Jun 2022 – Jun 2025 · 3 yrs

Apr 2021 – Jun 2025 · 4 yrs 2 mos

Jun 2020 – Apr 2021 · 10 mos

• Responsible for overall management to the US Oncology practice support in denials/appeals education, Athena IDX support/integrations and Athena IDX training initiatives.

Jun 2016 – Jun 2020 · 4 yrs

• Revenue Cycle Management
• Understand, contribute and help drive the strategic roadmap for revenue cycle for the East.
• Educate and consult with the practice and regional leadership as required on the status of current project portfolio and the pipeline of revenue cycle efforts to pursue for the regions or practices.
• Partner with regional CBO’s and Physician Practice Leadership to manage information resources to support the gathering of benchmarking data and key performance indicators and leverage this to prioritize efforts and proactively implement mitigating strategies.
• Project/Program Management
• Coordinate with regional CBO’s and Physician Practice Leadership to develop and implement plans, communication and schedules to execute process improvement plans.
• Identifying critical MSH and practices resources needed to achieve project goals. Responsible for leveraging all project resources and managing the project plan.
• Anticipating and influencing changes (internal or external) that may impact program scope or goals.
• Process Improvement, Change Management and Leadership
• Oversight of change management process to include mapping out of revenue cycle best practice workflow for front and back office processes as needed.
• Lead multiple concurrent projects for the East to improve operational processes resulting in financial savings, increased revenue and process flow improvements.
• Delivery of key components of Revenue Operations continuous improvement strategy; ensuring innovative solutions are aligned with regional CBO and Physician Practice goals and initiatives for both front end and back end operations.
• Collaborate with Leaders to identify key metrics, activities, and initiatives that impact the business to identify opportunities for improvement, assist with improvement plan development, and implement revised work, and support progressive refinement of audit findings and opportunities.

Jan 2011 – Jun 2016 · 5 yrs 5 mos

• Managed the day-to-day Operations in the Lewiston office consisting of 225 indirect reports from functions ranging in customer service, accounts receivable follow-up, coding, analytical, Supervisors, and Directors.
• Responsible for maintaining key performance metrics of current client business consisting of over 38 million dollars in McKesson revenue.
• Formulated yearly staffing budgets and assisted Finance with Cash Flow Forecasting projections.
• Worked with claims clearinghouses to improve process on clean claim rates and 5010 readiness.
• Partnered with Implementation Team on new client start ups.
• Assisted on new client contract negotiations.
• Implemented systemic improvements to drive better front end process within McKesson's proprietary system.
• Director of Account Management-McKesson CorporationSept 2007 until present
• Acted as a leader to the Account Management team in the NE division.
• Consulted potential Radiology, Radiation Oncology and Medical Oncology clients on coding and documentation requirements.
• Managed one Account Manager, one Associate Account Manager and three coders.
• Participated and provided feedback in regards to new processes/tools for improvement of the daily workflow.
• Attended Specialty Seminars with the Sales Team as a representative from Account Management.
• Assisted the Sales Team in meetings with potential clients.
• Performed same functions listed below in addition to the functions listed above.

Sep 2007 – Jan 2011 · 3 yrs 4 mos

Mar 2004 – Sep 2007 · 3 yrs 6 mos

• Managed all aspect of the business relationship with an assigned limited group of clients to ensure appropriate services.
• Reviewed status of all regularly provided services; noted issues and trends; assigned personnel to resolve any conflicts or problems through regular client meetings to review company performance in providing regular accounts receivable, business strategy, and physician compensation plans services.
• Prepared client fee schedule analyses and reviewed work of less experienced staff.
• Developed and maintained schedule of standard ad hoc financial reports for each assigned client.
• Conducted research regarding complex reimbursement guidelines and regulations, health care trends, operating systems and market competition. Reported results to appropriate management personnel within the company.
• Assisted clients with contract issues and resolution of high-level patient complaints.
• Directly supervised employees in the Operational functions of client accounts.
• Planned, assigned, trained and directed work to other employees.
• Appraised performance, rewarded, disciplined and addressed employee complaints and resolved problems.

Jun 2003 – Jul 2025 · 22 yrs 1 mo

Jun 2003 – Mar 2004 · 9 mos

• Provided coding and compliance consulting services to physician practices.
• Assisted prospective clients in determining the specific services they require.
• Researched payor requirements for the client's specialty and locality, such as Medicare carrier coverage policies and Medicaid regulations.
• Reviewed clinical records for adequacy of documentation.
• Reviewed HCFA-1500 claim forms for accuracy and completeness of ICD-9 and CPT codes and other claim information.
• Created a comprehensive written report of audit findings.
• Presented findings at an on-site meeting with client.
• Designed and delivered customized coding and compliance training for client's physicians and employees.

Sep 2002 – May 2003 · 8 mos

• Provided coding and compliance services to 8 different specialties including, Ob-Gyn, Gastrointestinal, Orthopedic, Neurology, Podiatry, General Surgery, Internal Medicine, and Family Practice.
• Researched payor requirements for each specialty.
• Helped develop ABN policy and educated front staff on when to use them.
• Reviewed HCFA-1500 claim forms for accuracy and completeness of ICD-9 and CPT codes and other claim information.