Kathy Uphoff
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Kathy Uphoff Email & Phone Number

Director Revenue Cycle Patient Financial Services at Carle Health
Location: Morris, Illinois, United States 4 work roles 1 school
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Current company
Role
Director Revenue Cycle Patient Financial Services
Location
Morris, Illinois, United States
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Who is Kathy Uphoff? Overview

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Kathy Uphoff is listed as Director Revenue Cycle Patient Financial Services at Carle Health, a with 502 employees, based in Morris, Illinois, United States. AeroLeads shows a matched LinkedIn profile for Kathy Uphoff.

Kathy Uphoff previously worked as PFS Manager at Morris Hospital and Central Illinois Division Government Manager at Hshs St. John'S Hospital. Kathy Uphoff holds Bachelor Of Science - Bs, Business Administration And Management, General from National-Louis University.

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Carle Health

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About Kathy Uphoff

I am a Patient Financial Services Manager experienced in implementing policies and procedures that guide and support service levels, assess and improve the departments performance, and ensure orientation and training of staff. As a PFS Leader, I have a proven ability in leading revenue cycle improvement efforts in collaboration with the executive leadership team and cross-function departments within the organization. I'm an Enterprise Director with proven ability in identifying opportunities to control costs and improve processes without compromising patient safety or the quality of care if services delivered. Experience Highlights:-Experienced in Hospital and Physician Billing. -Billing for a general acute hospital with 60+ providers including mid-level providers.-Set up provider-based billing for all of the clinics. Experience with ePremis, Cerner, OneSource, AS400, and Availity.-Responsible for knowledge of rules and regulations for all insurance payers, including Medicare and Medicaid-Meet with insurance provider representatives to review issues and trends that have been identified.-Prepare and submit yearly budgets for department-Oversee vendor relationships within revenue cycle. Provide monthly reconciliations of AR.-Produce month end reports to show outstanding gross AR. Provide summary for each financial class and key initiates to resolve aging AR-Provide yearly evaluations of department employees and quarterly rounding-Responsible for overseeing a department of 30 employees-Manage billing and collection for all financial classes-Establish productivity measures for staff by determining the number of accounts worked per day.-Responsible for decreasing denials and maximizing reimbursement.-Balance cash posted to cash deposited-Investigate 837 and 835 issues.EXECUTIVE STRENGTHS:Strategic Planning & Execution — Revenue Cycle — Organizational Leadership — Performance Management — Training & Development — Claims Submissions — Process Improvement — Policy Engineering — Denial Management — Key Stakeholder Relations — Financial Services

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Carle Health
Carle Health
Director Revenue Cycle Patient Financial Services
Dixon, IL, US
Employees
502
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4 roles · 27 years

Kathy Uphoff work experience

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Director Revenue Cycle Patient Financial Services

Dixon, Il, Us

Pfs Manager

Morris, Illinois

I am accountable for the daily operations of facility revenue cycle functions and serve as an on-site liaison between the division and the hospital system. Reports: 32 Direct | Budget: $4.3M I oversee accounts receivable collections, claim submission follow up, controllable adjustments, customer service, and denial management. Direct a cross-functional teams, including patient services, switchboards, financial assistance, and cashiers. I train and onboard new staff members, developing a targeted training program and ensuring continued success through performance management and one-on-one touch-bases with employees. I streamlined and optimized departmental processes and established employee engagement activities.Selected Highlights: ✔ Implemented daily balancing procedures for posting payments, bringing backlog of payments up-to-date and establishing a one-to-two-day balancing process. ✔ Support the migration from multiple outdated systems and creating a centralized business offices with an all-in-one system, providing training to hospital staff on the new system, processes, and workflows to ensure an efficient go-live experience. ✔ Realized a 25% decline in denials for 2023 as a results of process improvements made within the department that affected the entire hospital.✔ Increased revenue by $30M without a large increase in accounts receivable, by reducing A/R process timeline – slashing accounts receivables, going from $56M in 2019 to $81M in 2023, and increasing collections from $15M to $24M with an increase in cash at $10M.

Central Illinois Division Government Manager

Springfield, Illinois Area

I directed provider enrollment with government payers across three hospitals. Reports: 22 Direct I led government payor initiatives for Medicare, Medicaid, and Veteran Affairs. Manage accounts receivable and denial management for three hospitals, including a small critical access hospital and large trauma hospital. Executing claims submissions follow up, lead a team responsible for denial management and registrations. Developed processed to ensure efficient billing through Central Illinois Division. Serve as an escalation point for reimbursement and enrollment issues. Selected Highlights: ✔ Supported the move into EPIC form day one with the organization, achieving a claims acceptance rate of 92% through the upgrade.✔ Set up processes and workflows for the team within EPIC, establishing productivity standards for staff through the system and identifying staff with low efficiency rates to provide targeted training to improve.

2018 - 2019 ~1 yr

Director Pfs

With Katherine Shaw Bethea Hospital, I provided financial leadership to efficiently manage and optimize the quality and efficiency of patient services and reimbursement activities in the organization. Reports: 25 Direct I led provider credentialing, managed care contracts, cash collections, denial management, and accounts receivable collection on the physician and hospital sides. Oversee claims review, claims status, and cash balancing functions. Providing exceptional customer services to internal customers with their revenue and denials process.Selected Highlights: ✔ Rapidly advanced into director level role during a department reorganization to create one centralized business office, doubling the size of the department and spearheading initiatives to cross-train all staff and building a culture of excellence. ✔ Created a centralized provider-based billing process in 2009, bringing ambulatory and satellite clinics under a systemized process, educating patients on changes to bills and coinsurance responsibilities and staff on handling questions and understanding the provider-based philosophy within the new system. ✔ Located lost revenue during transition to Cerner, setting up revenue integrity processes to ensure accurate accounting in the future.

2000 - 2017 ~17 yrs
Team & coworkers

Colleagues at Carle Health

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1 education record

Kathy Uphoff education

FAQ

Frequently asked questions about Kathy Uphoff

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What company does Kathy Uphoff work for?

Kathy Uphoff works for Carle Health.

What is Kathy Uphoff's role at Carle Health?

Kathy Uphoff is listed as Director Revenue Cycle Patient Financial Services at Carle Health.

Where is Kathy Uphoff based?

Kathy Uphoff is based in Morris, Illinois, United States while working with Carle Health.

What companies has Kathy Uphoff worked for?

Kathy Uphoff has worked for Carle Health, Morris Hospital, Hshs St. John'S Hospital, and Ksb Hospital.

Who are Kathy Uphoff's colleagues at Carle Health?

Kathy Uphoff's colleagues at Carle Health include Emily Welu, Desiree Gates, Julia Whalen, Lindsey Rentz, and Deb Hazlett.

How can I contact Kathy Uphoff?

You can use AeroLeads to view verified contact signals for Kathy Uphoff at Carle Health, including work email, phone, and LinkedIn data when available.

What schools did Kathy Uphoff attend?

Kathy Uphoff holds Bachelor Of Science - Bs, Business Administration And Management, General from National-Louis University.

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