Kourtney Bailey, Mba Email & Phone Number

Houston, Texas, United States

- Lead full RCM assessments and implementations for a state-wide Ophthalmology/Optometry practice overseeing $40M yearly revenue. - Established protocols to centralize front-end processes (Authorizations, Scheduling, Registration, Patient Collections). - Developed future operational models including policies, procedures, operational workflows, use of system functionalities, and training programs. - Created core KPI metrics monitoring and root cause analysis procedures for key processes (Denials, Clean Claim Rate, AR Days, Charge Lag, Adjustments, Claim Rejections). - Worked directly with PM system vendors to streamline workflows and system capabilities (NextGen, Mod Med, Compulink, Greenway, Change Healthcare). - Created core monthly financial reporting package for C-Suite leadership. - Oversaw a team of 20 RCM staff members, including 4 Direct Report Managers for each RCM function (Authorizations, Credentialing, Billing/Coding, Collections/Payments). - Onboarded and oversaw offshore teams working on various RCM functions and special projects (AR Cleanup, Payment Posting, Patient Collections). - Created a denials management and prioritization strategy for Insurance AR, resulting in a 15% decrease in the denial rate.

Miami, Florida, United States

- Oversaw collections of $120+ million in yearly revenue for multi-state physician clinics (80 clinics across 6 states, 175+ Physicians and Midlevels). - Managed all functions of billing and revenue cycle for the organization. - Oversaw and managed a fully remote RCM team (4 direct report supervisors, 35 staff members). - Onboarded and oversaw third-party offshore vendors tasked with audits and special projects. - Led RCM processes through 22 acquisitions and mergers over 2 years. - Implemented process improvement and change management initiatives. - Led a full PM system redesign in Athena, restructuring all AR queues to a payer split workflow. - Created and implemented a claims monitoring and rejection resolution process, reducing charge lag from 8.6 days to 3.4 days. - Analyzed data to establish monthly reporting for C-Suite leadership and identify revenue cycle challenges and optimization opportunities.

Greater Los Angeles Area

- Coordinated with site personnel and operations leadership to monitor compliance policies and procedures related to revenue cycle management. - Managed overall functions of Billing/Collections and payor credentialing for all departments. - Developed policies, procedures, systems, and processes to ensure quality assurance and customer satisfaction above industry standards. - Worked within the EPIC system across multiple projects (AR Cleanup, Payment Posting, Billing, Reporting). - Consulted with clients to create improved workflows, improve denial rates, review mid-cycle revenue, and create individualized strategies offering a favorable ROI. - Manage the posting of over $1M in outstanding insurance payments.

Irving, Texas

- Drove operational metrics, improving productivity by 15% and increasing QA by 25%. - Managed Patient Access Verification and Call Center personnel. - Worked cross-functionally to identify and resolve Patient Access barriers, including insurance coverage, reimbursement, and financial limitations. - Created and trained leaders and staff on training programs for staff development.

Norman, Oklahoma

- Led all Patient Access functions (Registration, Scheduling, Prior-Authorization, Co-Pay Collections, Insurance Verification). - Oversaw PM system transition from Cerner to Meditech. - Performed Quality Assurance audits on Intake accounts and Customer Service calls.

Bachelor Of Science - Bs

Master Of Business Administration - Mba