HOSPITAL REVENUE CYCLE

Patient Revenue Cycle Manager :

Several years of financial and process implementation experience. Both Physician Group and hospital experience. Over three decades of progressive leadership experience in a variety of hospital and specialty clinic environments. Administrator of four JCAHO-accredited offices in a leading academic surgery practice, successfully coordinating multiple service areas. Founding Executive Director of a Physician Hospital Organization negotiating favorable managed care contracts for network providers. Adjunct university faculty member in a fully accredited college of business. Skilled in most business and clinical software applications. Email lkloock@msrstaffing.com or call 770-998-7779 x167

Audit Nurse (0001M3N):

Audit nurse looking for a new opportunity for growth and advancement. A total of 19 years of experience in Hospital bill auditing. Job responsibilities included: acting as clinical resource for hospital business office, liaison to hospital departments and physician’s offices. Responded to patients, payers and business office personnel requests for clarifications of charges, random auditing of hospital bills to identify areas in need of improvement in regard to accuracy, identify sources/opportunities for revenue enhancement, pre-audit accounts and exit with external auditor representing payer. Great longevity, pleasant personality and a dedicated individual ready to offer her skills and abilities to your team. Email lkloock@msrstaffing.com or call 770-998-7779 x167

Medical Billing Manager with teaching experience

Medical Billing Manager with over ten years of working experience in the medical industry. She is currently teaching ICD-10 Coding to a very prominent training facility. Her skills include Medicaid, Medicare, BCBS, Manage Care, PPO, POS, IPA, and Commercial, Medical Terminology, Modifiers, ICD-9CM, CPT and HCPCS coding. Knowledge of HIPPA guidelines and Insurance laws and Knowledge of Liens and Appeals. Payment Posting, Charge Entry and Refunds and Adjustments. Revenue Management Cycle in the Healthcare field and generation of multiple reports daily, monthly and yearly closes. Basic knowledge of ICD-1O Coding and CPT 10, Microsoft office Applications: Word, Excel, Outlook and Access, MediSoft, GE Centricity-IDX, EPIC, ECARE, HBOC, CUBS, Novell software. Email lkloock@msrstaffing.com or call 770-998-7779 x167

Director of Patient Accounts (0001M1YD):

Hospital and Clinic Business Office Accounts Receivable Turn-around projects, while performing; Charge Master Management, writing Policies and Procedures, creating structure in the Credit and Collections Department, Registration, Central Scheduling and Discharge Planning responsibility, Credit and Collections/Self Pay Experience. Implementation of EMR and billing software experience and creation of CDM processes. Software experience includes; MediTech, DairyLand, X-PackEcilpsys , NDC Premis, E-BOS, McKesson Star, SSI, CPSI, Version 15 & MPM, Sphere, SMS MPM. Email lkloock@msrstaffing.com or call 770-998-7779 x167

Medicare and Medicaid Specialist (0001LN1C):

A healthcare financial consultant/independent contractor, that offers a broad range of services focused on the needs of hospitals and other healthcare facilities for financial, strategic, management, organizational and competitive change and growth. His expertise is in Revenue Cycle Management, which includes: billing and patient accounting, workflow analysis, receivables management, billing systems review and planning, CDM review and cash acceleration. His diverse work experience allows her to adapt to any work environment. He is experienced working all payors including Medicare. He has strong references and is highly recommended. Software applications include: Siemens Oas, SMS, Epic, Meditech , Hbo C and DDE. Email lkloock@msrstaffing.com or call 770-998-7779 x167

Reimbursement Specialist (0001M09L):

Reimbursement Specialist with extensive experience in developing and implementing new processes in an effort to maximize company growth. Accomplishments include: Billing and collections trainer, Denial Analysis, Auditor, Customer Relations, Account Manager and Medicare/Medicaid Specialist. Healthcare training and development in various duties, while utilizing teamwork and managerial skills by establishing priorities and delegating tasks, organizing, negotiating self pay accounts and insurance carrier accounts, follow-through to ensure success. Research and appeals of complex nature, denial analysis and generated reports to show root cause. Well versed with Interim cycle billing specializing in Medicare, Medicaid, Blue Cross, Workers Comp and Commercial payers. Superior skills in ICD-9, HCPC and CPT coding Assist in training existing staff on billing and collections. Review criteria for clean claims, front end collections, problem identification. Skilled in utilizing CPT, HCPCS and ICD-9 guidelines to code ancillary, E/M levels, E/R pro-fee and facility, diagnostic, outpatient and inpatient charts. System Expertise: Florida Shared System (FSS), UGS, Mutual of Omaha, AS400, HBOC Star, Lytec, Meditech, Medical Manager, SMS, HMS, SSI, Caremedic, Mysis, Excel, Word, CPSI, Claims Administrator, Vision, Truecode, EM. Email lkloock@msrstaffing.com or call 770-998-7779 x167

Director of Patient Access (0001M0K7):

