• Direct revenue cycle projects, integrating with other areas to enhance billing accuracy, cash collections, AR balance reduction, and cash application processes.• Develop and execute strategies for improved financial outcomes, collaborating with management on collections and reimbursement initiatives.• Lead process improvements, optimizing billing, collections, and revenue.• Provide expert advice on reimbursement processes and develop related strategies.• Monitor performance metrics, analyze trends, and drive continuous improvement.• Offer leadership and coaching to direct reports, setting goals and conducting evaluations.• Address reimbursement and collection issues, ensuring effective resolutions.• Ensure compliance with policies and maintain professional relationships with external stakeholders.• Assist in developing solutions for major administrative problems and advise providers on productivity issues.• Contribute to long- and short-range planning, resource projections, and setting priorities.• Utilize qualitative and quantitative techniques in research, speech development, administrative workflow management, and productivity analysis.• Analyze and evaluate activities impacting behavioral health programs and projects.

• Led analysis to configure and modify complex information systems, supporting business workflows and functionality adoption.• Designed, configured, tested, documented, and maintained revenue cycle applications and workflows.• Provided expert technical advice on IT issues, applying advanced information technology and data principles.• Developed project plans and trained staff on policies and procedures.• Stayed updated on new developments in automated information capabilities to enhance data and information systems.• Engaged with vendors to understand software lifecycles and incorporated these into IT planning.• Recommended system and service improvements to meet current and future business requirements.• Projected organizational data growth to predict system needs accurately.• Documented workflows, data collections, and technical issues, collaborating with vendors and business partners.• Provided high-level support through problem-solving and exceptional customer service.• Implemented strategies to maximize uptime and minimize downtime.• Reviewed processes and performance for continuous improvement.• Documented software support activities accurately and promptly.• Acted as a liaison during implementation phases, providing on-site support and training.• Enhanced electronic submission and information reporting systems using state-of-the-art technology.• Oversaw setup, upgrades, configuration, and installation of hardware and software.• Served as the primary contact for system performance issues in revenue cycle areas.• Developed and monitored process improvement measurements.• Prepared analyses and reports with recommendations based on activities.• Ensured system compatibility with existing management requirements.• Managed software modifications and enhancements to avoid user disruption.• Developed support policies, procedures, and standards for customer and desktop support.

• Analyzed and improved policies and procedures in benefit coordination and MSP claims processing.• Developed health communication strategies by collecting and analyzing data.• Ensured compliance with research and analysis policies.• Translated complex data into actionable policy recommendations.• Researched and presented Medicare policies and regulations to staff and senior leadership.• Prepared healthcare policies and procedures for external stakeholders.• Analyzed communications activities and recommended solutions for agency issues.• Assessed the impact of healthcare legislation and proposed operational changes.• Served as a technical resource for information dissemination and policy development.• Responded to inquiries regarding program oversight and compliance.• Developed claims processing edits and worked with information systems for implementation.• Evaluated potential impacts of Medicare policy changes on claims processing.• Liaised with beneficiaries, providers, and partners to improve CMS processes and customer satisfaction.• Managed MSP data match agreements and ensured information exchange with private healthcare plans and employers.• Provided system functionality analysis and training for contractors.• Maintained relationships with stakeholders to support program initiatives.• Prepared position papers and briefing materials for senior officials.• Developed budget narratives, workflows, and other operational documents for branch initiatives.• Participated in policy planning and implementation for health insurance programs.• Proposed policy changes to align with healthcare reforms and beneficiary needs.• Drafted guidelines related to healthcare legislation and policies.• Served on a Technical Evaluation Panel to analyze procurement considerations.