Seeking opportunity as Director of Patient Access Services where significant project management, financial, administrative, and training expertise will provide an immediate and positive impact.

 

 

         Adept at coordinating patient access functions including training, hospital admissions, pre-registration, financial counseling, access to care, and authorizations and referrals.

         Continually explore and implement Revenue Cycle system and operations improvements.

         Exemplary communication skills including providing presentations and project status updates to senior management.

         Significant experience and talents in Revenue Cycle policy and procedure development.

         Comprehensive background in financial systems administration, practice management, team-building and leadership, and operations management including analysis and restructuring.

 

 

Cambridge Health Alliance, Medford, MA, 2000 to Present

Director C Revenue Cycle Operations and Training       (2009 to Present)

         Spearhead operational design, development and implementation of Revenue Cycle Patient Access Services including pre-registration, POS (point-of-service) collection systems, patient access claims and denials, and revenue cycle training and education.

         Administer front-line training programs across all service lines to support Revenue Cycle goals.

         Project-managed 18-month long Patient Access Revenue Cycle initiative to streamline and standardize pre-registration, POS collections, denials management and training.

         Seamlessly transitioned Pre-Registration staff to new location, and enhanced consistency throughout department by assembling policies and procedures manual.

         Played a crucial leadership role in revenue cycle front-end redesign.

         Strategically expanded Patient Operations Training involving development of new materials, online training systems, testing and measurement.

         Deployed Emdeon eCashiering to improve POS collections, tighten cash controls, and accelerate payment posting.

         Direct and supervise team in tracking progress and outcomes of Patient Access project initiatives specific to Revenue Cycle improvement.

         Coordinate Patient Access Team in planning and implementation of XactiMed claims management system with go-live date of August 16th, 2010.

 

Director C Operations and Training      (2008 to 2009)

         Established, launched and operated Patient Access Operations and Training Department, determined goals, and monitored outcomes.

         Championed major overhaul to Patient Access Training encompassing IT training, course content, online scheduling and testing, and core curriculum guide for managers and staff.

         Planned, prepared and orchestrated implementation of CHA-wide Pre-Registration.

         Directed new Front-End Revenue Cycle project from plan development and in-depth analysis of current processes, to developing metrics, goals and timelines.

         Initiated POS collection training at three hospital location campuses to capture overall improvement goal of $1.8M in first year.

 

Continued

 

 

 

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Director of Operations, Front-End Revenue Cycle         (2004 to 2007)

         Directed development of structure and foundation to support Part B (Professional) revenue and analysis of front-line patterns and trends in Athena Claims management software.

         Proactively instituted structure to communicate claims issues identified in Athena to Practice Managers.

         Resourcefully prepared training agenda and structure based on Athena findings and payer requirements including an Insurance Card Encyclopedia.

         Enhanced POS collections by integrating Credit Card option requiring equipment roll-out to 50+ outpatient and inpatient locations, development of guides and standards, and training to 400 staff.

 

Director, Neighborhood Health Center, Broadway Health Center       (2002 to 2004)

         Coordinated opening of new outpatient clinic including by partnering with architects on operational design, hiring and training personnel, establishing systems and process, centralizing patient access functions, and overseeing operations post-launch.

 

Director of Windsor Street Health Center / Windsor Dental Department           (2000 to 2002)

         Supervised and managed daily operations of multi-disciplinary outpatient practice and dental unit.

         Achieved and maintained office efficiency goals (35 minute average cycle time) and ensured constant compliance with JCAHO standards.

         Successfully improved and reduced charge entry backlog from two months to five days.

 

Harvard Vanguard Medical Associates, Somerville, MA, 1986 to 2000

Administrator II            (1997 to 2000)

         Steered development of systems and programs for multi-disciplinary group practice inclusive of financial management, best practices, strategic vision, and project leadership for all new system implementation.

         Creatively formulated, executed and evaluated local marketing activities.

         Conceptualized and pioneered "Culture of Service" strategy resulting in creation of Corporate Customer Service Steering Committee.

         Drove several corporate initiatives such as EPICARE, Easy Access and Resolute Billing system.

         Built, motivated and led quality management team to establish Regional Mammography Unit which earned recognition at national forum on Quality Improvement.

 

Assistant Administrator, Harvard Community Health Plan        (1992 to 1997)

         Served as Operating Manager of Somerville site with accountability for $12.5M budget, physician recruitment, information systems management, and ensuring clinical units optimize service and cost control.

         Exercised dynamic organizational skills to monitor and manage Surgical Specialties, Regional Pediatric Urgent Care, Pediatrics, OB/GYN and ancillary services.

 

Prior background includes role as Administrative Manager C Somerville and Cambridge clinics (1986 to 1992) for Harvard Community Health Plan.

 

 

PhD Candidate (coursework completed) C Boston University

M.A., Medical Sociology C Boston University

B.A., Sociology C UMass Boston

 

Professional Development:

 

Preparing for Capitation C Tufts Managed Care Institute

Call Management Systems Administration C AT&T Technical Education Center

Executive Training in TQM C Institute for Health Care Improvement