Mike Edwards Email & Phone Number

Tucson, Az, Us

Greensburg, In, Us

Urbana, Il, Us

Decatur, Illinois, Us

Provides healthcare financial management services to hospitals and health systems.Contracted engagements included a position as Physician Care Revenue Cycle Interim Manager at Yavapai Regional Medical Center, Prescott, AZ. Involved overseeing the CentralBusiness Office (CBO) for 94 providers for an employed multi-specialty group, which included reducing net AR days by 10 and increased average monthly cash collections over prior year by 15%, with Cerner as the EHR system.Another contracted role included serving as interim Chief Operating Officer for the Community Health Systems Shared Services Center in Fort Wayne, IN. Led the CBO for 24 hospitals in 5 states with responsibility for Billing, Customer Service and Collection Agency management.

Indianapolis, In, Us

Responsibilities: Patient Access, Financial Counseling, HIM, Billing, AR Followup, Cash Management, Customer Service, chargemaster, revenue integrity, managed care contracting, administration of multiple physician agreements, MDwise board member and Delivery System Administrator responsible for capitation agreement with 45k+ lives.Accomplishments:- Led team responsible for ACA open enrollment, screening and enrolling. CMS used our model and processes to guide other hospitals. Featured on MSNBC news. Scope expanded with Medicaid expansion in Indiana, resulting in reduced charity write-offs and self pay as a percentage of overall revenue dropped from 40%+ to less than 25%- In-sourced Medicaid Eligibility Assistance program in 2008 from 10 year outsource relationship; increased approvals for Medicaid eligibility and significantly reduced costs- Designed and built initial Pre-Access Service Center for surgery cases; later expanded to encompass all non-emergency services and championed major revisions to financial clearance and patient obligation policy- Participated in ED redesign, resulting in higher patient throughput, lower registration wait times, increased collections and financial screenings- Implemented Registration Quality Assurance & insurance verification system, increasing accuracy from 47% to 95%+, reducing annual costs $500k- Executive Sponsor & project lead for all Rev Cycle related decisions for design and move to new hospital campus- Executive Sponsor & project lead for conversion of all Rev Cycle applications to McKesson STAR. Cash flow surpassed pre-conversion levels within 7 months of conversion.- Executive Sponsor for Rev Cycle applications for conversion to Epic.- Annual cash collections increased 39% from $164.8m in 2005 to $228.6m in 2010 with minimal changes in volumes and payer mix during same period, a 7% per year average increase.- Increased Net Surplus for capitated lives from $2.8m in 2011 to $8.1m in 2013

Revenue Cycle consulting and interim management for multiple hospitals & health systems

Forchheim, De

Developed and coordinated all Revenue Cycle processes with the National Business Office and IT support during the install and post-live, with full responsibility for contracted Revenue Cycle performance metrics and client relationship management. Managed on-site registration staff and processes and developed and trained charge entry processes. Exceeded all contracted metrics.

Indianapolis, In, Us

- Designed and implemented Managed Care contract modeling and underpayment recovery process (resulted in $1.2m of recoveries first year), - Converted 2 hospitals to Siemens Invision and incorporated into CBO.- Designed and implemented Denial Management tracking and reporting, scorecards for the CBO, Revenue Cycle, and managed care payers. - Led re-engineering initiative for front-end Revenue Cycle processes as part of corporate-wide cost reduction effort with Gemini Consulting. - Planned and implemented unit billing module for recurring services. Billing time dropped from 21-28 days to 3, reducing A/R $2.0m with no drop in revenues or write-offs. - Presenter at Siemens User Group conference to highlight improved ways to use unit billing module and other system enhancements.- Developed structure, procedures and systems for new A/R unit; developed and implemented automated account processing.

Master Of Business Administration (M.B.A.)

Bachelor Of Science (B.S.), Economics