Corner Homecare - Chief Operating Officer Resume Example

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Jackson Thompson
XXX XXX XXX XXXXX, Paducah, KY 42001
Ph: XXXXXXXXXXXX
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Professional Summary


 

Accomplished and goal-oriented Chief Operating Officer with a solid history of achievement with the financial and management needs of health care organizations. I have a proven track record of providing and managing solutions designed to increase profitability, improve operations, and insure the financial health of the organizations. Areas of expertise include strong verbal and communication skills, along with strong skills in critical thinking, problem identification and resolution, and operational analysis.


Skills
  • Administration and Management
  • Effective Leadership
  • Customer Service
  • Project Management
  • Complex Problem Solving
  • Strategic planning
  • Negotiation and Communication
  • Time Management
Experience
Chief Operating Officer Mar 2006Present Corner Homecare Paducah, Ky
  • March 2014 - Promoted to Chief Operating Officer
  • September/2012 - Direct of Billing, Inventory, Intake, and Purchasing was added to my job description.
  • July/2008 - Promoted to Director of Sites 
  • August/2005 - Hired as  a Site Manager and Marketing Representative of the Paducah location.
  • Analyze operations to evaluate performance of a company or its staff in meeting objectives or to determine areas of potential cost reduction, program improvement, or policy change. Decreased Respiratory service line denials by 31% by educating staff on insurance guidelines. Staff were giving supplies too soon and they were also giving too many. This also decreased  supply cost. Decreased Enteral denials due to dispending too much.  Implemented a process change where patients had to pay for additional supplies.
  • Direct, plan, or implement policies, objectives, or activities of organization to ensure continuing operations, to maximize returns on investments, or to increase productivity. Reorganized billing and implemented process changes - aggressively work accounts >$1000, outsourced patient accounts after 45 days, reduced ABN write offs by 67% by staff education and implementing new processes, reduced write-offs  due to lack of Auths/Precerts by 40% by  training the staff to maximize the company computer system and adding alerts in the computer system, updated the Charity and Bad Debt Policy, accelerated secondary billing by utilizing electric and on-line billing when available, increased revenue by $63,000 per month by auditing denials due to ineligible cost invoices; staff were submitting old cost invoices (more than 60 days old) and not using the correct process when submitting them to the insurance companies, decreased Medicare DIFF denials for Enteral and Infusion services by educating staff on correct Diff process and how to calculate units (decreased enteral and infusion denials by 13% and we received reimbursement four weeks sooner due to claims not getting denied). 
  • Negotiate or approve contracts or agreements with suppliers, distributors, federal or state agencies, or other organizational entities.
  • Review reports submitted by staff members to recommend approval or to suggest changes. Decreased Taxonomy Code denials of Medicaid crossover claims from Medicare due to which resulted in an additional revenue of $47,000 per month
  • Appoint department heads or managers and assign or delegate responsibilities to them.
  • Preside over or serve on boards of directors, management committees, or other governing board
  • Prepare or present reports concerning activities, expenses, budgets, government statutes or rulings, or other items affecting businesses or program services
  • Establish departmental responsibilities and coordinate functions among departments and sites
  • Determine staffing requirements, and interview, hire and train new employees, or oversee those personnel processes
  • Introduce and promote new equipment and services to referral sources (physicians, hospitals, nursing homes, Rehab facilities, and other healthcare organizations). Increased Net sales by $77,098 per quarter at assigned location.
  • Responsible for training Site Managers and Directors
  • Responsible for Insurance contracts and Nursing Home and Hospice contracts.  Increased revenue by $42,000 a month by obtaining a  the largest Hospice contract in the area and an additional Nursing Home contract.
Operations Research Project Manager Dec 1997Aug 2005 Lourdes Hospital Paducah, Ky

Promoted to this position 1/2000

  • Title included the duties of Manager of Radiology and Decision Support, Hospital based Neurosurgeons office, and the Revenue Cycle
  • Review financial statements, sales and activity reports, and other performance data to measure productivity and goal achievement and to determine areas needing cost reduction and program improvement
  • Increase reimbursement through correct coding by implementing 'Physician DRG Guideline Worksheets' to capture the most commonly missed complications and co-morbidities. An audit was performed  after these worksheets were implemented and this process change increased revenue by $19,000 per month 
  • Knowledge of CPT codes, Revenue codes, DRG, APC's, denials, audits, registration process, claim filing, reimbursement, ICD 9, HCPCS

  •  Increase staff/organization efficiency by implementing several applications, including VoiCert, Phone Tree,  Data Image and HDS (increase revenue and decrease denials). Phone Tree decreased 'no shows' by approximately 37%. VoiCert increased Case Managers productivity by 18% by decreasing the time they were on the phone to insurance companies. Data Image mailed all patient statements within a 24-48 hour period as well as provided a fast forward services which decreased in the amount of statements being returned. 71% of statements went out the same day and 28% went out within 24 hours as compared to the 72 hour turnaround time it took the organization

  • Develop, implement and manage the 'Revenue Support Department' that consisted of four employees that managed the Charge Master, performed audits, provided staff education, and identified and reviewed denials. The cost of this new department was $228,250 (including training, resource manuals, benefits, etc) for 4 employees (Service Line Analyst). The return on investment was 356% (($1,040,000-$228,250)/$228,250)). Please see Attachment  A for specific details). An article was published in 'Decision Health' discussing this process and received an Innovative Award from the Corporate office and presented it at a conference. 

