MICHAEL WASHINGTON5222 Bingham Street, Philadelphia PA 19120

(775) 430-0749 (c) |Qweebs1@aol.com______________________________________________________________________

CAREER SUMMARY

Seasoned, well-traveled Senior Revenue Cycle Operations Manager with a 16+ year successful track record of managing people and projects, is seeking a permanent management position. Skilled at fixing multi-million dollar A/R problems and managing/restructuring large departments. Extensive background in bringing operational performance improvement to large and small acute and non-acute facilities. Experience in the negotiating of vendor and Insurance contracts.

Strengths and Core Competencies

Translating big picture objectives into functional strategies and executable tasks

Highly organized and detail oriented Worked with multi EHR and billing systems Chart Capture under ICD-9, 10 capture Meeting A/R reconciliation expectations

Focusing on RCM metrics/processes to measure and drive results

Adhering to Client Service Agreements Strong communication skills Cross-functional team leadership Continuous compliance oversight

PROFESSIONAL EXPERIENCE

Carson Tahoe Hospital, LTAC Facility, Sierra Surgical Hospital July 2014 – Jan 2016Revenue Cycle Director (contracted position)125 Beds Evaluated and restructured PFS department: Assessed and reassigned personnel by skill level Redesigned

departmental work flow and departmental responsibilities. Continued and augmented staff education. Set the mark for most consecutive months of achieving planned goals (8), set the mark for most money collected in a month ($18 million), reduced billed days from 48 to 33 for all three facilities combined

Evaluated and restructured HIM/Coding department: Assessed personnel for proper coding certification, redesigned departmental work flow and priorities. Hired a new Coding Manager, Operations Manager, installed 3M 360 software, developed the ICD-10 training for coders, physicians and other clinical personnel and conducted an ICD-10 overview for all departments

Evaluated and restructured the Patient Intake/ Registration department: Redeployed registration clerks to correct scheduling gaps, connected registration with PFS to improve education and understanding of accurate patient information intake

Moffitt Cancer Center, Tampa, Florida Feb 2013 – Feb 2014Project Manager (contracted position) 95 inpatient beds / 75 outpatient/clinic beds Evaluated a $3.8 million pending/denial file for recoupment, reduced A/R by 28% Reviewed office policies and procedures, developed education modules for the billing and collections staff Prepared IT department for upcoming Sorian System upgrades Facilitated successful internal and external audits via sound and thorough documentation Composed effective accounting reports that summarized accounts receivable data Researched and resolved denial files by implementing new denial management procedures Reduced A/R days from 64 to 58

Yukon-Kuskowim Hospital, Bethel, Alaska Oct 2012 – Nov 2012Training Consultant (contracted position)

75 beds Evaluated office policies and procedures evaluation, trained collection staff on new collection techniques,

established collection projects to address and reduce the aged trial balance bottom line Created daily and weekly cash reports for accounting management Reviewed all billing reports for accuracy and proper demographic/coding disclosure

St. Mary’s Hospital/Cottonwood, Idaho & Clearwater Valley Hospital Oct 2012 – Oct 2012 Interim Revenue Cycle Director (contracted position)Critical Access Hospitals in Idaho, each with 40 beds Directly supervised the revenue cycle operations and staff responsible for claims submission and collections of

$6.5 million dollar receivables bucket Responsible for the development, implementation and management of efficient and effective Revenue Cycle

policies and procedures, training and other tools of support Acted as the point of engagement for all revenue cycle system changes, enhancements and priorities, facilitated

decision-making with appropriate departments Reconciled discrepancies between accounts receivable general ledger account and accounts receivable trial

balance accounts

SUNY Hospital, Brooklyn, New York Jan 2012 – Apr 2012Recovery Manager (contracted position)212 beds Responsible for managing the collection staff performing account-follow-up and denial management for an $8.2

million receivables bucket Direct management of billing and coding departments with particular emphasis on accuracy and reducing A/R day

to under 45 Knowledge of Medicare, Medicaid and Commercial billing regulations and experience with UB-04 and HCFA 1500

claim forms billing and follow-up functions both electronically and manually Facilitated successful internal and external audits through sound and thorough documentation Composed effective accounting reports summarizing accounts receivable data

