Associate Director
CurrentCollaborated directly with senior management to enhance the revenue cycle, resulting in increased cash flow.· Addressed technical and operational challenges, showcasing a comprehensive understanding of their broader impact across Professional Billing.· Collaborated with eCare, IPORT, GPM, MGB RCO, Revenue Control and the Specialty Billing team for meticulous financial analyses and assessments, contributing to the development of ROI and business plans.· Oversaw clean claim submission, effective claim follow-up, and timely cash/adjustment posting, resulting in increased cash flow.· Managed Accounts Receivable through offshore vendor partners, implementing performance analysis and denial prevention strategies.· Demonstrated competency in large, complex organizations, personnel, and organizational management.· Possessed in-depth knowledge of payer payment methodologies, making decisions through cost/benefit analysis.· Engineered and implemented streamlined operational policies, processes, and best practices, optimizing overall efficiency within Specialty Billing teams.· Managed day-to-day operations, meticulously monitoring success metrics and related activities.· Strategically planned receivables that can be outsourced while maintaining those that are difficult.· Ensured seamless operation of Specialty Billing services, including Client Billing, Transplant services, Dental, Blood Factor, SREs, Patient Inquiries, Insurance Follow-up, and Clinical Trials.· Led the effort to reduce Professional Billing Accounts Receivable for Mass General Brigham by $11.6 million in Fiscal Year 2022 through automation, training/education, and workflow efficiencies.· Created a Transplant registration and IVF Charge Review process, contributing to a reduction of Accounts Receivable by over $1.0 million for each of the department.· Improved Claim efficiency by over $9.0 million across Mass General Brigham Professional Billing.
