Raymond Merrill Email and Phone Number

• Responsible for all functions related to the Revenue Cycle Operations Centers Facility and Physician Business Office including: billing, collections and accounts receivables.• Provide leadership and direction, mentoring and developing staff to achieve operational excellence.• Restructured business office to become more efficient with all aspects of billing and collections that result in an increase in cash flow.• Notable Accomplishments:o Reduced Net AR days by 5.33 days in six monthso Reduced AR Aging over 90 days by 8.7 million in six monthso Reduced outstanding Self Pay balances by 2.7 million in six monthso Successfully reduced $8.1M in charity dollars in FY2016

• Created a Central Business Office (CBO) for all facility Kalispell Regional Medical Center and The HealthCenter’s business office operations• Planned, managed and evaluated all aspects of Kalispell Regional Medical Center and The HealthCenter’s Patient Business Services operations (included admissions/registration, pre-registration, authorizations, billing, cash posting collections and accounts receivable functions, denial management, and the Communication Center)• Developed, evaluated, implemented and revised policies and procedures related to billing and reimbursement activities• Evaluated, recommended and established new system technology to improve operational and financial performance that assisted in generating cash flow and instituted consolidated statements for self-pay statements • Oversaw payer contracting team to negotiate third party payer contracts and monitored the reimbursement and performance of these contracts• Evaluated and coordinated use of revenue cycle vendors• Notable Accomplishments:o Improved accuracy rate for overall facility registration sites from 79% to 99% accurate registration.o Increased collections $1.12M over baseline in 2015o Increased payments with a prompt pay discount by 35.4% from 2014-2016o Successfully increased $8.1M in charity dollars in FY2016o Increased presumptive charity by 36.6% 2013-2015o Increase recoveries by $1.51M from 2013-2015o Reduced self-pay bad debt by 40% from 2013-2015

• Responsible for all functions related to billing, collection, cash posting, payment review, customer service, lien management, and attorney desk with an overall staff of 75, with 6 direct reports• Certified as a Leadership Facilitator for UCI Leadership Development Program• Notable Accomplishments:o Reduced credits from $3.8M to $1.1Mo Reduced the A/R days from 102.94 to 59.31 dayso Increased EDI claims submissions by 155%o Reduced Customer Service Unit average speed of answer (ASA) from 101 seconds to 29 seconds

• Coordinated the implementation of a new ambulatory/clinic registration system (Invision - Signature) at 22 ambulatory/clinic locations (450 physicians)• Formalized QA standards and reporting mechanism via ambulatory ScoreBoard to all clinic managers, and provided education and training to staff to eliminate recurring errors.• Expanded the Call Center and pre-registration unit to improve access to clinic appointments and reduced the denial rate for authorization of procedures• Expanded the financial counseling program to help uninsured patients link to governmental sponsored programs• Created and implemented policies and procedures that resulted in expeditious flow of information and patients through the clinic front offices• Notable Accomplishments:o Increased the registration accuracy rate from 60% to 89.5%o Increased front end POS collections by 250%

• Reduced overall bad debt by reorganizing the admissions, financial counseling, insurance verification and pre-admissions units (Primary focus was placed on optimizing reimbursement by continued follow up on self-pay/unsponsored patients, which resulted in a financial link to sponsored programs i.e. County Indigent or State Medicaid)• Stratified the workload of each employee for maximum productivity and due diligence to ensure positive financial outcomes • Assisted and monitored financial arrangements with doctors and patients for compliance and collections of money’s due• Created continuous quality improvement (QA) process• Notable Accomplishments:o Increased registration accuracy rate from 60% to 90%o Improved financial outcomes from 68% to 98%

• Responsible for managing the daily business operations of Ambulatory Services Product Line- included surgical services, emergency department, laboratory, diagnostic imaging, physical therapy, cardiac rehabilitation, communications, admissions, pre-admissions, and insurance verification, scheduling, charge entry visit and activity reconciliation, and the budget • Created and implemented policies and procedures that resulted in more efficient flow of information and patients through the facility• Notable Accomplishments:o Reduced late charges by 55%