Performed a wide range of responsibilities; servicing front line employees to top executives to assist in data gathering supplying information needed to make business decisions. Completed Six Sigma projects and obtained broad exposure to how revenue information flows from clinical processes through the Revenue Cycle to the financial systems. • Met with customers, maintained relationships, gathered informational needs, followed-up on progress, and escalated issues as needed. • Provided triage to determine if needed information is existing in current applications.• Utilized analytical tools to vet needs, including Current State/Future State, RAID Risks/Mitigations, Pro’s/Con’s, Options/Recommendations, Root Cause & Effect, Value and Financial Impact Quantification, Reconciliation, and Independent Source Validation.• Produced Business Specifications and worked with Data Analysts to get and validate the needed information.• Ran queries when necessary and assisted prototyping the needed information.• Presented to leaders in Governance committees to request approval for projects, gave updates on status and explained results.

Performed a wide range of complex duties relating to scheduling operations of patient Infusion regiments and processing accounts for submission of authorization. Exposed towards multiple Oncology faucets in the realm of managed care and health plans. • Provide oversight for the Orlando FHCI Revenue cycle operations department and its members within the Orlando infusion center.• Managed and operated the daily operations of the department from the point of scheduling to the submission of the authorization for the patient’s Infusion regimen. Primary focus was to ensure financial integrity was obtained and to ensure site yielded increased paying volume. • Managed and collaborated with other department leadership to facilitate operations within budget constraints.• Serve as a collaborative member in the present and future planning and implementation of the new initiatives within the Infusion Center. Provides input to standards, policies, and procedures.• Serve and perform as a leader in a matrix-management environment to achieve organizational goals.• Involved in activities focusing on analysis, design, configuration, testing, and implementation as well as issue resolution. • Analytics but not limited to:o operational reporting focusing on patient missed appointment volume, physician referral volume, site breakdown of patient volume and site collection reporting.

Strategically manages multiple areas of responsibility within the Revenue Finance Cycle. Actively participates in outstanding customer service and accepts responsibility in maintaining strong professional relationships. Strategically executes the Infusion Center and System Operations process to meet or exceed performance metrics, revenue analysis and physician expectations. Responsible for managing the operating functions within the realm of patient scheduling, health plan authorization submission, health plan verification and auxiliary processes. Proactively engages in problem resolution for patients, physicians, administration and other internal or external customers. Responsible for reporting operational inefficiencies to Leadership while maintaining or exceeding performance in extending excellence elements (Team, Clinical, Service, Market, Finance). Identifies latent skills in staff and provides opportunities for personal and professional development. Effectively communicates and serves as a diplomat to the department advocating best practices for the betterment of the department.

Performed a wide range of complex duties relating to pre-certification of patients accounts and processing accounts for payment. • Effectively managed 40+ employees with 3 distinctive objectives for the hospital and its revenue cycle. Verified benefit level and facilitated authorization requirements with payor. • Served as physician liaison for many physician groups in Central Orlando in assisting with authorization provisions required by the insurance provider. In addition, served as hospital liaison for insurance source and physician relations, monitored reports, adjusted accounts, processed questions and complaints. • Actively participated alongside joint operating committees with payors to resolve claim issues and accepted responsibility in maintaining relationships that are equally respectful to all. • Performed and executed denial avoidance measures to reduce the rate of denials for the hospital. • Managed, negotiated, and approved letter of agreements and/or contracts with non-contracted insurances for services rendered in a hospital setting. • Performed duties to review and remove billing edits in order to provide respective reimbursement team clean and prepared claims for timely submission. In addition, assisted with the initiative to maintain a low Accounts Receivables for the FH reimbursement department.

Served as a point of reference for the Inpatient PreAccess team when applicable for troubleshooting accounts, in addition, performed various duties to ensure the team performed at full capacity.

Managed setting to facilitate Outpatient diagnostics for patients receiving treatment in MRI department.

Facilitated Outpatient diagnostics for patients receiving treatment such as CAT scans, Ultrasounds, and Diagnostic X-rays.

Allow members to supplemental child care while parents attend and/or use the wellness facility. • During this time children took advantage of resources to strengthen mind and hand coordination. • Developed and sustained a large customer base. By having a large customer base, member retention was at high levels.