● Lead and direct 80+ administrative and clinical staff serving a $3.5M business with 1,600+ clients in a community mental health center.● Oversee the admissions/intake and care coordinator departments, ensuring efficient operations.● Directly responsible for state licensing (OhioMHAS) and national accreditation (CARF International) compliance.● Streamline processes to optimize efficiency and resource utilization across clinics and contracted services.● Drive cost control, revenue growth, and operational excellence throughout the organization.● Analyze operational and financial data to inform strategic decisions and performance improvements.● Present key operational metrics and performance reports to executive leadership.● Ensure compliance with all relevant regulatory standards, including CMS, OhioMHAS, CARF, CAQH, and NCQA.● Implement quality assurance programs to uphold high standards of service delivery and client satisfaction.● Lead internal audits and coordinate with external auditors to ensure billing and coding compliance.● Spearhead the development and implementation of a custom Electronic Health Record (EHR) system.● Identify and capitalize on new market opportunities, expanding the company’s reach while maintaining quality standards.● Build and maintain strong partnerships with referral sources, clients, payers, and stakeholders.● Oversee credentialing for mental health professionals, ensuring full regulatory compliance.● Negotiate and manage third-party payer contracts, securing favorable terms and compliance.● Develop and track key performance indicators (KPIs) for revenue cycle management and operational performance.● Foster a collaborative and positive work environment, providing leadership and guidance to operations teams.● Manage employee relations, including conflict resolution, performance evaluations, and staff development initiatives.

● Streamline operational processes to enhance efficiency and maximize the utilization of available resources.● Monitor and ensure compliance with relevant regulatory standards, policies, and procedures.● Implement and oversee quality assurance programs to maintain high standards of service delivery and client satisfaction.● Provide effective leadership to the operations team, fostering a positive and collaborative work environment.● Evaluate and implement technology solutions to enhance operational efficiency, data management, and communication within the agency.● Oversee the collection and analysis of operational and revenue cycle data to inform decision-making and performance improvement efforts.● Prepare and present regular reports to leadership on key operational metrics and outcomes.● Identify potential risks to operations and develop risk mitigation strategies.● Manage employee relations, including conflict resolution, performance evaluations, and professional development initiatives.● Oversee the credentialing process for mental health professionals, ensuring compliance with licensing and certification requirements.● Negotiate and manage contracts with third-party payers, ensuring favorable terms and compliance with regulatory requirements.● Monitor contract performance and address any issues or discrepancies that may impact revenue streams.● Collaborate with clinical leadership to align operational and financial goals with the overall mission of the agency.● Foster communication between operational and clinical teams to enhance the overall effectiveness of service delivery.● Conduct internal audits to ensure compliance with billing and coding regulations.● Collaborate with external auditors to facilitate any required audits and address findings promptly.● Develop and maintain key performance indicators (KPIs) related to revenue cycle management and financial performance.

● Provide medical and behavioral health agencies/providers with insurance contracting and credentialing services● Assist Ohio community behavioral health agencies with OhioMHAS licensure and certification application and survey process● Provide revenue cycle analysis and consultation services for skilled nursing/long-term care facilities and behavioral health agencies● Conduct audits in the Business Office (skilled nursing/long-term care facilities) to ensure proper payer setup. ● Complete collections activities resulting in the recovery of lost revenue ● Provide social media management and website design services● Assist with SOP review and quality assurance improvement plans● Provide adequate training to newly hired Business Office Managers (skilled nursing/long-term care facilities)● Act as a resource for Business Office Managers and corporate staff (skilled nursing/long-term care facilities)● Provide CPR Training through the American Heart Association and the American Red Cross● Provide mobile notary services● Provide electronic notary services

● Represent the best interests of the individual in legal proceedings and decision-making processes.● Regularly assess the individual's living conditions, healthcare, and overall well-being.● Monitor changes in the individual's circumstances and adjust advocacy accordingly.● Assist the individual in making decisions related to medical treatment, education, and other aspects of daily life.● Make informed decisions on behalf of the individual when they are unable to do so themselves.● Ensure that all legal requirements and obligations are met in the best interest of the individual.● Manage the individual's finances responsibly, ensuring that their financial resources are used for their benefit.● Keep accurate records of financial transactions and adhere to legal requirements.● Collaborate with healthcare professionals, social workers, attorneys, and other relevant professionals to ensure comprehensive care.● Attend court hearings, meetings, and appointments related to the individual's case.● Maintain accurate and up-to-date records of the individual's personal and legal information.● Prepare reports and documentation as required by legal and regulatory authorities.

