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Cynthia martinez resume 2016
1. CYNTHIA MARTINEZ
806-282-0235
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 severalEPIC 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.
2. Northwest Community Hospital, Arlington Heights, IL 2015
Interim 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
InterimDirector, Revenue ProcessImprovement
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 2012
InterimFacility 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 teamof expert ARcollections and billing stafffor a multi-facilities
, hospital and physician based organizations.
Function asa liaison betweenPMSand 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
3. Renown Healthcare systems, Reno, NV 2010 – 2012
Interim, 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 forhandling the daily operating functions of both a multi-specialty physician basedfacility
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 , Texas
Bachelor of Applied Science , Business Administration
ADDITIONAL CREDENTIALS
Technical Skills
Meditech system dictionary build experience with: B/AR,ABS,ADM,HIM,SCA,GL,AP,PCS,PCM,NUR
HMS 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