Estate Executor - TARRANT COUNTY
(2023-12)
- Oversee estate operations, ensuring legal compliance and effective property execution.
- Gained specialized knowledge in estate tax law and procedural regulations, improving service quality.
- Provided clients with guidance in investment planning and funeral arrangements, delivering empathetic support throughout the process.
- Managed all aspects of practice operations, including payroll and financial accounts across multiple locations.
- Developed a software denial engine to proactively identify and address potential denials, reducing claim rejections for Medicaid and Medicare.
- Trained and supervised a team of up to 30 employees, ensuring they remained current on evolving policies and procedures in healthcare reimbursement.
- Designed a comprehensive reimbursement system to process back-end denials through appeals, re-filings, payor communication, and claim corrections to secure payments.
- Provided training to physician clinic staff and faculty on revenue cycle coding procedures for improved reimbursement.
- Implemented new software and Electronic Medical Record (EMR) systems, including staff training and quality assurance.
- Utilized specialized software to generate parameter-specific reports to enhance billing and coding operations.
- Created fee schedules for physicians in collaboration with third-party payers and negotiated contracts to optimize reimbursement rates.
- Directed RV sales and service operations.
- Created and implemented an Internet Sales strategy tailored to the evolving technological landscape in the RV industry.
- Consistently exceeded sales targets, including throughout the COVID-19 pandemic.
Revenue Cycle/Practice Management Consultant - PRO MEDICAL SERVICES
(2002-01)
- Managed all aspects of practice operations, including payroll and financial accounts across multiple locations.
- Developed a software denial engine to proactively identify and address potential denials, reducing claim rejections for Medicaid and Medicare.
- Trained and supervised a team of up to 30 employees, ensuring they remained current on evolving policies and procedures in healthcare reimbursement.
- Designed a comprehensive reimbursement system to process back-end denials through appeals, re-filings, payor communication, and claim corrections to secure payments.
- Provided training to physician clinic staff and faculty on revenue cycle coding procedures for improved reimbursement.
- Implemented new software and Electronic Medical Record (EMR) systems, including staff training and quality assurance.
- Utilized specialized software to generate parameter-specific reports to enhance billing and coding operations.
- Created fee schedules for physicians in collaboration with third-party payers and negotiated contracts to optimize reimbursement rates.
Internet Sales Manager - McClain's RV
(2018-11 - 2023-12)
- Directed RV sales and service operations.
- Created and implemented an Internet Sales strategy tailored to the evolving technological landscape in the RV industry.
- Consistently exceeded sales targets, including throughout the COVID-19 pandemic.
Sr. Revenue Cycle Manager - PPG HEALTHCARE
(2017-02 - 2018-11)
- Directed revenue cycle operations for multiple cross-functional teams, developing and implementing innovative KPIs, SOPs, and action plans to achieve industry-leading reimbursement systems.
- Oversaw the development, implementation, monitoring, and communication of goals, objectives, budgets, and expected performance outcomes.
- Analyzed critical operations to ensure KPIs were met, producing reports to support training, development, and performance improvement to enhance reimbursement outcomes.
- Negotiated third-party payer contracts, managing all aspects of credentialing for physicians and facilities.
- Focused on maximizing Medicare, Medicaid, and Tricare/VA reimbursement.
- Reduced average denial days in accounts receivable from 110 to 35 within three months, increasing denial collections from 65% to 94%.
- Manager Revenue Cycle for Free Standing E/R centers (FER) over 100 providers in 3 FER Facilities.
- Developed Workflows and processes to utilize EMR and separate billing systems.
- Trained physicians in ambulatory and inpatient settings for revenue cycle coding and billing procedures.
- Communicated with CMS, AAPC, PMI, TDI and AMA among other government agencies.
- Developed policies and procedures to effectively adapt to new technologies and innovative procedures in the Healthcare industry with a focus on ED physician and facility "Best Practices".
- Address one-off contracts, case agreements, OON contracted rates and address deficiencies in the reimbursement operation.
- Negotiated Third Party Payer Contracts including all areas of credentialing physicians and facilities.
- Reviewed and maintained payer file to ensure proper reimbursement occurred.
Revenue Cycle Manager - ER CENTERS OF AMERICA
(2014-12 - 2016-12)
- Manager Revenue Cycle for Free Standing E/R centers (FER) over 100 providers in 3 FER Facilities.
- Developed Workflows and processes to utilize EMR and separate billing systems.
- Trained physicians in ambulatory and inpatient settings for revenue cycle coding and billing procedures.
- Communicated with CMS, AAPC, PMI, TDI and AMA among other government agencies.
- Developed policies and procedures to effectively adapt to new technologies and innovative procedures in the Healthcare industry with a focus on ED physician and facility "Best Practices".
- Address one-off contracts, case agreements, OON contracted rates and address deficiencies in the reimbursement operation.
- Negotiated Third Party Payer Contracts including all areas of credentialing physicians and facilities.
- Reviewed and maintained payer file to ensure proper reimbursement occurred.
Billing/Reimbursement Manager - UT SOUTHWESTERN
(2013-01 - 2014-12)
- Practice Management for psychiatry and Pediatrics for 125 and 200 physicians respectively
- Developed Workflows and processes to utilize EPIC billing system to capture charges for three different service areas including Parkland Memorial Hospitals and clinics, UTSW hospitals and clinics and Children's.
- Trained physicians in ambulatory and inpatient settings for revenue cycle coding procedures
- Communicated with CMS, AAPC, PMI, TMHP, TDI, and AMA among other government agencies.
- Prepared physicians and staff for changes in the revenue cycle mandated by changes in government programs, acts and laws.
- Developed policies and procedures to effectively adapt to new technologies and innovative procedures in the healthcare industry.
- Reviewed reimbursement from payers to ensure contracts were honored as stated in contracts with payers
- Analyzed reports to address revenue cycle deficiencies.
Academic Dean - CORINTHIAN COLLEGE
(2007-01 - 2012-02)
- Managed and Trained staff of 50 instructors on education delivery for education delivery to 750+ students.
- Taught Andragogy adult learning model to enhance education delivery.
- Developed Curriculum for 4 different Allied Medical based programs
- Maintained a less than 2% (1.6) attrition rate for 2 years. Industry average 9.2.
