Todd Gable Email & Phone Number

Altamonte Springs, Fl, Us

Altamonte Springs, Fl, Us

Altamonte Springs, Fl

As a bridge between clinical and financial teams, I work daily to maintain the integrity of the Corporate Standard Chargemaster in compliance with CMS regulations, AMA CPT guidelines, multiple state Medicaid rules, and commercial managed care requirements for a large hospital system with facilities in multiple states. Our team also assists with the verification and assignment of pharmacy charges by NDC number in the Corporate Formulary, including collaboration with Pharmacy IT which changed the system from AWP-based pricing to Average Acquisition Cost (AAC)-based pricing for pharmaceutical items. My duties also include creating and publishing a regular newsletter to communicate the latest regulatory updates and charging guidance for our system. I also maintain and update the Corporate Charge Policy Manual which combines current industry regulation with internal company policy. My role also allows me to work closely with the collections teams to resolve coding/billing issues with various governmental and managed care payers.

Maitland, Fl

Managed 18 direct reports, achieving a reduction of receivables older than 90 days by 2.7% while reducing average account follow up from 10 days to 7 days for the multi-campus region. Helped facilitate a pilot escalation process with Florida Blue, reducing accounts receivable by 5%. Designed and created a comprehensive online resource manual for training, reducing the amount of education training by 30%. • Created a price estimation tool for calculating Florida Blue grouped charges, drastically reducing errors. • Electronically standardized national Blue Cross Blue Shield Association coordination of benefits information in the patient registration process, reducing claim holds.

Maitland, Fl

Collaborated directly with Cigna, to resolve multiple issues resulting from the conversion from the UB-92 to the UB-04 standard claim format, reducing processing errors by 60%.

Maitland, Fl

Worked with IT to create and implement a new client billing process which saved the company 160 hours of labor per month, a $20,000 savings per year.

Orlando, Florida

I was directly responsible for evaluating patients’ state of mind and assessing improvements. This often involved regulating and correcting patient behavior. I also facilitated patient group sessions. While in this role, I redesigned the point system used with patients for behavior modification.

Mba, Business, Healthcare

Healthcare Business Administration

Bachelor Of Science - Bs, Psychology

Activities and Societies: Member of Psi Chi (National Honor's Society for Psychology), worked in the Substance Use Research Group.

Psychology

Activities and Societies: Inducted into Psi Chi, national honor society for psychology