Angela Montgomery
Senior Director of Revenue Integrity at Tri-City Medical Center
La Mesa, CA
Operations Executive with over 23 years of patient accounting background, including 17 years of experience in directing Revenue Cycle and AR Operations, to achieve strategic and business metrics, hired, trained, and mentored strong AR Management Teams, while achieving excellent results to internal and external customers. Achieved outstanding financial results, by providing strategic vision and direction for Regional Patient Accounting Service Centers, and serviced multiple markets accounts receivable, and business office operations.
Excellent Communication/Solid Organizational/Motivational/Leadership skills Ability to analyze and evaluate the patient account process as it relates to accounts receivables. Proficient in Excel, Word, Lotus-Notes, PowerPoint, Showcase Query System, Windows Exchange, MedeFinance, CodeCorrect, ePremis, Invision, EPIC, Affinity, PBAR, and IMACS, Craneware, Concuity
Work Experience
Senior Director of Revenue Integrity
May 2010 to March 2012
Directly responsible for the oversight and coordination of all front end patient access, business office, and revenue cycle functions. Recruited, hired, trained and supervised more than 107 employees in the revenue cycle with yearly average $240 million in Net Revenue.
Revised and implement department policies and procedures within all areas of direct responsibility. Analyzed data within the revenue cycle and implemented performance standards both quantitative and qualitative for all areas. Implemented revenue cycle teams to achieve organizations goals and promote teamwork and collaboration from all parties. Implemented "Cash Price Fee Schedule", trained front-line staff how to properly secure payment at the time of service, which improved collections by 200%. Established the "Revenue Cycle Team" to handle: CDM maintenance, APC errors, Chart Audits (defense, concurrent, stop-loss and focus), improved Gross Revenue capture within all ancillary departments. Implemented patient loan program to improve patient satisfaction, reduce bad debt and increase cash collections. Implemented Contract Management & Denial Management system to track and trend and resolve revenue cycle issues at the root cause.
Vice President of Operations- West Coast Office
2007 to 2010
Oversaw the daily operations for multiple client projects handling the billing and collections components of government and non-government payers in multiple states. Additionally oversaw direct operations, human resources, logistics, and finances. Established metrics to monitor operations staff for each project to ensure the clients expectations are met.
Collaborate with each client to improve the revenue cycle within their operations, and deploy onshore and offshore resources for each project. Coordinated with the business development teams, which resulted in gaining the new clients contracting for services.
Director of Revenue Services/Revenue Cycle
2004 to 2007
Responsibilities included daily functions of the Revenue Services department for the three facilities: Centinela Campus, Daniel Freeman Memorial Campus and Daniel Freeman Marina Campus. Operations responsible were managing staff for performing charge audits, patient access audits and patient financial audits to identify areas for improvement, and additional responsibilities were: CDM, Chart Audit, APC and end to end Revenue Cycle activities for the entire health system.
Performed assessments of the Revenue Cycle flow for the three campuses from all
departments: scheduling, admitting, case management, health information management, nursing, ancillary services, charge capture and business office. Developed seven teams to address issues identified: Admitting, Pre-Admitting, Charge Capture, In-House, HIM, Denials, and Business Office. Developed and implement tools to improve the revenue cycle process for the system as well as tools to monitor status after implementation. Assisted with development of processes for hospital-based clinics (1206D) to optimize the revenue cycle for five newly implemented clinics
Tenet Healthsystems, Dir. of Patient Financial Services
April 2001 to November 2004
Director of Patient Financial Services
1989 to 2004
Directly responsible for the oversight and coordination of all front end patient access information for Inpatient, Ancillary Departments and Emergency, including Pre-Registration, Insurance Verification, Financial Counseling, Quality Control and PBX Communications, reporting directly to the Chief Financial Officer and Central Business Office Director.
Responsible for all Month-end Accruals, Credit Balance and OTC Cash Goals and ran other reports to support and validate the financials. Revised and implement department policies and procedures in accordance with JCAHO, OIG, and Corporate Compliance. Analyzed data within the revenue cycle and implemented performance standards both quantitative and qualitative for all areas. Implemented revenue cycle teams to achieve organizations goals and promote teamwork and collaboration from all parties. Update Cash Price Fee Schedule and trained
front-line staff how to properly secure payment at the time of service, which improved collections by 10%. Established the "Revenue Services Department" to handle: CDM maintenance, APC, Chart Audits (defense, concurrent, stop-loss and focus), improved late charges by 8% and concurrent audits maintained 2% of Gross Revenue.
WORK HISTORY AT TENET FACILITIES
Education
Masters of Business Administration
2008
Bachelor in Science Business/Management
2007
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