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.
Promoted to this position 1/2000
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)
Chief Operating Officer
Bloomfield Hills ,Michigan
Chief Operating Officer
New York ,New York
Morrisville ,North Carolina
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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.