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Work Background
ClaimCare, Inc.Executive Team
Apr. 2011Dallas/Fort Worth AreaClaimCare, Inc. is a company focused on providing healthcare providers with the Business Tools needed to achieve financial goals. We partner with numerous providers throughout the United States to manage their revenue cycle management from start to finish, as well as ensuring compliance with all state and federally mandated regulations. Stay on top of the ever-changing reimbursement changes! Ask out management team for updates on the new MACRA processes coming in 2017!
Total Sleep Holdings, IncCorporate Director Business Services
Jan. 2010 - Mar. 2011Built centralized business office by merging two local billing offices to provide direction and management of billing and collections for 70 nationwide sleep labs. Maintained operational relationship 20 Hospital Management agreements. Billing and Collections from 4 Practice Management Systems and 1 EMR. Maintained accurate and complete Medical Records based on Joint Commission guidelines. Direct reports includes 2 Directors, 4 Managers, 8 Team Leads, and 60 employees. Managed national call center for scheduling of patients, customer service, and provider relations.
Longevity & Wellness Center of South TexasPractice Administrator
Jun. 2007 - Jun. 2009Responsible for all areas of practice management.
Multi-Specialty 2 location practice/50 employees.
Responsible for managing 8 million dollar annual budget.
Operations in all financial, clinical and clerical departments.
Responsible for maintaining and updating EPM, EMR, LIS, Interfaces, Nuclear. Camera software.
Electronic Data Interchange for all aspects of Patient Account.
Management/Business Office processes.
Chaired Quality Assurance Council and conducted audit and reviews.
Stephenville Medical and Surgical ClinicOperations Director /Project Manager/ HIPAA Privacy & Security Officer/Administrator RHC
Jan. 1997 - Jan. 2008Operations and Project Management.
Managed Billing, Collections, and Coding for 35 provider practice.
Chaired the Quality Assurance Council.
Successfully prepared Federal Grant Funding Application. Business Office operations and patient flow processes for 700 visits per day.
System Conversion project management for EPM, EMR, LIS, EDI transactions for practice, Rural Health Clinic, Laboratory, Pharmacy, and the Ambulatory Surgery Center. HIPAA Privacy & Security officer responsible for policy enforcement and investigation for all entities.
St Paul Medical CenterDirector, Patient Financial Services
Jan. 1993 - Jan. 1996Managed daily operations and oversee the duties of 5 managers and 120 employees performing tasks in Pre-Admission and Authorization, Admitting Department, Out-Patient Ancillary Facility, Out-Patient Surgery Facility, Customer Service, Cashiering, Insurance Billing, Remittance Advice Posting, Internal collections and out-placement Collections. Successfully implemented a system conversion from paper claim submission to electronic claims processing. Increased collections by 5-6 million dollars per month over a 2 year period.
Hayt, Hayt & Landau Attorneys at LawVice President
Jan. 1991 - Jan. 1993Opened the Texas Branch for this National Healthcare Law Firm. Performed all client in-house training and consulting as well as orientation to our receivables management and customer service programs and services.
Implemented on-site Medicaid Eligibility programs and billing programs for all hospital clients nationwide.
Arlington Memorial HospitalDirector of Patient Financial Services
Jan. 1989 - Jan. 1991Accountable for daily operations, fiscal and budgetary processes and reporting.; Responsible for 80 million dollar accounts receivable. Directed 90 employees in the performance of their Business Office duties including patient scheduling, admissions, pre-certification, insurance billing, insurance follow-up, and customer service.
Supervised the clinical auditing staff, and performed management of marketing/customer relations programs for the Caminitti Breast Center.
Chilton Corporation/TRW Credit BureauAdministrator of Educational Services/Research & Development
Jan. 1982 - Jan. 1989Healthcare Industry training and Sales Training of all marketing representatives located in 38 states.
* Coordinated all trade shows and conventions.
* Designed all marketing brochures, and represented the company by attending healthcare industry trade shows to promote our healthcare receivables products and services. * Delivered 600 Healthcare customer service and collection seminars nationwide for branch offices, healthcare clients, and trade associations.
* Consulting duties included the establishment of written policy and procedure manuals, operations evaluations, system conversions, and training at all levels within the administrative structure.
Rodeway Ins and Summit HotelsCorporate Guest Relations Manager
Jan. 1982 - Dec. 1984
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