● Responsible for the management of the Credentialing Department: establishing, implementing, and monitoring performance goals, metrics, and processes for the Credentialing department. Prepare and maintain various reports, data, and summaries of credentialing activities.● Review and manage provider credentialing processes to ensure that policies/workflows (desktop manuals, policy updates, etc.) are followed in compliance with State, Federal, and NCQA guidelines as well as contracted health plan directives.● Identifies opportunities for improvements in the process and develops strategies to implement appropriate changes/enhancements● Respond to general inquiries and assist in resolution of administrative and operational issues. ● Responsibility for the daily oversight, training and development of a team of 6 FTE and 2 PTE employees ● Foster and maintain key relationships with government and private commercial payer contacts ● Act as initial point of contact for new client inquires● Act as a backup Credentialing Specialist completing all duties listed in previous position as needed

● Responsible for the timely completion of commercial insurance, private insurance, Ohio Medicaid, and Medicare provider credentialing request for high volume agencies● Complete and negotiate agency and provider contracts with managed care companies resulting in the agency/provider being a participating/in-network agency/provider● Spearhead the development and implementation of new policies and procedures related to contracting and credentialing that lead to increased productivity and efficiency within the department● Complete and maintain CAQH for providers● Assist billing teams with the investigation of claims denials● Responsible for IntelliSoft database projects and administration● Develop policies, procedures and clinical forms for to assist clients with OhioMHAS licensure & certification● Participate in OhioMHAS licensure & certification surveys for clients, as requested● Conduct audits on administrative and clinical records, policies and procedures to ensure agency compliance with OhioMHAS, CARF and TJC● Provide written performance improvement plans to agencies in deficient area to regain necessary compliance● Graphic design of marketing materials● Participate in special projects, as needed

● Provide day-to-day oversight of all operational areas● Ensure compliance with local, state and federal regulations and laws governing business operations● Provide policy and procedure development and review ensuring compliance with local, state and federal regulations and laws● Develop and manage organizational budget● Review and schedule all referrals for treatment● Establish Human Resource systems including an electronic employee records system ● Review, investigate and respond to unusual events within the allowed time frame● Ensure cash flow is consistent by reviewing clinician productivity and accurate billing & coding of claims● Oversee special projects including EHR implementation

Career transition and relocation.

● Responsible for the management and oversight of all revenue cycle operations for two skilled nursing facilities● Responsible for increasing referrals and admission rate through direct marketing and sales efforts

● Directly responsible for the successful recovery of $643,000.00 from agingaccounts and pending Medicaid● Responsible for the increase of the average daily census (ADC) in one skilled nursing facility from 94.35 to 111.84 in less than 6 months● Provide direct oversight of Admissions Directors● Responsible for the management and oversight of all revenue cycle operations for two skilled nursing facilities

● Responsible for daily clinical and financial operations and oversight● Responsible for the direct management of 8 interdisciplinary team member● Responsible for increasing referrals and admission rate through direct marketing and sales efforts

● Responsible for community and provider outreach for 4 outpatient mental health and substance abuse treatment center● Responsible for cultivating and maintaining new and existing accounts

● Responsible for Business Development operations company-wide, with a specific focus on the geriatric psychiatry programs● Spearheaded the rebranding of company collateral and website development, creating brand standards● Responsible for change in payor mix driving Medicare A and Commercial patients● Successfully created business development plans by conducting marketing analysis for two hospital locations and one outpatient location resulting in increased hospital ADC by 40.515% in 1.5 quarters● Provided direct supervision, oversight, and training to a team of Business Development staff members

● Receiving and processing new patient referrals from our Liaison and directly from the hospital social workers/discharge planners● Responsible for collecting and processing clinical data to obtain pre-certification for managed care patients● Verification of insurance coverage prior to admission for skilled nursing, outpatient, inpatient and IV therapy

● Interim Director for multiple skilled nursing facilities covering positions of business office, admissions, marketing, human resources

● Responsible for the daily operations management of 12 ICF group homes● Provided direct supervision of house staff including hiring, disciplinary actions, performance reviews and training● Responsible for employee scheduling and absence management