Ryan M. Email & Phone Number

St Louis, Missouri, United States

St Louis, Missouri, United States

St Louis, Missouri, United States

Chesterfield, Missouri, United States

Responsible for managing a team of AR professionals performing all AR activities for over 200 clients in 40 states resulting in $700 million in annual receivables. Develop AR strategies to identify global trends, maximize efficiency and increase reimbursement opportunities. Continually monitor KPIs such as AR percentage of AR over 90 days, collections, days in AR, and trending cash flow. Assists with setting monthly cash collection goals and working with AR managers to help meet and exceed goals. Provides detailed feedback to client services in the event the goals are not met. Consistently attend client meetings to discuss any concerns, issues, or upcoming changes to clients outstanding receivables and business profile. Establishes and maintains adequate staffing levels to effectively manage production goals for the entire AR department (85+ employees) while simultaneously ensuring that each client has the appropriate coverage based upon proprietary metric-based methodology. In charge of working with and managing offshore partners to maximize and leverage resources as needed based on ever-changing client needs and case volume. Ensures proper AR training and system collateral are available for the over 35 software systems used by the AR department. Maintains a detailed knowledge of state and federal regulations, documentation and billing requirements. Helps to review and evaluate AR policies and procedures and make suggestions for revisions and updating information. Manages team-building activities, projects and events. Specifically, review accounts receivable follow-up and payment accuracy in accordance with payer contracts, system configuration, and much more to provide in-depth analyses as requested by clients.

Chesterfield, Missouri

In this role I was responsible for leading a team that focuses on implementing, maintaining, and developing Out-of-Network clients (Ambulatory Surgery Centers) while increasing profitability, cash flow, and patient satisfaction. Ensure that National Medical’s Out-of-Network clients are compliant with all State and Federal guidelines. Provide Out-of-Network training to both internal and external team members and business partners. I also worked with third party pricing agencies (TPAs) in order to increase payer/plan allowed amounts on a claim by claim basis. By increasing plan allowed amounts or negotiating a rate on an out-of-network claim patient responsibility is often times reduced dramatically; while simultaneously increasing payment directly form the insurance plan to the ASC client. Also responsible for writing appeals for various denial types that cite ERISA and any relevant state and federal court rulings as well as any other supporting documentation such as summary plan descriptions (SPDs), history and physical (H&P), implant logs, and invoices.

8455 University Place. Saint Louis, Mo 63121

The Associate Auditor is responsible to identify pharmacy audit risks using analytical skills and audit tools and develop and execute audit plans and scope of procedures determined necessary to address those risks. This position will complete investigational audits in order to correct risks identified and present findings to Sr. Audit Manager. The Associate Auditor must thoroughly read, interpret and fully understand the key elements of each specific contract.The Associate Auditor is responsible to identify pharmacy audit risks using analytical skills and audit tools and develop and execute audit plans and scope of procedures determined necessary to address those risks. This position will complete investigational audits in order to correct risks identified and present findings to Sr. Audit Manager. The Associate Auditor must thoroughly read, interpret and fully understand the key elements of each specific contract.

16690 Swingley Ridge Rd.

Provided administrative support to the Director of Pharmacy, Pharmacy Supervisor, and Director of Specialty Pharmacy on an as needed basis. This position offers support for day-to-day operations of the pharmacy department (traditional and specialty) by fielding phone calls and handling inquiries from patients and employees; scheduling events and meetings; acting as a liaison with other departments and outside agencies; and performing a wide range of executive administrative duties as outlined below. Assisted callers by providing basic information to their inquiries and assisting them to determine the correct solutions. Provided the highest level of customer service to preserve our patients. Coordinated and organized company events such as cholesterol screenings, mammography services, department meetings, and schedules. Performed complex and confidential administrative functions including composing and preparing written correspondence as well as other reports, documents and presentations; responds to routine external correspondence. Organized and maintained collaboration with insurance companies. Tracked, evaluated, and appealed claims that were not profitable. Prepared for PBM audits. Assisted the implementation and accreditation of a chain specialty pharmacy program. Tracked employee continuing education courses as well as license renewals for all 22 pharmacy locations.

1730 Clarkson Rd. Chesterfield, Mo 63017

Built and sustained valuable relationships with patients and contacts through several modes of communication. Aided the pharmacist in the processing of all prescriptions. Intake prescriptions, data entry, fill prescriptions, communicated with insurance companies, developed relationships with physician’s offices, managed inventory, maintained a relationship with the wholesaler, answer phone calls, educated patients on medications, provided advice on medical conditions and potential treatment options.

12412 Olive Blvd Saint Louis, Mo 63141

Oversaw daily operations necessary to make the salon profitable, safe and efficient. Hiring employees, writing work schedules, and ordering and keeping inventory of salon supplies or retail products. It was my duty to prepare effective advertising and creating customer incentive specials. Ensured safety requirements are instituted and maintained in compliance with carried liability insurance and employees are properly certified and trained on the salon's tanning bed equipment.

14525 Clayton Road Ballwin, Missouri 63011

Responsible for developing positive relationship with elderly residents, provided customer service by serving meals residents, cleaned the dinning room after meals.

Bachelor'S Degree, Business Administration, Marketing

Master Of Science (Mshi), Healthcare Informatics, 4.0