Lori Richard
Summary
Results-driven healthcare professional with deep understanding of revenue cycle management and operational efficiency. Successfully led initiatives to streamline billing processes and reduce claim denials. Demonstrated leadership in team collaboration and process improvement.
Overview
17
17
years of professional experience
Work History
Director of Revenue Cycle
Thibodaux Regional Health System
10.2022 - Current
- Responsible for Billing, Collections, Point of Entry, and Scheduling Departments
- Provides direct leadership to 4 team leaders and provided in-direct leadership to 56 employees
- Provides operational leadership to all aspects of the billing office operations including development of billing and insurance collections procedures/workflows and oversight of billing, collection and payment processing staff
- Provides operational leadership to all registration, pre-registration, authorization, and scheduling areas of the facility
- Collaborates with department leaders and care providers to achieve performance goals based on industry Key Performance Indicators
- Responsible for collections of over 90M in Monthly revenue
- Maintain AR Days at 37
- Enhanced cash flow by promptly identifying and resolving discrepancies in payment postings and adjustments.
- Ensured timely claim submission by effectively managing coding workflows within the department.
AVP Client Relations
Parallon
09.2020 - 10.2022
- Liaison between Parallon Shared Service Center (SSC) and 4 Client Facilities
- Provide oversight and coordinate operations at the SSC for all client-related front office and back-office processes
- Serves as the first point of contact for Clients and responsible for all client communication, management/review of performance, and the overall client relationship health for assigned facilities
- Work in coordination with the corporate CRM AVPs who manage the client relationship at the corporate level
- Assist Client Facility CFOs in understanding both front office and back office metrics, tools, and reports
- Responsible for presenting Management Operating Reports and Denial Management Reports for assigned Client Facilities
AVP, Revenue Cycle Operations
Mission Health System
06.2019 - 09.2020
- Responsible for the overall direction, coordination, implementation, execution, control and completion of specific revenue cycle related projects as assigned by HCA/Parallon Leadership
- Responsible for and participated in compiling data required for the MOR prior to and during the transition into Parallon's accounts receivable billing systems
- Works collaboratively with Mission and HCA/Parallon leadership specific to monitoring accounts receivable in legacy billing systems during the run-down period
- Maintain responsibilities of prior position in addition to above duties
- Managed projects efficiently, ensuring timely delivery and high-quality results.
- Streamlined communication channels between departments, facilitating better collaboration on projects across the organization.
Executive Director of Patient Accounts - Hospital Billing/Revenue Cycle Operations Support
Mission Health System
08.2016 - 06.2019
- Responsible for the overall direction, coordination, implementation, execution, control and completion of specific revenue cycle related projects
- Direction of the centralized health system operations for business process improvement and staff development for all assigned revenue cycle areas
- Provided revenue cycle project management leadership across the system for new application implementations, new practice and department integrations, and associated business process redesign and training related to revenue cycle applications and business processes
- Worked collaboratively with assigned leadership to support change control and interface development associated with maintaining the software of various revenue cycle applications
- Provided direct leadership to a team of 5 Operations Admins and provides in-direct leadership to 15 employees responsible for supporting revenue cycle applications
- Successful implementation of physician billing into the HealthQuest hospital billing platform for multiple specialties
- Co-developed electronic fee ticket for providers to enter charges while in a hospital setting which resulted in 2 FTE staff reduction
- Worked with Information Technology team to automate multiple encounter creation for provider-based billing resulting in 1 FTE staff reduction
- Oversaw financial management, ensuring fiscal responsibility and long-term sustainability for the organization.
Executive Director of Patient Accounts - Hospital Billing
Mission Health System
05.2014 - 08.2016
- Responsible for revenue cycle activities of six hospitals and one IDTF
- Provided direct leadership to 4 Managers and provided in-direct leadership to 85+ employees
- Oversaw financial management, ensuring fiscal responsibility and long-term sustainability for the organization.
