Ken Ramirez Email & Phone Number

Boca Raton, Fl

Responsibilities: Assisting the Business Development and Revenue Cycle Management Departments during a merger acquisition transition.Previous responsibilities as their Financial Analyst in Business Development and obtained additional responsibilities in developing Physician Pro Forma Models for Program Directors at NHC’s 155 different Hospital locations. Developed assumptions for wound care and hyperbaric treatment volume to project Net Reimbursement for the Physician.Projected charges and actual net reimbursement for wound care and ancillary services for the physician.Projected Pro-forma frequency and physician charges at the Hospital.Obtained payer mix % for Medicare and Non-Medicare patients & projected average visits per Clinic.Updated % of frequency on procedure codes which were obtained from Net Revenue and Contribution Margin Summary ReportsAnalyzed Wage Index, payment % of non-Medicare patients, average overall reimbursement %, average payment % on Medicare patients, % of treatment to total visits, and Billed E&M%.

Delray Beach, Fl

Analyzed and monitored monthly Financial Accounting Statements for 15 Regional Home Care and Clinical Communities. Developed and created their 2011 FY Budgets for each of these communities which totaled $15M in Budgeted Revenue. Developed and created Operational Overview Analysis Reports for each of the communities. This included a financial snapshot of their Revenue, Direct Costs, G&A Costs, and Net Operating Income (Month over Month & YTD). Discussed their financials in detail in the Operational Overview Analysis and the financial impact in regards to their “Budgeted versus Actuals” for their monthly and YTD targeted goals. The Operational Overview Analysis included “Operational Status” indicators in to better monitor the community’s performances on a monthly and YTD Basis. Provided “Personnel Recommendations” in how to improve their Business Revenue stream within the Residential Communities. Monitored their overtime hours in regards to their nursing services within the community and how to reduce their costs in regards to time management. Conducted Direct Costs Analysis on Billable Visits. Monitored and tracked A/R month over month and YTD (Included A/R Graphs in regards to Aging)Attended monthly Community Conference calls and worked on Special Project requests.

Boca Raton, Fl

Review Hospital Feasibility Surveys submitted from the Area Regional Vice Presidents of Development. Review and Analyze Data which had been provided by the hospital which includes; Marketing, Service Area, Competition Hospitals and Wound Care Centers, Specialties at the Hospital, Staffing Information, Construction Information, Payer Mix, Procedures, Contractual Allowances completed by the Finance Department, Wage Indexes, and Medicare Base DRGs. Review Demographics and competition anywhere between a 5 and 100 Mile Radius from Clarita’s Profile Reports. This information pertains to Population, Population by Age, Households, and Average Income. Completed $1M to $20M Business Pro-Forma Models between the Hospital and NHC. Business Model includes: Program Overview, Patient mix / Payment Assumptions, Monthly WC and HBO Volume and Charges, Hospital OP & IP Gross Charges, Net Revenue, and Incremental Costs, NHC Fee Structure, Personnel Expenses, Capital Summary & Depreciation Expense, Wound Healing Gross Charge Summary, Medicare Reimbursement for Wound Healing Center, Summarized Net Revenues and Contractual Allowances, and Medicare IP Reimbursement Calculations.

Boca Raton, Fl

Extracted financial information from multi-million dollar contracts (National and International), for Billing Projections, Revenue Bookings, Terms, Product Line, CPI and Bed Volume Increase related to Financials. Responsible for completing Financial Analysis on different types of contracts. Extracted financial information from these contracts which enabled us to generated different financial reporting pertaining to Billing, Revenue, Royalties, and Financials.Created Financial Contract Extracts and distributed to various departments within the company. Generated Financial Reporting pertaining to our Products, Professional Services, Hardware, 3rd Party Vendor Relationships, and Royalties. Completed Quarterly Financial Flash Reports for the Regional Managers, VP, and CFO. Completed “Special Projects Assignments” in relation to our different Software Product Lines. Accomplishments: Executed in the conversion of Oracle "Live Operation" from our previous Solomon System and Contract Databases into Oracle System from July 2005 through May 2006. Worked closely with Deloitte Consultants on the conversion of our Financial Database and Reporting into Oracle System.

Boca Raton, Fl

Audited Billing Department on a monthly basis to make sure Invoices were generated correctly and in a timely matter.Extracted financial information from multi-million dollar contracts, for Billing Projections, Revenue Bookings, Terms, Product Line, CPI and Bed Volume Increase related to Financials.Created Contract Extracts and distributed to different departments. Work on special assignments and tasks for different departments.Accomplishments:Discovered missed billing (Est. over 1M) on an annual basis and reported to Billing Department Team. Reported delayedBilling (Est. over 100K) on several customer accounts which triggered immediate invoices to the customers. Reported Missed CPI on several accounts.