Littleton Regional Hospital, Littleton, New Hampshire Sept 2011 – Jan 2012Supervisor (contracted position)110 beds Supervised and trained a team of 11 appeals and billing representatives; evaluated and distributed incoming appeals

to appropriate specialist Monitored workflow of denial management staff to ensure prompt response to all Insurance denials Monitored and modified work queue database Insured all outgoing appeal letters were appropriate for release Facilitated continued collector training Revised and updated department manuals to the endpoint of reducing a $3 million receivables bucket

Southern Inyo Hospital, Lone Pine, California Feb 2011 – July 2011Interim Revenue Cycle Billing Manager (contracted position)Critical Access Hospital with 20 beds Supervised and trained a team of 7 appeals specialists, 6 manager department heads and supervisors Evaluated incoming appeals to distribute to the appropriate specialist based on their particular strengths Monitored workflow of appeal staff to ensure prompt response to all Insurance underpayments and denials Monitored and modified work queue database to more aggressively attack the $2 million receivables bucket Insured all outgoing appeal letters were appropriate for release Conducted motivational and educational sessions for all departmentS as it pertained to information needed to

submit clean bills Facilitated successful internal and external audits through sound and thorough documentation Composed effective accounting reports summarizing accounts receivable data

Resolution Consultants, Expedited, Bottom Line, Frasier Consulting July 2006 – Feb 2011

Accounts Receivable Specialist Resolved $2+ Million, 45 days A/R for multiple (35) payors Addressed and resolved denials, short pays, patient responsibility, payment posting, telefacing with multiple

payors, Medicare, Medicaid, BCBS, Commercial, Private and Workman’s Comp. Write offs Tracked productivity metrics for reporting Reported on discoveries and suggested corrections to Clinic Owner, CFO and Department Managers

Summary of Project Engagements Acute Care Hospital, Browns Mill, New Jersey (3 months)

Deborah Heart and LungAddressed and resolution of denials, short pays, patient responsibility, payment posting, telefacing with multiple payors, Medicare, Medicaid, BCBS, Commercial, Private and Workman’s Comp.

Acute Care Hospital, Petersburg, West Virginia (4 months)Recovery of $8.6 million outstanding A/R * billing and recovery training of revenue cycle staff

Physicians and 6 Doctors, Hamilton, New Jersey (4 months)Team Lead, Collections and BillingTraining * Physician Billing * Recovery of outstanding A/R

Multi Care Hospital, Shawnee, Oklahoma (4 months)Team Lead 5Recovery * Training

Carson Tahoe, Carson City, Nevada (10 months)Facility and Physician Billing

Acute Care Hospital, Cheyenne, Wyoming (2 months)Interim ManagerCollections * Denials * Training

Jacksonville, Florida (5 months)Billing * Collections * Team Lead * Professional Fee Billing and Collections

Williamsport, Pennsylvania (7 months)Revenue cycle collections

Robert Woods Johnson, Trenton, New Jersey (4 months)Team Lead 4Revenue Cycle collections

Physician Practice 9 Doctors, Princeton, NJ (6 months)Team LeadCollected $1.2 Million A/R

Maximus Federal Services, King of Prussia, PA Jan 2006 – Jun 2006 Appeals Supervisor Supervised and trained a team of 7 appeals specialists Evaluated and distributed incoming appeals to appropriate specialist Monitored workflow Responded to all telephone inquiries from insurance members and doctors Monitored and modified database Insured all outgoing determination letters were appropriate for release

OTHER POSITIONSCardionet, Conshohocken, PA 2004 – 2006 Billing Manager

Philadelphia Urological Associates, Philadelphia, PA 2000 – 2004Billing Supervisor

Tenet Health System, Philadelphia, PA 1998 –2000 Hahnneman HospitalAccounts Resolution Specialist

EDUCATION

B.S., Psychology/Biology, Howard University, Washington D.C.Minor: Marketing