John Madison Email & Phone Number

Liberty Hill, TX, US

Remote

As supervisor of the Payment Integrity Team (PIT) I manage 7 full time employees. My team is responsible for working clinical and authorization denials as well as ensuring we receive our expected reimbursement from contracted payers and Medicare and Medicaid. I work closely with the Contracting department and Case Management to escalate any trending or.

I worked with our contracted payers to ensure we received our expected reimbursement. I identified areas of underpayment and escalated issues to our Contracting department and our payer representatives.

I worked on the Follow-Up Team calling insurance companies to ensure processing of claims.

Remote

• Lead a team of 3 for our Illinois clients, focused on operational denial improvement.
• Lead a team of 5 responsible for identifying and deploying global denial solutions around outpatient authorization denials.
• Utilized project management strategies and tools to manage expectations, clearly state and communicate steps to completion of the project, and monitor outcomes over an extended period of time.
• Worked across multiple teams, both internal and external, including clinical staff in an effort to identify opportunities and deploy solutions.

Austin, Texas Area

• Led team of three, accountable for denial improvement initiatives and overcoming and preventing final denials for our Texas market. Presented denial information and project initiatives to key market stakeholders.
• Managed project initiatives to ensure clear and timely movement on implementation and denial reduction.
• Worked cross-functionally and collaboratively with clinical and operational departments on process improvement and specific accounts for positive resolution.
• Reduced market’s denials by 41% from FY18 to FY21.
• Implemented multiple process improvement measures to decrease chance of denials.John Madison, Page 2
• Created and implemented denial prevention process for Oncology; later identified as best practice and deployed nationally.

Round Rock, TX

• Managed team of over 50 employees, including Patient Access, HIM, Billing, and Follow-Up. Accountable for all aspects of the revenue cycle metrics and operations. Presented weekly and monthly metrics to key.
• Executed growing revenue cycle and its operations/priorities, which included two new hospitals and management contract.
• Implemented software to improve revenue cycle performance, including cash posting, patient access, and reporting software.
• Managed over $20M in accounts receivables.
• Led growing team of leaders while going through rapid change with lower-level associates that included ramping up temporary employees, office space changes, temp-to-full employees, and remote associates, all with.
• Maintained average AR days in alignment with expectations of organization.

Master'S Degree, Health/Health Care Administration/Management

Bachelor Of Science (Bs), Finance, General