SlideShare a Scribd company logo
GREGORY S. POWERS
Wakefield, MA 01880 781 224-0403
Powersg40@Yahoo.com
PROFILE
Senior-level Healthcare Manager with extensive experience in revenue cycle, patient accounting, and
creating and improving teams. Progressive, intuitive leader with sound judgment based on best
practices, collaboration and resourcefulness. Skilled at identifying and successfully resolving
organizational problems. Strong analytical, organizational and long-range planning abilities. Keen ability
to establishrapportandcredibilityamongdiverse internal andexternal constituencies.
AREAS OF EXPERTISE
● Process Improvement ● CustomerService ● QualityControl
● VendorManagement ● ClaimsSettlements ● ProviderContracts
● Employee Development ● A/R andCollections ● ClientRelationships
● Operational Management ● Financial Reporting ● ProblemResolution
SELECTED ACCOMPLISHMENTS
 $15M increase incash collections through processimprovementandretainingstaff (DanaFaber)
 $4.2M claimdenial recovery,revisingapproachtoagedreceivablescollections (Mt.AuburnHosp.)
 Createdcentralizedbillinganddenialunits,resultingin40% reductioninclaimsprocessingtime
and 25% improvementinresponse turnaround (DanaFarber)
 Negotiated $5MBlue Cross& Blue Shieldclaimshortpay (DanaFarber)
 Managed unitwithdailyvolume of 1500 to 2000 claimsperday (Dana Farber)
PROFESSIONAL EXPERIENCE
Ika Systems,Southborough,MA 4/2014 – 10/2014
ClientManager (ContractConsultant)
 Managed 2 NY healthplans with100,000 combined membership
 FacilitatedweeklymeetingswithITdeveloperstoworkonclientissuesandenhancements
 Transmitted Invoice GenerationandReconciliation
 ImplementedOpenIssuesWorkbook
Hospital BillingCollectionService,Wakefield,MA 2/2012 – 9/2013
Manager, CustomerService Operations
 Designatedas Regional OperationsManagerof satellite office servicingself-pay,Insurance,MA
Autoand WorkerCompensationclients
 Supervised self-payandcustomerservice teamconsistingof 15 FTEs
 Managed teamprovidingcustomerservice support,accountsreceivables managementand
paymentcollection forclientsinMA,RI andNY
 Monitoreddaily claimplacements,cashcollectionandcustomerservice forassignedclients
 Facilitatedweeklyclientcallstoreview cash collection,issues andcustomerservicestatistics
 ImplementedOpenIssuesWorkBook toimprove accountability
GREGORY S. POWERS PAGE 2
Harvard Vanguard,Boston,MA 11/2009 - 7/2011
BillingManager, Dental Specialties
 Managed Revenue CycleOperationsfor5 Dental PracticesinCentralizedBillingUnit,including
account maintenance, disbursements,daily claimssubmittal, paymentposting,reporting andQC
 Providedleadership/directiontopractice supervisors;supervised 10FTE and5 practice leaders
Dana FarberCancer Institute,Brookline,MA
InterimAccounts Receivable ProjectManager 10/2008 – 4/2009
 Managed teamwithgoal to reduce the agedaccounts receivableover120 days inthe
Commercial BillingUnit (see SelectedAccomplishment)
 Researchedclaimsanddenials,negotiationclaimpayments, maintainedaccounts,resolved
claims,providedreportstoseniormanagement
MSMI Corporation,Middleboro,MA 11/2007 – 8/2008
Account Manager
 Managed clientrelationshipsandretentionfor Orthopedicsupplycompany
 Reviewedmonthlyfinancial reports;made recommendationstoimprove cashflow
 Managed clientrevenue cycle
Mount AuburnHospital,Cambridge,MA 7/2005 – 11/2007
SeniorManager, PatientFinancial Services.
 Managed PatientFinancial Services Departmentwith32FTEs
 Oversaw claimsproduction,collection,denial management,worker compensationand
customerservice
 StabilizedDROdaysfrom48 to 40
Dana FarberCancer Institute,Brookline,MA 1/2003 – 7/2005
Manager, PatientAccounts
 Managed BCBSaccounts receivable,claims,claimfollow up,denialmanagement,negotiation,
and providercontracts
 Builthigh-performance teamandpromotedculture of teamworkandaccountability
 WorkedwithCharge Master Analysttoresolve high-dollarclaimdenials
Outsource ReceivablesManagement(ORM),Billerica,MA 7/2000- 1/2003
Sr. Consultant
Accountable to SWAT team members, Reported to client senior management and ORM President.
Successfully built and lead teams working Accounts Receivable projects at some of the leading medical
facilities in the Boston area. Projects ran from a high of $10M to claim “clean up” assignments.
Representative assignments:
 Concord Hospital,Concord, New Hampshire 1/2000 to 12/ 2000 (11 months)
$10M Receivable: resolved and secured payment of aged accounts receivable. Project
was verysuccessful ingeneratingadditionalcashandloweringDROdays.
Mass Eye and Ear Hospital, Boston, MA 2000-2001
Client DRO days reduced from 107 to 74 in a short period of time. Had an active role in
the reorganization of client financial services department. Built financial team that was
cross- functional. Negotiated claim denial appeals with major payers ,educated client
staff on billing process ,worked with client management on process changes. Price
Waterhouse Coopers, a sub-contractor on project, recommended me for Dana Farber
positionthatI accepted.
Partners Heath Care, Boston, MA. 1/2002 – 12/2002 (11 months)
Manager project to lower aged accounts receivable from HMO providers. Secured
paymentforseveral highdollarthirdpartyclaims.
Beth Israell DeaconessMedical Center,Boston, MA Nov 1998 – Jan 2000
ClaimsClerk,BCBS Nov1998- April 1999
Manager, BCBSUnit April 1999 – Jan 2000
Blue Cross & Blue Shieldof MA. July 1992- Nov 1998
Analyst,CustomerReceivablesManagement July1992- Oct 1995
National AccountsAnalyst,Supervisor Oct 1995- Nov1998
COMPUTER SOFTWARE
IDX,Meditech,Dentrex,SoarianFinancials,MicrosoftOffice2010
EDUCATION
B.A.,Business Management,NortheasternUniversity,Boston,MA 1993
A.S.,BusinessManagement,QuincyCollege,Quincy,MA 1989

