1. Ed Gajudo
23318 Ravenna Avenue. Carson, Ca 90745
5339 Luna Bonita St. Las Vegas, Nv 89113 Primary Residence
Cell no. 702‐217‐8008
Email: egajudo@gmail.com
PATIENT FINANCIAL SERVICES; REVENUE CYCLE OPERATIONS AND MANAGEMENT
Qualifications ● Over 25 years’experience in Revenue Cycle PatientFinancial Services Management
● Advance Knowledge on Hospital and Professional Billing(UB‐04/1500),Healthcare
Reimbursement Methodologies includingChargeMaster Updates and maintenance. Advance
knowledge of the hospital based operations related to the revenue cycleincludingHIM,
Patient Access,Clinical Quality/CaseManagement, Management Information Systems,
Accounting and Finance
● In depth and working knowledge of the of hospital revenue cycle flow, revenue cycle
technology, revenue cyclemetrics and drivers
Professional
Experience REVENUE CYCLE/DECISION SUPPORT MANAGER 10/2006‐February2016
Gardens Regional Hospital and Medical Center, dba. Tri‐City Regional Medical Center ‐
Hawaiian Gardens, CA
● Hands‐on assessment,planning,benchmarking,training,implementation and directing
key revenue cycleprocesses and functions
● Managed day to day operations of the Revenue CycleProcess includingbilling,audit,
collections,reimbursement, cash and adjustment postingand denial management
● Perform reimbursement audits and analysis,and directsupervision and management of
billing.
● Manage and analyzeA/R and FinanceReports. Identify and resolveissues in billing,
collections,cash postingand adjustments.
● In depth analysisof new and existingbusinessesand programs includingdevelopment
of processes and flow, includingnewand existingcontractnegotiations
● Trainingand education of staff within the Revenue Cycleoperations and process
● Use of report writer for ad hoc analysisand problemsolving
BUSINESS OFFICE MANAGER 02/2006 – 01/2007
Compassion Care Hospice ‐ Las Vegas, NV
● Responsiblein day to day operations of the Business Officeincludingaccounts payable,
payroll and staff scheduling
● Preparation and maintenance of quarterly and annual reportfor board of directors
2. ● Create and develop daily/weekly/monthly reporting process for both clinical and
financial areas
HEALTHSOUTH CORPORATION – Employment History
Las Vegas, NV 06/2001 – 02/2006 (Various Divisions)
➢ Regional Operations Manager – Central Business Office
06/2001‐03/2002 –Central Business Office ‐ Relocated to Portland, OR 3/2002
➢ Decision Support/Financial Analyst – Regional Office NV, CA, CO, AZ, WY, WA,
OR
03/2002 – 02/2005 – Regional Office Closed
➢ Business Office Manager – Healthsouth Surgery Center
04/2005 – 02/2006
Major Functions, Projects and Accomplishments:
● Develop and implemented key metrics and performance and quality
improvement program.
● Automate and Centralizedaily reports of PT clinics in 7 western states
● Improve the daily cash collection of the regional business officeby 7% vs.prior
year with less staff 2001‐2002
● Develop on linetools,forms and reports resultingin improved efficiency and
accuracy and on time reporting of daily transactions
● Implemented check and balancein cash postingand data processingresultinga
50% reduction in creditbalanceand resolution of identified payments within a 6-
month period.
● In depth analysisof clinicswithin theregion that are not meeting targeted goals
and provide key indicatorswhere the clinicadministrator need to focus on to
meet goal
BUSINESS OFFICE MANAGER 01/1999 – 06/2001
Dignity Health – Northridge Hospital Medical Center ‐ Northridge, CA
● Run day to day operations of the business office,includingbilling,collections,
reimbursement, cash postingand adjustments
● Develop and implement Registration 101 trainingmaterials for Admittingand E.R.
registration staff
● Root causeanalysisand resolution of all PFS issues in billingand collections
● Communicates policies and procedures effectively and regularly to staff
● Key user of MS4 ad hoc report writer
● Instrumental in meeting the corporateA/R days’goal
3. ASSISTANT PFS DIRECTOR 04/1998 – 01/1999
Granada Hills Community Hospital ‐ Granada Hills, CA
● Team leader of the Facility in financeon the system conversion
● Run day to day operations of the business office
● Develop trainingmaterialsand in servicethe staff after the conversion
● Instrumental in reducingA/R days and bill hold days
EMPLOYMENT HISTORY with ORNDA and TENET HEALTHCORP
➢ BUSINESS OFFICE COORDINATOR – Lake Mead Hospital
Las Vegas, NV 01/1996 – 03/1998
➢ BUSINESS OFFICE COORDINATOR – Monterey Park Hospital Monterey Park, CA
02/1992 – 12/1995 Job Transfer to Las Vegas
➢ MEDICARE BILLER – Monterey Park Hospital
10/1990 – 12/1992 Promoted to Business Office Coordinator
EDUCATION:
2016 UDEMY BUSINESS SCHOOL San Francisco, CA
Entire MBA in 1 Course
2016 UDEMY BUSINESS SCHOOL San Francisco, CA
SQL Basic
1979 UNIVERSITY OF THE EAST Manila, Philippines
Accounting/Finance
1981 INT’L CENTER FOR COMPUTER STUDIES Manila, Philippines
Computer Programming Course
MEMBER – Healthcare Financial Management Association