Philip Palma, Ms Email & Phone Number

Eagleville, Pa, Us

Whether it is a man in Tennessee learning to speak after 52 years in silence, the creation of nationally-renowned approaches to federally-qualified health centers and crisis services, or cutting-edge creative arts programs for people with intellectual disabilities, RHD has specialized in effective and innovative solutions in trauma-informed, person-centered programs across the country since 1970.

Exton, Pa, Us

Philadelphia, Pa, Us

Temple University Health System (TUHS) is a $1.4 billion academic health system dedicated to providing access to quality patient care and supporting excellence in medical education and research. The Health System consists of Temple University Hospital (TUH), ranked among the "Best Hospitals" in the region by U.S. News & World Report; TUH-Episcopal Campus; TUH-Northeastern Campus; Fox Chase Cancer Center, an NCI-designated comprehensive cancer center; Jeanes Hospital; Temple Transport Team, a ground and air-ambulance company; and Temple Physicians, Inc., a network of community-based specialty and primary-care physician practices. TUHS is affiliated with Temple University School of Medicine.

South Jordan, Ut, Us

Serve as a conduit between audit and collections to manage the revenue cycle process and resolve escalated issues for an international provider of specialized recovery audit services generating $158 million in revenue with the healthcare division reviewing more than $120 billion in paid medical claims annually. Oversee cash allocation department, monthly invoicing and regulatory compliance. Support the Aetna Healthcare provider contract compliance audit by reviewing nationwide providers, analyzing paid medical claims to determine variances, re-pricing claims, identifying system deficiencies, categorizing and quantifying data for reporting client feedback. • Automated the monthly invoicing process, reducing time in days from 7 to 4. • Collaborated with system analyst to create a tool for tracking and conducting root-cause analysis on minus debit process that reduced errors from 35% to 17%; new process and auditor education will reduce errors into single digits by third quarter. • Automated compliance guidelines to prevent submission of erroneous claims.

New Castle, De, Us

Served as an Operational Account Manager with oversight for annual net placements in excess of $383 million representing $4.5+ million in net revenues. Conducted client meetings to review accounts receivable performance, payer issues and trends and client's business strategies. Ensured the appropriate preparation, analysis and presentation of all Account Management deliverables.• Utilized best practices for client with $160 million in annual net patient revenues to achieve: - E-billing average claim validation rate of 89%. - A/R Liquidation of 99%. - Aging >90 days from billing: 12% vs. best practice 15-20%. - Aging >120 days from billing: 3.5% vs. best practice 5%. - Net Days in A/R: 42 vs. best practice 55. - Denial percentage: 1.25% vs. best practice 4%. - Self Pay liquidation of 38%. - Call center average time to answer: 12 seconds; talk time average: 207 seconds.

King Of Prussia, Pa, Us

Spearheaded start-up of multiple new business lines for a 127-bed acute care for-profit organization averaging 5,000 inpatient admissions, 65,000 outpatient services and 25,000 ER visits annually with annual net revenues of approximately $65 million. Analyzed anticipated reimbursements based on current contracts. Ensured registration billing, follow-up and compliance were prepared; established systems and policies as required. Validated vendor invoicing against actual patient revenues. Facilitated education programs with non-financial staff on revenue cycle and SOX compliance.• Realized four-month turnaround of key metrics by: - Reducing Days in AR from 67 to 56.5. - Increasing cash collections to a monthly average of 106% of net revenues. - Decreasing bad debt percentage to gross receivables from 2.4% to 1.25%.• Resolved over $800,000 in un-addressed denial activity recouping an excess of $160,000. • Coordinated and directed a refund project that decreased credit balances by over $750,000.• Implemented on-line Sorian Scheduling to improve process efficiencies and free-up resources for performing insurance verification on all elective services not previously done.• Implemented the Health Works ABN system, reducing Medicare disallowed services by $400,000.• Supported CFO with analysis, negotiations and language for the Health America, Coventry contract resulting in higher reimbursement rates than the Blues and Aetna.

Franklin, Tn, Us

Directed Business Office Operations for a 168-local bed for-profit member of a 72-hospital nationwide system, including billing, receivables, and cash activity for various services. Oversaw all areas of patient access including centralized scheduling. Created and implemented policies, procedures and controls to ensure compliance with state and federal requirements. Prepared and presented reporting to corporate offices. Worked with HIS to ensure a smooth conversion to HIPAA mandated changes. Initiated and chaired the Revenue Enhancement Management Steering Committee.

Directed all aspects of corporate centralized Business Office Operations for not-for-profit health system with 314 acute care beds and 150 beds for various residential services. Collaborated with HIS to enhance and implement system changes to accommodate industry requirements and HIPAA regulations. Played an integral role in the Y2K Task Force, ensuring system readiness. Chaired the Corporate Task Force for CMS’s APC/OPPS initiative.

Directed corporate centralized Business Office Operations for a not-for-profit system comprising five hospitals with a combined total of 826 acute beds. Oversaw cash postings averaging $30 million/month, billing activity, and follow-up for Managed Care, Medical Assistance, Health Choices, Managed Care Plans, Commercial, and Worker’s Compensation, Auto and Champus receivables.

Masters Of Science, Human Resources Management

Bachelor Of Arts (B.A.), Organizational Development And Leadership

Marine Sciences