Nick Gwin Email and Phone Number

Healthcare and business consulting for various physician practices. Primarily short term, project related engagements.

Oversee all business and operational matters for single location Multi-Specialty practice that includes Internal Medicine, Cardiology, Gastroenterology and an Ambulatory Surgical Center, as well as numerous ancillary services. Directed all areas of the business including accounting, billing and collections, HR, IT, clinical and purchasing.Major Accomplishments: Restructured the billing and collections department to run more efficiently with fewer staff. Put policies and procedures in place to streamline workflow, reduce costs and improve the overall efficiency of the practice. Replaced poor performing staff, reduced the amount of overtime and staff redundancies resulting in a stronger more capable staff while also reducing the payroll expenses by over $250K annually. Moved the practice further into the Electronic Medical Record, increasing overall clinical efficiency and reducing charting errors.Improved employee morale and patient satisfaction.Managed and supervised approximately 90 employees.

Oversaw all operational and billing matters for the 8 hospital owned physician practices. Specialties included Family Practice, OB-GYN, Orthopaedics, General Surgery and Oncology.Major Accomplishments: Worked with the physicians and IT staff of the hospital to review and select an EMR and billing software to be used by all of the physician practices. Developed a plan to centralize the billing and collection functions for all the practices.Worked directly with the administration of the hospital to improve the relationship between the physician offices and the hospital. Assisted the hospital administration with short and long range planning for the development of the physician practice aspect of the hospital business.

Oversaw all business and operational matters for single location Gastroenterology practice, in-house CT and Ultrasound facility, and in-house Pathology lab and Pathology practice.Major Accomplishments: Facilitated the separation of this practice from a large multi-specialty practice; setting up a new corporation, built new facilities, furnished facility, put phone and computer systems in place, established policy and procedure manuals and hired staff. Assisted in growing the practice from 6 physicians and 1 CRNP to 9 physicians and 6 CRNP’s.Added Ancillary services of CT, Ultrasound and Pathology.Grew the revenues of the practice from approximately $5 million annually to over $15 million.

Oversaw business office to include billing collections, scheduling and registration. Major Accomplishments: Implemented new billing software and various procedures to increase efficiency in the business office.

Oversaw all business and operational matters for a 5 physician, 5 location surgical practice, including supervision of 16 employees and management of all finances for the practice.Major Accomplishment: Cleaned up accounts receivable resulting in a reduction of Days in A/R from 67 to 37 and a reduction in the A/R Ratio from 2.13 to 1.30. In 2001 Recognized by MGMA as one of the nations best practices in the area of A/R Management.

Oversaw all business and operations for a 5 physician, 4 location gastroenterology practice including supervision of 12 employees and management of all financial aspects of the practice.Major Accomplishment: Reduced overhead expenses from 28% to 19% and maintained that percentage. Increased Physician compensation by 25% within 2 years.

Oversaw the billing and collections for the ARL labs throughout south Alabama. Supervised 3 managers and approximately 28 employees throughout 3 departments.Major Accomplishment: Created a Medical Necessity manual that indicated the covered diagnosis codes for each laboratory test. This manual was used statewide by ARL/LabSouth clients.

Oversaw all billing and collection processes for12 anesthesia practices (approximately 60-65 anesthesiologists) throughout the southeast. Supervised 12-14 employees within the billing office.

As the Department Head of the Business Office, managed the following departments: Registration, both In-Patient and Out-Patient Admitting, Billing, Collection, and Switchboard departments. Responsible for the supervision of 6 Supervisors and approximately 75 employees within 2 Hospitals.Major Accomplishment: Successfully merged the billing and collection portions of the Business Offices from the two facilities to form a centralized billing office.

Served as liaison between the provider community, the Alabama Medicaid Agency and the EDS staff. Assisted providers as their primary point of contact for education and claims resolution.Major Accomplishment: Coordinated the design, distribution and implementation of plastic Medicaid cards to approximately 500,000 Medicaid recipients throughout the state of Alabama.