Tim Ledbetter Email & Phone Number

Sandy, Ut, Us

 Created an RCM program for elective service. The program separated self-pay from discount packages. Developed workflow, SOP and training material. We worked closely with the RCM team, Finance, on cost analysis and setting new prices based on Medicaid plus.  Managed contract relationships and IT technology to meet new RCM strategic changes.  PB Advisor on converting global billing to PBB billing. This included drilling down to charge router level along with documenting operational gaps. Worked with VP of RCM, Coding and Rev Cycle team.  Managed teams on daily operations to meet initiatives and increase customer relations. Identified and documented improvement opportunities. This included bot automation throughout the RCM teams Redesigned continuous improvement program. The goal was to create a structure to enhance revenue and control costs.  Managed Reimbursement teams to capture revenue through RCM leakage.  Oversaw RCM projects focusing on implementing new technologies and lost revenue.

Nashville, Tennessee, Us

 Managed contract relationships and IT technology to meet new RCM strategic changes.  Analyzed and communicated financial data along with operational data to clients for decision-making and strategic planning. I worked design assessments with clients, health checks and optimization during a transformation engagement. Provided best practices on usage of the RCM Solutions to maximize ROI. Worked with staff at all levels of a customer organization to develop documents on implementation design. Developed and refined internal team processes for maximum efficiency and success. Presented executive summary presentations based on recommendations and findings which may include monthly reports regarding progress of engagement reflecting trend in achieving outcomes.

Nashville, Tennessee, Us

 Managed contract relationships and IT technology to meet new RCM strategic changes.  Analyzed and communicated financial data along with operational data to clients for decision-making and strategic planning. I worked design assessments with clients, health checks and optimization during a transformation engagement. Provided best practices on usage of the RCM Solutions to maximize ROI. Worked with staff at all levels of a customer organization to develop documents on implementation design. Developed and refined internal team processes for maximum efficiency and success. Presented executive summary presentations based on recommendations and findings which may include monthly reports regarding progress of engagement reflecting trend in achieving outcomes.

Identified variances and actions to improve key revenue metrics and performance to executive leadership. Preformed project leadership on major processes/systems efforts including the development of scope and expectations, and the coordination of resources from multiple internal and external sources.Provided critical analysis of strategies, to support revenue demand.Managed, trained, and coached individual team members including creating personnel development plans, individual KPIs, succession plans, and partnering with HR as needed to maintain an engaged and productive team.Managed the activities of outside consultants contracted for implementation support, report writing or application development.Reviewed, designed, and implemented processes billing, collections, compliance, and other financial analysesIdentified and re-engineered substandard systems & processes which will maximize rapid insurance claim submission and revenue collection.Provided strategic, aggressive, and effective leadership to the entire Revenue Cycle Management (RCM) team.

Murray, Utah, Us

Hired to redesign the RCM to accommodate a 20% growth from 86 to over 200 providers Implemented new technology including estimator, receptionist credit card wallet, 2014 server reports and frontend payment plan program.  Improved cash flow from 3.5 million to 5.8 million in 8 months. Major improvements in automation and staff training.  Redesigned Operations to accommodate at 20% growth from 86 to 140 providers. This included staffing model, technology, enhancing current EMR, PM, P&P, reporting and vendor relationships.  Automated claim creation, auto submit, edit engine and denial tools. Restructured a staff of 50 to improve accountability and daily productivity. Denial output increased from 50 to 105 claims a day.  Restructured patient account inbound calls which increased collections and reduced patient completes.  Contracted with new vendors and implemented a payment portal along with an online payment plan tool. Over a $100,000 dollars were created the first month through online payment plans.  Enhanced vendor relationships to develop an Early-Out Program. This program increased inbound phone collections and reduce FTE costs.  Redesigned credentialing with a new vendor to provide delegated payers. This allowed us to onboard providers and submit claims without a lag time Analyzed denials to improve training programs. This allowed us to reduce frontend billing issues and improve AR days Built a SharePoint site to improve communication and account quality over 12 locations.  Reduced bad debt collections through frontend training and reporting. Developed a RC Database, SSRS reports and Power Pivot reports. These reports allowed the team to work accounts at a global volume instead at one provider at a time. This increased rebill rate, without adding FTEs.  The RC Database also allowed providers to access cycle data and other scorecard data. This allowed transparency in the account process.

Oakland, California, Us

Oversee the full revenue cycle for a 180 bed hospital and 7 medical centers. Responsible for 4 budgets over 4 million dollars and 60 staff.Accomplishments in the first year: Moved from 10th in billing and collections to top 3 in Southern California. My facility is the best in billing collections and over all cycle indicators. This was accomplished in 13 months through change management practices and team building.

Worked with top healthcare Providers in Los Angeles including, USC, Providence, Norris Cancer Center, Tenet Healthcare, Denial FreedmenConsulted with Administration and Ancillary departments to develop strategic initiativesReduced an outstanding AR of over 3 million dollars of back billing, through improved registration procedures and redesigning daily operations, motivating staff and monitoring production.Implemented financial reporting standards into a managerial decision support tool. This improved benchmarking and isolated areas for improvement.Developed policies and procedures to improve compliance and improve operations.Managed a staff of 30 through daily operations as well as QA changes and a PA conversion to MediTech. Preformed a gap analysis in the PA system this led to a redesigned PA system to better capture Lab billing requirements. Led Steering committees to help direct strategy in improving overall operations

Master Of Business Administration (Mba), Finance, General

Certificate, Six Sigma Black Belt

Bachelor Of Science (B.S.), Economics