• Leader of physician revenue cycle operations for Penn Highlands Health System. Responsible for revenue, collections, patient access, and patient financial services of 150+ ambulatory locations across 8 hospital locations, including 2 Critical Access Hospitals. • Accountable for revenue and collections for over 200+ employed physicians and 230+ advanced practice providers resulting in more than 1,800 visits per day across 6 billing systems.• Leader of Patient Access and Patient Financial Services integration strategies including consolidated patient billing, hospital pre-service estimates, patient self-service estimates and payment.

Duties and Responsibilities:• Direct Report – Chief Operating Officer.• Implemented comprehensive contract and payment review process which gave company owners reimbursement information used to make strategic decisions• Negotiated independent lab contracts with insurance payers and third party administrators (TPAs)• Worked with interface engineer to streamline patient demographic and billing data between lab information system (Orchard), middleware (Mirth), and billing software• Implemented process within middleware used to route samples to reference labs when applicable• Implemented insurance verification process to reduce eligibility / insurance payer mapping errors prior to billing insurance company

Led team of revenue cycle analysts responsible for patient intake, EMR, and billing. Billing activities included coding, eligibility, insurance billing, patient billing, insurance follow up, insurance payment posting, and cash posting. Responsible for vendor management, contract negotiation, and vendor performance as it pertains to revenue cycle activities.• Chosen as revenue cycle management (RCM) representative to implement a new EMR and billing platform throughout the organization. Organized RCM team to review and update current RCM processes, document weaknesses, and outline key performance indicators used to evaluate potential technology solutions.• Implemented new patient statement vendor that increased collection by 10% by providing patients a clean, user-friendly statement and improved payment portal. Solved data challenges presented by limited availability of billing system data needed for patient statements by creating conversion logic to support improved statement format.• Initiated and implemented claim reconciliation to track claim submission, clean claim rate, and claims rejections.• Implemented patient payment plan vendor and process to fit within currently payment posting constraints. Payment plan vendor improved patient plan revenue by 10%.• Implemented patient payment posting automation vendor to reduce cash posting costs by 30%.• Analyzed credit card processors vendors and negotiated terms and rates to save corporation 20K per year on processing costs.

Create and manage software solutions for clients in healthcare and other industries.- Managed development effort of medical practice front-office workflow application that included patient appointment notifications, patient registration, and check-in. Solution also included a patient portal with a personal health record (PHR) and a doctor / patient messaging module.- Created business intelligence application that assists regional pulp plant in maintaining 24X7 operations.

Technical Lead for 80 bed community hospital / nursing home. Responsible for electronic health record (EHR), billing, laboratory, and nursing home systems.- Collaborate with hospital staff to mold software workflows to daily operational processes.- Ensure system interoperability by managing HL7 interfaces.- Ensure systems and processes comply with HIPAA regulations.

Developed plan and spearheaded the migration of billing clients and software to MTBC. Served as the central point of contact between billing customers and internal IT department to ensure billing system performance and strong customer service. Trained MTBC employees on billing software.

Serve in executive-level role for $12M medical billing business division. Accountable for directing all aspects of developing, upgrading, and supporting billing software for internal staff and external clients. Partner with internal CTO to assure high availability of architecture and external vendor liaison. Orchestrate policy and standard setting best practices while engaging with all stakeholders to prioritize development efforts.

Joined startup medical billing company as senior-level architect to design and build web-based billing and practice management systems. Worked in coordination with database architects to ensure stable system design to meet both internal and external processing and administrative requirements. Reported to the CEO.Supported acquisition and integration of $3M medical billing company by leading technical efforts to migrate client billing data, streamlining functionalities.Played a key role in launching web-based billing product by personally contributing to 70% of product development, including conception, design, and development.Enhanced overall corporate productivity by facilitating employee training on general medical billing processes as well as functionality of the billing product.

Joined ERP consulting organization to provide consulting services to Fortune 500 clients. Independently led web-based development, including oversight of the entire development and testing life cycles. Conducted client needs assessments.