Director Of Revenue Management
Current25 bed Critical Access Hospital with 2 RHC's, 1 Fee for Service, and 1 Hospital Based Clinic. Manage 14 staff including 5 AR Follow up representatives, 2 Financial Counselors, 1 Credentialing Specialist, 1bad debt/self-pay representative, 4 Billing representatives, and 1 front desk staff, and 1 Revenue CycleSupervisor. Manage productivity, denials management, timely billing of claims, CDM price setting, and hitting AR day targets for average daily revenue an aged AR management. Report directly to the CFO creating weekly KPI graphs and keeping them up to date on patient complaints and PR issues that may affect the Hospitals communities image. Weekly staff meetings going over the top 25 high dollar claims, top 25 high dollar denials, patient complaints, discussing monthly cash goals and objectives. Take a project approach for achieving clean claim percentages by reviewing patterns of denials and working with department Supervisor to create edits to stop and hold claims to be reviewed by billers. Work closely with Patient Access manager to review registration errors and have worked diligently to collect co-pays at time of service. Current project is the MSP questionnaire attempting to achieve 100% compliance and collection of data requirements. Have brought AR days down from 66 to 51 which includes 13 AR days of self-pay. Recently completed a RFP to bring on a second Self-Pay third party vendor to determine if which vendor has a better collection ratio for the hospital.