Boca Raton, Fl

Supervised three Project Accountants in the Project Accounting Department. Daily Communication with Project Directors and Managers across the U.S. in regards to Budgets / Project Code creation so that they may log their billable hours and expenses. Reviewed Project Accountants work performance and had daily conference calls with different directors in regards to Budgets and Project Code Setup. Worked with over 200 Project Directors and Mangers on obtaining them Project Codes in order for them create their Budgets and to log their hours / expenses. Accomplishments: Assisted in creating Reporting Tools so that the Project Directors and Managers may monitor their Budgets on a daily basis for “Over-Run” Projects. Created a more efficient Flow Process on how Project Directors and Managers could obtain their Project Codes on a timely manor. Executed a quicker turn around time on obtaining Project Codes from 5 Days to 48 Hours.

Boca Raton, Fl

Promoted to Supervised and Trained in Depth three Contract Administrators in the Contract Administration Department to review contracts for the entire company. Focused on additional Financial Reporting & Projects Assignments. Supervised and lead the Contracts Department in a more efficient manor. Worked Closely with Legal Department on Financial Information pertaining to Legal Verbiage. Reviewed over 7,000 different types of contracts for the entire company.Accomplishments: Streamlined the Contract Flow Process between Legal and Finance Departments. Assisted the Legal Team on Obtaining Financial Information on different customers in regards to “Special Projects” for CEO.

Boca Raton, Fl

Promoted to Supervised and Trained in Depth three Contract Administrators in the Contract Administration Department to review contracts for the entire company. Focused on additional Financial Reporting & Projects Assignments. Supervised and lead the Contracts Department in a more efficient manor. Worked Closely with Legal Department on Financial Information pertaining to Legal Verbiage. Reviewed over 7,000 different types of contracts for the entire company.Accomplishments: Streamlined the Contract Flow Process between Legal and Finance Departments. Assisted the Legal Team on Obtaining Financial Information on different customers in regards to “Special Projects” for CEO.

Weston, Fl

Responsibilities: Generate Bi-weekly collection reports for the regional directors and collections managers for the East and Western Regions.Daily Development of Open Charge / Detail AR Analysis Reports for managers, supervisors and directors. These reports are created from Excel, Monarch and Access Programs. Daily review of the National Electronic Information Corporation (NEIC) reports on claims submission to all payers. Editing the denials / rejections from our claims submission to these payers and capturing error trend occurrences.Investigated error trends with payers & discussed what was needed to correct the issue for electronic claims submission. Accomplishments: Best Demonstrated Process (BPD) Observation, developed insurance verification forms for AR Collectors to provide data feedback regarding wrong payer / wrong address information. Initial focus of BDP is identifying “repetitive error occurrences” from hospital associates. Created an Error Trend Spreadsheet to monitor all wrong payer claim submission occurring monthly. Provide weekly Accounts Receivable Reports on wrong payer / wrong address data to all hospital associates and mangers through out the country. Hospital associates would use this feedback to identify error trends with payers and establish “track records” on the accuracy of those hospital insurance records. If the hospital information is suspect, the associated would be responsible to call the payer to verify insurance information and check eligibility.

Boca Raton, Fl

Primary responsibilities are to provide support to Regional Directors, manage of Practice Development (MPD), and CEO in the Florida Region.Assist in all managed care contracting efforts and preparation of reports in order to reinforce the value of Tenet PhysicianServices (TPS) with the payers.Assist in the enhancement of TPS Physician relationship and the MCO's. Assist on issues regarding HMO's.Accomplishments:Create manage care contracts internal files for all TPS Partners. Managed and affiliated providers to include credentials, tax I.D., conversion information, daily correspondence, and copies of managed care contract for fee schedules. Completed manage care inventories to include quantitative analysis of initiated and executed contracts sorted by providers based on applicable tax i.d. numbers.Reviewed all credentialing applications and processed through established channels and act as the gatekeeper of all physician managed care contracts by reviewing them for completeness prior to submission to MPD ­ Florida Region.Prepared quarterly reports as requested by TPS and MPD-Florida Region.Provide guidance to physician office personnel as it relates to any issues involving managed care relationship (visited physician practices as necessary).Provided assistance to Central Business Office on issues related to Managed Care, Medicaid status, tax identification number conversions, and billing information.