Director of Patient Access with over 10 years of experience. She has coordinated menial management committee reducing facility denials by 37% in a collaborative effort with other administrative members. Decreased turnover rate from 68% to 10% in less than 2 years. Responsible for the development, implementation and overall operations of all Access and Pre-Access Services including: Central Scheduling, Pre-Registration, Insurance Eligibility and Verification, Pre-Certification and Up-Front Collections. Increased Upfront Collections from 78% to an average of 151%. Implemented a Pre-Registration Department increasing percentage from 90% to 98%; exceeding goal of 95%. Improved accuracy error rate from 79% to a rating of 90% meeting goal. Expedited Patient Registration Process to “Fast Track” registration thus decreasing Patient wait times from an average wait time of 15.35 minutes to an average wait time of 4.33 minutes. Improved Customer Satisfaction in all Registration locations per the Avatar Survey from 91.61% survey rating to 97.77% rating (national data base average was at 95.33%).Knowledge of computer systems: Meditech, Eclipsys, AS400, Microsoft PC Applications (Outlook, Word, Excel). Email lkloock@msrstaffing.com or call 770-998-7779 x167

Nurse Auditor, CMAS (Certified Medical Audit Specialist) (0001M099):

Available for interim, willing to travel to coast to coast. Highly qualified Integrity Nurse with a proven track record in conducting inpatient and outpatient audits of all payer types to ensure billing and reimbursement is based on actual services rendered and supported by physician’s orders. Participating in revenue integrity by conducting a line by line audit of the entire bill to identify over and undercharges. Perform trend analysis of discrepancies for lost revenue prevention. Develop strategies for improvement and assist in education and training of staff. Email lkloock@msrstaffing.com or call 770-998-7779 x167

Clinical Nurse Auditor (0001KM35):

Denials Management – Audited client medical records for Emtala Section 1011, and AHCCCS Health Care Plans against established criteria, i.e. InterQual, AHCCCS, and Milliman Guidelines, to determine if patient condition and / or care met criteria for Managed Care or AHCCCS reconsideration/appeals. Performed clinical audits of medical records to identify and / or defend charges for Defense Audits and Disallowed Charges. Post Payment Review: Analysis of paid, Zero Balance accounts to identify potential additional cash recoveries. Identified claims paid less than expected utilizing technical, clinical and legal resources. Recouped reimbursements for Clients from reconsiderations/ appeals letters. Maintained compliance with HIPAA. Five years of Case Management experience in a telephonic Utilization Management, Case and Disease Management environment. Detail -oriented team player with excellent organizational and problem solving skills. Email lkloock@msrstaffing.com or call 770-998-7779 x167

Healthcare Financial Management Professional (0001FBYQ):

Highly experienced in Health Care Financial Operations, with a proven history with coordinating and reducing operational inefficiencies. She is a pro-active problem solver that has managed multi-projects simultaneously. She has done cash forecasting and revenue cycle management and has a proven ability to identify potential and promote management talent. Her skills include: HMO, PPO, Hospital DRG Billing: Workers’ Compensation, Medicare, Medicaid, Prescription Drug Plans and Insurance Indemnity plan policies, in a billing/collections and claims processing environment. Knowledge of HIPPAA regulatory guidelines, HCPC, CPT, ICD-9 and hospital revenue codes. Her software skills include MS Windows, MS Office, MS Excel, Data Access Showcase Query, Medi-Soft, PBAR-AVE 400, VI Web, On Demand, ImaCS, Medical Manage, Fox. Email lkloock@msrstaffing.com or call 770-998-7779 x167

Director of Patient Financial Services (0001LZTL):

Seasoned and ambitious professional with 15+ years experience in healthcare administration with Acute, LTAC, or CAH facilities, including medical billing, accounts receivable, and revenue collections. Ambitious, detail-oriented, and hands-on. Proven capacity to identify operational inefficiency and implement key strategies to improve processes and procedures. Excellent communication competencies, interacting with coworkers, patients, department managers, and top-tier leadership with professional decorum. Technologically competent in MS Office Suite, MEDITECH, STAR, and PICIS Scheduling Module. Email lkloock@msrstaffing.com or call 770-998-7779 x167

Patient Financial Service Specialist (0001M0H1):

Candidate with exceptional A/R recovery skills. Trained hospital patient financial services staff in appropriate sequencing of payers and correct cash posting. Responsible for the day to day operations of facility business office. Billing, collections and cash posting department. Strived to attain best practices, reducing AR days, bad debt ratios, staff quality and productivity. Supervised billing staff and had personal responsibility for workers compensation and third party liability claims through account payment. Developed Team spirit as well a policy and procedure to increase quality and productivity and contain costs. Software expertise includes; Perot Systems, Siemens MS4, CPSI, Medicare FSS System, Several State Medicaid Systems, SSI, E-Premis. Email lkloock@msrstaffing.com or call 770-998-7779 x167

Manager of Billing and Collections (0001M0R4):

Medical billing, collections and A/R management professional with a proven background of experience and achievements overseeing department operations, training/supervising staff members, managing internal bad debt processes, maintaining strong patient relations, and attending provider representative meetings. Commitment to remaining up-to-date with changes in billing and laws regarding third party insurance carriers, Medicare, and Medicaid. Additional strengths: overseeing all patient accounting functions (billing, AR collections, posting, bad debt management) for multiple facilities and entities (requiring working knowledge of several service lines and payer requirements), maintaining on-going communication with patients, medical and insurance professionals, and associates to increase productivity and resolve issues related to billing and collections, creating and implementing new procedures to maximize productivity, reimbursement and cash flow., utilizing a range of systems, including McKesson, HBOC, DPASS, EDI, AS400, IBM 3600, Infomed, MAC, Medical Manager, Fast EMC, Intergy EMR, Sovera, various internal database applications, and Microsoft Office. Email lkloock@msrstaffing.com or call 770-998-7779 x167