  • Increase revenue and decreased cost by evaluating physician profiling and benchmarking and compared physicians to each other per specialty as well as compared them to national benchmarking per specialty and by geographical location. This decreased supply cost(mostly implants) for Surgeons which save the hospital approximately $77,000 per month and cut back on over ordered lab and x-rays

  • Evaluate insurance companies audits and recoupment's. Anthem requested a recoupment of $333,066 from an audit they performed. After evaluation of Anthems audit, it was determined that the money was not owed to Anthem. However, it was determined that Anthem owed the hospital $79,000

  • Developed and implemented a Weight Wellness Center Business Plan, a Multi-Specialty Center Business Plan, a Holistic Health Center Business Plan, and a Pain Management Business Plan.


 Manager of Radiology & Decision Support
 7/1998 - 1/2000  (then promoted)

  • Managed the day to day issues including staffing, budget, performance reviews, hiring and termination for  X-Ray, Nuclear Medicine, Angiography, Cat Scan, Ultrasound, Mammography, and Revenue Cycle
  • Plan, administer and control budgets for contracts, equipment and supplies.
  • Developed Policy and Procedures
  • Set goals and deadlines for the department.
  • Analyze internal processes and recommend and implement procedural or policy changes to improve operations. Examples include taking Radiology filmless by implementing a PAC system - this saved the hospital $1.2 million the first year it was implemented. Also, implemented the process sending CD's to physicians who requested copies of patients' X-rays and reports. It is expensive to make copies of films and to print out the reports that go along with them. It saved the hospital $375,000 the first year it was implemented.  
  • Increased Radiology volume by 30% by creating trust and strong relationships with physicians as proven by continuous promotions.     
  • Changes Radiology staff from a 40 hour work week to a 36 hour work week which saved the hospital over $290,000 the first year implemented.
  • Implemented the Midas Quality software to analyze and report quality standards and implemented Best Practice Standards for Quality Improvement.
  • Managed the entire process of the Chargemaster.
  • Contract negotiations - saved the hospital approximately $9000 per month by negotiating contract pricing with ambulance company and with MRI providers
  • Committees: Quality Committee, Inventory Control Committee, Medical Executive Committee, HIPAA Compliance Committee, Accreditation Committee
  • Performed Nuclear Medicine studies 12/1997 - 7/1998


 

Nuclear Medicine Technologist May 1995Dec 2001 Western Baptist Hospital Paducah, Ky
  • Calculate, measure, and record radiation dosage or radiopharmaceuticals received, used, and disposed, using computer and following physician's prescription.
  • Perform quality control checks on laboratory equipment or cameras.
  • Dispose of radioactive materials and store radiopharmaceuticals, following radiation safety procedures.
  • Prepare stock radiopharmaceuticals, adhering to safety standards that minimize radiation exposure to workers and patients.
  • Record and process results of procedures.
  • Explain test procedures and safety precautions to patients and provide them with assistance during test procedures.
  • Gather information on patients' illnesses and medical history to guide the choice of diagnostic procedures for therapy.
  • Measure glandular activity, blood volume, red cell survival, or radioactivity of patient, using scanners, Geiger counters, scintillometers, or other laboratory equipment.
  • Add radioactive substances to biological specimens, such as blood, urine, or feces, to determine therapeutic drug or hormone levels.
Nuclear Medicine Technologist Jan 1993Jun 1995 Lourdes Hospital Paducah, Ky
  • Same detail as the Nuclear Medicine position with Western Baptist Hospital (above) 
Education
Bachelor of Science : Nuclear Medicine with a Minor in Business Dec 1992 Wheeling Jesuit University Wheeling, WV
Additional Information
Training Courses:
- Leadership Series, Workers Comp & Family Medical Leave
- Leadership Series, Customer Service
- Leadership Series, Hiring and Firing of Employees
- Leadership Series, Teambuilding
- Leadership Series, Corrective Counseling
- Leadership Series, Interviewing for Success
- Leadership Series, High Performance Accountability
- Leadership Series, Positive Employee Relations
- Leadership Series, Performance Appraisals
- Training COnference, Chargemaster Strategies to Enhance Your Billing Process and Integrate APC's

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About this resume

Chief Operating Officer FROM Paducah , Kentucky RESUME

This is a resume for a Chief Operating Officer in Paducah, Kentucky with experience working for such companies as Corner Homecare and Lourdes Hospital. The grade for this resume is 0 and is one of hundreds of Chief Operating Officer resumes available on our site for free. Use these resumes as templates to get help creating the best Chief Operating Officer resume.

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School Attended
Wheeling Jesuit University