Jeff Mcguire Email & Phone Number

United States

Dayton, Ohio

Oversight of diverse PFS hospital areas, comprised of front desk, pre-access, surgery scheduling, financial counseling, accounts receivable follow-up, receipt payment posting, medical coding, patient collections, hospital credentialing, hospital charge master, and data reporting/data analysis.Spearheading the development of a bio-pricing cost analysis tool that simplified the decision-making process related to the profitability of surgical cases based on reimbursement, internal costs, and implants. Achievement of 75% increase in net patient collections over a three-month period by implementing new patient responsibility collections program/training.Assigned by Board of Directors as Interim CEO during Hospital's post-COVID closedown process during 2020-2021.

Cincinnati Area

Management of the Central Billing Office staff (credentialing, payment posting, accounts receivable followup, customer service) to include workflows, process improvements, quality auditing measures and system enhancements to ensure the timely and accurate filing and collection of medical claims. Creation of a physician coding and compliance audit program to ensure proper coding of patient encounters through Centers for Medicare and Medicaid Services (CMS) and American Association of Professional Coders (AAPC), and American Medical Association (AMA) guidelines and benchmarks. Attainment of key performance indicators (KPIs) based on industry best practices in the areas of accounts receivable, aged receivables over 90 days, bad-debt percentage, net collection ratio, and clean claims.

Cincinnati, Oh

Successfully managed the cash collections and revenue cycle for 20+ freestanding imaging centers (MRI, CT, ultrasound, mammography, x-ray) throughout seven states. Coordinated billing, collection, and customer service operations for teleradiology services for 100+ physicians and medical centers through the United States. Creation of a new central billing office KPI dashboard to measure performance based on quantity and quality, while adhering to monthly internal goals and objectives. Implementation of a payer contract module, comparing the expected carrier fee schedules with actual payments received, capturing insurance underpayments.

Cincinnati, Oh

Responsible for the daily operations and management of cash collections and resolution of medical accounts receivable (A/R) for ambulatory surgical hospitals, acute care hospitals and specialty practice clients in Ohio, Indiana, and Texas; Leading the CBO areas which included 20 direct staff in United States and 35 staff in India, while administering accounts receivable follow-up, receipt payment posting, medical coding, and patient call center collections. Spearheading the expansion & integration of employees in India and US-based staff through electronic media conferencing to foster team collaboration and minimize cultural challenges and linguistic obstacles. Establishment of a KPI Dashboard for 13 ambulatory surgical centers (ASC) and hospital client performance in alignment with established internal goals and objectives on a monthly basis. Actualization of a central electronic-claims clearinghouse transition for all MSO clients, which led to 64% initial increase in ‘clean-claims’ submission and a substantial decrease in claims denials or delays.

Cincinnati, Oh

Assigned to successfully manage the revenue-cycle operations of MSO specialty clients: including 180+ primary care physicians in 40+ offices: cardiology, anesthesiology, general surgery, ambulance/air medical transport, psychology, ophthalmology, pediatrics, OB/GYN, mid-level providers, hospitalists, and OT/PT. Consolidation of four outdated legacy billing systems into the IDX/GE Centricity revenue cycle platform and preparation of month-end reports submitted to the executive management. Expert oversight of physician revenue cycle component with a successful $20M delivery-system turnaround, Successful launch of the Integrated Management Services (IMS), MSO which served more than 800 physicians.

Cincinnati, Oh

Promoted to Collections Manager 2/92. Originally hired as Asst. Collections Manager, responsible for the smooth daily operations of the collection team within Ohio's largest Federal Credit Union.Managed outstanding member debts, including handling of repossessions, bankruptcy cases, deceased accounts, bankcards, stock/secured loans, mortgage and equity lines, automobile, motorcycle, aircraft loans, and various unsecured signature loans.

Accounting And Finance

Education record

Education record