insurance plans. Developed and narrated on-demand training modules as well as, PowerPoint training programs for new hires in a pharmacy location. Actively participate in new corporate initiatives and company projects.
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Office AdministratorVillage Pediatrics Jan 2003 - Aug 2007Office Administrator - managed patient referrals, billing for Behavior Healthcare provider, processed insurance appeals, collections, and was lead in setting up practice with Electronic Medical Records.
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Region Director Of Finance And AdministrationInternational Churches Of Christ Nov 1997 - Mar 2002Promoted to oversee managerial and financial accounting and budgeting, facility management, legal and human resource issues, regional staff and member church missions and communications. Worked with 21 staff members, including a variety of corporate office personnel, managed a $4.5 million operating budget with signatory authority and reported to the Geographic Region Leader and Corporate Chief Financial Officer.
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Outlet Apparel Buyer And Mobile Retail ManagerReebok Dec 1995 - Oct 1997Boston, Ma, UsManaged a $40 million apparel budget for 70 outlet stores throughout the United States. Created a 'Vector Only" product line initially exclusive to the Outlet Division - generated nearly $2 million in new revenue that was eventually launched by Reebok wholesale division. As Mobile Retail Manager - managed and operated a 15 x 100 foot on-site kiosk store promoting Reebok branded apparel at San Francisco 49'er home games. Generated $120,000 in new revenue for Reebok and increased wholesale opportunities following the inital launch in 1996. Also merchandised and operated retail booths at corporate sponsored events and trade shows thoughout the United States. -
Director Of Buying - International DivisionFoot Locker Jan 1985 - Dec 1995New York City, New York, UsHeld responsibility for a $180 million merchandise budget that included athletic footwear, apparel and accessories for Canada and Mexico Foot Locker Stores. Managed global merchandising coordination for Foot Locker's European, Canadian, Australian and Mexican divisions. Represented Foot Locker during it's initial launch into the European market, as well as, managed the company store expansion, product coordination and expansion initiatives. Extensive travel throughout Europe, Australia, Mexico and Canada. In addition to these merchandising and buying roles, managed all aspects - from planning to implementation - the company on-site Super Bowl, NFL Experience 30,000 Sq. ft. retail store throughout the 90's - as well as - one NBA All Star on-site Retail event store.
Harold Barnes, Mba Skills
Program Management
Leadership
Powerpoint
Inventory Management
Budgets
Teamwork
Management
Retail
Training
Customer Service
Budgeting
Process Improvement
Sales
Merchandising
Strategic Planning
Public Speaking
Team Building
Forecasting
Marketing Strategy
Microsoft Office
Business Process Improvement
Microsoft Powerpoint
Harold Barnes, Mba Education Details
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University Of MaryBusiness Administration -
University Of MaryBusiness Administration
Frequently Asked Questions about Harold Barnes, Mba
What company does Harold Barnes, Mba work for?
Harold Barnes, Mba works for Shields Health Solutions
What is Harold Barnes, Mba's role at the current company?
Harold Barnes, Mba's current role is Manager, Strategic Initiatives.
What is Harold Barnes, Mba's email address?
Harold Barnes, Mba's email address is ha****@****zon.net
What is Harold Barnes, Mba's direct phone number?
Harold Barnes, Mba's direct phone number is +177424*****
What schools did Harold Barnes, Mba attend?
Harold Barnes, Mba attended University Of Mary, University Of Mary.
What are some of Harold Barnes, Mba's interests?
Harold Barnes, Mba has interest in Movies And Down Time, Travel, Time With Family.
What skills is Harold Barnes, Mba known for?
Harold Barnes, Mba has skills like Program Management, Leadership, Powerpoint, Inventory Management, Budgets, Teamwork, Management, Retail, Training, Customer Service, Budgeting, Process Improvement.
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