Director of Revenue Cycle
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Experience Senior Director of Revenue Cycle Artesia General Hospital, Artesia NM January 2020 – Present •
Manages activities and responsibilities of various functions within the revenue cycle. Assists in the development of broader goals and objectives based on assigned the Company's needs and ensures continuous improvement in quality, operational cost effectiveness, customer satisfaction and resource utilization.
Director of Revenue Cycle Charleston Area Medical Center, Charleston, WV 2016-2020 • Directed all phases of the revenue cycle, from patient registration and insurance verification to billing, collections, and payment posting.
• Provided coaching, mentorship, and performance feedback to foster a high-performing team • Generate and present billing and reimbursement reports to executive leadership • Responsible for updating billing, NPI, physician credentialing and all clinic billing • Monitor key metrics such as clean claim rate, DSO, and denial trends to drive decisions • Partner with finance, clinical, and operations teams to align RCM goals with broader business objectives • Team Leadership: Motivating, coaching, and developing a high-performing revenue team • Decision-Making: Making data-driven decisions and adapting strategies based on performance data • Understands and interpreting financial reports, budgets, and forecasts and third-party payors including governmental, commercial • Identifies and implements process improvements to streamline revenue operations • Cross-Functional Collaboration: Building strong relationships and collaborating effectively with other departments like marketing, sales, and customer success • CRM and Technology Proficiency: Utilizing CRM and other revenue management tools to track and analyze data Director of Patient Financial Services Sheltering Arms Rehabilitation, Richmond VA 2012 – 2016 • Implemented and managed effective collection strategies to minimize outstanding patient balances.
• Hiring, training, and supervising a team of financial counselors, billers, and other staff.
• Reconcile and ensured the accuracy and timeliness of all patient bills and claims.
• Overseer of the entire revenue cycle process, from patient registration to claims submission and payment posting.
• Managed all payor, responsible for all payor mix, including appeals and denials.
• Responsible for patient registration, confirming the patient's insurance coverage and benefits before services are rendered helps determine financial responsibility and potential out-of pocket costs.
• Managed collections, Financial Reporting, Financial and Budgeting Planning.
• Worked closely work closely with clinical and administrative teams to ensure efficient billing practices and accurate patient records.
• Improved decision-making, Reduced turnaround, without decreasing patient satisfaction.
Director of Patient Financial Services Yakima Heart Center – Toppenish Healthcare • Supervised daily staff activities for access personnel and functions. 2006 –2012 • Assessed quality of services delivered and facilitates staff development programs.
• Ensures staff compliance with departmental and organizational policies, procedures, and protocols.
• Determined, coordinated, and supervises daily staffing assignments and levels.
• Performs staff responsibilities as needed to meet departmental goals.
• Leads the handling and resolution of complex issues and complaints.
• Provides direction, orientation, training, coaching, and mentoring to staff.
• Responsible for all billing and charge reconciliation of claims • Responsible Charge Master, Clinic billing and all other modalities.
• Maintained up-to-date knowledge of infection control procedures and implement them throughout the facility.
• Work closely with Infection Prevention and Control teams to ensure Budget and Resource Management:
• Developed and manage the department’s budget, ensuring cost-effective purchasing, resource allocation, and adherence to budgetary constraints.
• Responsible for efficient patient registration system uses digital forms or electronic health records (EHRs) to minimize errors and speed up data entry.
EDUCATION & CERTIFICATIONS Bachelor's degree, Southern University, Edwardsville IL. 1982 Certified Revenue Cycle Representative (CRCR) HFMA/AAHAM, HFMA Director of the Year 1999, 2021, 2023,
Bachelor Degree in Business Administration