CYNTHIA MARTINEZ806-282-0235

SMRTCYNTHIA@ATT.NET

SUMMARY

A highly talented and driven implementation executive with expertise in Revenue Cycle, process improvement, team leadership, project management and financial analysis along with a strong track record of providing growth to innovative healthcare organizations. Dynamic project manager known for delivering complex projects on time and under budget while exceeding expectations. Expertly develops scalable solutions to drastically improve efficiency and productivity with the demonstrated ability to define and map implementation project scope, specifications, timelines, resources and budget requirements. Excels at turning under-producing individuals into teams that work efficiently and exceed all expectations. Detail-oriented self-starter with excellent oral and written communication, organizational, time management and presentation skills. Strong academic qualifications include a Certification in Lean Six Sigma Black Belt Epic Resolute Claims, Billing and Edits HB and PB.

SELECTED HIGHLIGHTS

Extensive experience in directly overseeing all aspects of daily operations for numerous hospital revenue cycle and multi-specialty facility practice’s.

Established and introduced a number of key initiatives, streamlined reporting and efficient bad debt collection

Responsible for handling the implementation of Epic System in various Hospital and Physician Practice management facilities including SBO call centers.

Directly oversaw teams of implementation specialists to ensure smooth rollout of electronic medical records and billing systems for multiple systems; (certified in several EPIC modules for hospital and practice management to ensure proper setup of software as well as to protect revenue cycle).

PROFESSIONAL EXPERIENCE

Southcoast Physician Group 2015 – 2016 Interim Director, Revenue Cycle Operations Directly oversee all aspects of operations for a multi-specialty faculty practice organization with over

$160M in annual revenue while serving as the Director of Revenue Cycle Responsible for handling the daily operating functions of a multi-specialty facility organization while

implementing Epic Software Systems, serving as EPIC claims, billing and edits overall revenue cycle lead subject matter expert. in several EPIC modules for practice management to ensure proper setup of software as well as to protect revenue cycle

Function as a liaison with administrative directors and operation managers, providing subject matter expertise for non-clinical operational and revenue cycle issues

Actively participate with other administrative leadership in the development and implementation of a strategic plan, including specific performance metrics and benchmarks

Collaborate with the administrator, faculty practice and professional revenue cycle to ensure the financial integrity of the faculty practice plan and exercise responsibility for sound allocation practices

Extensively review, monitor and analyze professional revenue cycle performance and status on a regular basis to identify trends and strategize for continuous improvement and course correction.

Northwest Community Hospital, Arlington Heights, IL 2015Interim Director, Hospital Revenue Cycle Direct oversight of a daily Hospital Revenue Cycle operations and implementation of Allscripts and

Epic for an organization with over $100M in annual revenue. Responsible for handling the daily operating functions of the hospital revenue cycle and home health

facility. Direct implementation of Epic Software Systems, serving as EPIC claims, billing and edits overall

revenue cycle lead. Function as a liaison with administrative directors and operation managers, providing subject matter

expertise for non-clinical operational and revenue cycle issues Significantly improved the faculty affairs department while also streamlining the entire credentialing

process for admissions, registrar and enrollment management units Provided the necessary resources to all leaders which ensured an effective AR collections during the

implementation of EPIC and while maintaining the CPSI AR system

Britkare Home Medical-DME, Amarillo, TX 2014 Interim Director, Revenue Process Improvement Effectively implemented a lean processes improvement for all store departments located on 2

campuses. Responsible for the interdepartmental coordination of resources, systems and technology to ensure

smooth and efficient operations throughout the entire business. Successfully implemented top to bottom new processes from admissions, patient intake, CME

completion and warehouse. Centralized warehouse inventory causing a decrease of unused items and a savings of $100,000. A

month. Re-engineered store front for easy accessibility to all equipment and services provided to patients. Implemented Patient intake forms improving Medicare reimbursement Productively managed the online Medicare Reimbursement.

Professional Medical Services (PMS) Fort Worth, TX 2012Interim Facility Project Director, Revenue Cycle Directly oversaw all aspects of operations for a Third Party Hospital/Physician Billing Company

with over $100M in annual revenue while serving as the Interim Facility Project Director, Revenue Cycle

Creation of a new department with in PMS. Responsible for hiring and training a team of expert AR collections and billing staff for a multi-

facilities , hospital and physician based organizations. Function as a liaison between PMS and the facility’s Patient Financial Director and operation

managers, providing subject matter expertise for non-clinical operational and revenue cycle issues Actively participated with PMS administrative leadership in the development and implementation of

a strategic plan, including specific performance metrics and benchmarks for AR clean up and cash collection for each facility or organization assigned to the newly created department.

Collaborated with the PMS administrator, to ensure the financial integrity of the faculty practice plan and exercise responsibility for all revenue collections for each and all facilities and organizations assigned to the new department

Extensively review, monitor and analyze professional revenue cycle performance and status on a regular basis to identify trends and strategize for continuous improvement and course correction with each staff as needed

Renown Healthcare systems, Reno, NV 2010 – 2012Interim, Central Billing Hospital and Physician Revenue Cycle Director Directly oversaw all aspects of operations for a multi-specialty physician based facility and a Hospital

based facility with over $250M in annual revenue while serving as the Director of Revenue Cycle Managed and accountable for 82 total employees including Revenue Cycle IS, Nurse Auditors, All

Commercial, and Government Payers AR collections, billers, coders, cash posting and self-pay collections.

Responsible for handling the daily operating functions of both a multi-specialty physician based facility organization and a hospital based organization while implementing Epic Software Systems, serving as EPIC claims, billing and edits overall revenue cycle.

Analyzed and recommended changes needed for a smooth system software implementation. Process management for a cost effectiveness and efficiency of the revenue cycle as whole prior to go

live. Ground level implementation of an Epic SBO call center with staff recruitment, infrastructure set up

and management Implementation of DDE Medicare staff training Developed and implemented of a strategic plan, including specific performance metrics and

benchmarks for effective AR collections Extensively review, monitor and analyze professional revenue cycle performance and status on a

regular basis to identify trends and strategize for continuous improvement and course correction.

EDUCATION

West Texas A&M , TexasBachelor of Applied Science , Business Administration

ADDITIONAL CREDENTIALS

Technical SkillsMeditech system dictionary build experience with: B/AR,ABS,ADM,HIM,SCA,GL,AP,PCS,PCM,NURHMS Patient Accounting and Patient Access, Cerner System Implantation Specialist, , Passport, SMS mainframe, Di-tech, Brightree, Great Plains Accounting Software, Health-Land Accounting Software, Cirius, NaviNet, Emdeon, Crystal Writer, Medicare online DDE systems, , Kronos. Peoplesoft, Additional Impact Knowledge: Medicare, CCI Edits, CPT, HCPC codes, ICD9 and 10, CM- Charge Master System with impact,, Medicare LCD and NCD, Skilled Nursing, Home Health, Swing Bed, Rehab, standalone PT/OT, Hospital based PT/OT, Drug and Rehab Billing, Durable Medical Equipment Billing, Physician, Clinic billing, General Revenue Cycle Accounting

Certifications/Training Lean Sig Sigma Black Belt Epic Resolute Hospital Billing Epic Resolute Hospital Claims Epic Resolute Hospital Edits Epic Resolute Physician Claims Epic Resolute Physician Billing Epic Resolute Physician Edits Epic MyChart