Director Of Revenue Cycle Operations, Physician & Subsidiary Services
Created and implemented successful charge velocity and reimbursement strategies for physician and outpatient facility revenue cycle operations in excess of $100 million annually, while focusing on building a robust and efficient team of 50+ professionals. Demonstrated expertise with patient access, referrals management, A/R recovery and denials management, KPI accountability and revenue cycle optimization for all entities within Forum Health Services. Selected Accomplishments:• Developed and implemented RCM strategic playbook for $100 million book of business, maintaining A/R over 90 days at 20% or less, DSO at or below 42, and payer denials at less than 6%, helping to lead facilities to sustained bottom line profitability.• Spearheaded consulting engagement for an orthopedic surgery center optimizing workflows and discovering more than $300k in monthly missed revenue opportunities.• Instituted a time-of-service collection policy at several facilities for patient co-payments and self-pay obligations resulting in $240,000 in cash flow improvements over a four-month period.• Created coding specialist positions at key facilities to capture and maximize revenue. These positions resulted in an average revenue increase of 28% at Homecare, Diagnostics, Pharmacy, Urgent Care and Occupational Health.• Led a Revenue Cycle and Business Operations Task Force that identified $120,000 in cash flow improvements. This task force also identified $10,000 in transportation expenses that were eliminated by utilizing the Forum Health Services Courier.• Generated monthly KPI report detailing cash collections, bad debt, A/R over 90 days in age, case mix index and front-end quality improvement measures. The report was reviewed monthly with CFO, SVP of Finance, and COO of Forum Health Services.