- Provided operational leadership to all aspects of the billing office operations including development of billing and insurance collections procedures/workflows and oversight of billing, collection and payment processing staff
- Worked collaboratively with regional and local hospital leadership to drive transformation and the associated change efforts necessary to manage the central business office services including management of outsource services
- Responsible for leading strategic revenue management initiatives to achieve the requisite outcomes associated with improved patient, physician, payer, and associate experiences
- Collaborated with department leaders and care providers to achieve performance goals based on industry Key Performance Indicators
- Maintained AR Days to gross 55 while successfully completing multiple billing system implementations
- Completed multiple system implementations without a delay in billing or a decrease in the $100 Million in monthly cash collections
- Developed Quality Assurance process for current revenue cycle staff and for new hires to ensure productivity standards and process effectiveness
Director of Patient Accounts - Physician Billing
Mission Health System
04.2012 - 05.2014
- Responsible for billing, collections, coding, and cash posting for 150+ Ambulatory Multi-Specialty practices
- Provided direct leadership to 5 Managers and provided in-direct leadership to over 100 employees
- Collaborated with practice leaders and providers to achieve performance goals based on industry Key Performance Indicators
- Successfully implemented Allscripts Practice Management System without any impact on monthly revenue
- Performed in-depth analysis of practice volume, revenue, and trends
- Assisted with on boarding and integration of multiple Physicians Practice utilizing PSA (Physician Service Agreements)
- Managed multiple practice management systems concurrently
- Knowledgeable in Clinic, Critical Access, Rural Health, and Provider Based billing requirements
- Improved patient account management by streamlining processes and implementing effective communication strategies.
Director of Business Services/Special Projects
Mission Medical Associates-Asheville Cardiology Associates
03.2008 - 04.2012
- Responsibilities included billing, collections, coding, registration, prior authorization, and cash posting for 35 Cardiologists/13 physician assistant /2 NPs
- Provided direct leadership to 2 managers and 40+ employees
- Successfully reduced net AR days to 25
- Successfully implemented NextGen Practice Management System without any impact to monthly revenue
- Provided in-depth analysis of practice volumes, revenue, and trends
- Compiled and presented monthly reports to Board and quarterly reports to Shareholders
- Negotiated contracts with Managed Care companies, Nursing Homes, Home Health Agencies, and Hospice agencies for office-based physicians
- Coordinated and completed special projects as assigned by Physician Board of Directors
- Worked with Providers to complete Meaningful Use and attestation
- Successfully attested 35 physicians for Phase I
- Implemented process for quality reporting including PQRS and E-Prescribe
Education
Master of Business Administration -
Nicholls State University
Thibodaux, LA01.2006
Bachelor of Science Degree - Marketing
Nicholls State University
Thibodaux, LA01.1994
Skills
- Operations management
- Corporate and internal communications
- Denial resolution
- Staff training and development
- Claims management
- Revenue cycle optimization
- Revenue performance
- Healthcare billing
- Highly analytical and data driven
- Crystal Reporting
Affiliations
- HFMA
- Louisiana Hospital Association
Timeline
Director of Revenue Cycle
Thibodaux Regional Health System
10.2022 - Current
AVP Client Relations
Parallon
09.2020 - 10.2022
AVP, Revenue Cycle Operations
Mission Health System
06.2019 - 09.2020
Executive Director of Patient Accounts - Hospital Billing/Revenue Cycle Operations Support
Mission Health System
08.2016 - 06.2019
Executive Director of Patient Accounts - Hospital Billing
Mission Health System
05.2014 - 08.2016
Director of Patient Accounts - Physician Billing
Mission Health System
04.2012 - 05.2014
Director of Business Services/Special Projects
Mission Medical Associates-Asheville Cardiology Associates
03.2008 - 04.2012
Bachelor of Science Degree - Marketing
Nicholls State University
Master of Business Administration -
Nicholls State University
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