More Related Content

What's hot

Jennifer Lane Resume
Jennifer Lane ResumeJennifer Lane Resume
Jennifer Lane ResumeJennifer Lane
 
Dawn_Cassity_Resume 110116
Dawn_Cassity_Resume 110116Dawn_Cassity_Resume 110116
Dawn_Cassity_Resume 110116Dawn Cassity
 
Antanea C. Davis_Resume
Antanea C. Davis_ResumeAntanea C. Davis_Resume
Antanea C. Davis_ResumeAntanea Davis
 
Blue Cross of Idaho PM resume 2016
Blue Cross of Idaho PM resume 2016Blue Cross of Idaho PM resume 2016
Blue Cross of Idaho PM resume 2016Javier Herrera
 
Resume-Cyndy Winnington-Sept 16-Word
Resume-Cyndy Winnington-Sept 16-WordResume-Cyndy Winnington-Sept 16-Word
Resume-Cyndy Winnington-Sept 16-WordCynthia Winnington
 
Ty Fawley
Ty Fawley Ty Fawley
Ty Fawley
Ty Fawley
 
sue mancino resume rev 3
sue mancino resume rev 3sue mancino resume rev 3
sue mancino resume rev 3Sue Mancino
 

What's hot (20)

WesBarnesResume
WesBarnesResumeWesBarnesResume
WesBarnesResume
 
Jon-El_Diane_Resume_050416
Jon-El_Diane_Resume_050416Jon-El_Diane_Resume_050416
Jon-El_Diane_Resume_050416
 
Resume - KDP
Resume - KDPResume - KDP
Resume - KDP
 
Jennifer Lane Resume
Jennifer Lane ResumeJennifer Lane Resume
Jennifer Lane Resume
 
Ron's Resume2
Ron's Resume2Ron's Resume2
Ron's Resume2
 
Dawn_Cassity_Resume 110116
Dawn_Cassity_Resume 110116Dawn_Cassity_Resume 110116
Dawn_Cassity_Resume 110116
 
Antanea C. Davis_Resume
Antanea C. Davis_ResumeAntanea C. Davis_Resume
Antanea C. Davis_Resume
 
Resume10-2015
Resume10-2015Resume10-2015
Resume10-2015
 
Blue Cross of Idaho PM resume 2016
Blue Cross of Idaho PM resume 2016Blue Cross of Idaho PM resume 2016
Blue Cross of Idaho PM resume 2016
 
Resume-Cyndy Winnington-Sept 16-Word
Resume-Cyndy Winnington-Sept 16-WordResume-Cyndy Winnington-Sept 16-Word
Resume-Cyndy Winnington-Sept 16-Word
 
laura james resume 12.2.14
laura james resume 12.2.14laura james resume 12.2.14
laura james resume 12.2.14
 
Ty Fawley
Ty Fawley Ty Fawley
Ty Fawley
 
Garside Resume2015
Garside Resume2015Garside Resume2015
Garside Resume2015
 
Ginglardi_Resume_6.22.15
Ginglardi_Resume_6.22.15Ginglardi_Resume_6.22.15
Ginglardi_Resume_6.22.15
 
Elizabeth_Resume
Elizabeth_ResumeElizabeth_Resume
Elizabeth_Resume
 
Berry M Resume_
Berry M Resume_Berry M Resume_
Berry M Resume_
 
sue mancino resume rev 3
sue mancino resume rev 3sue mancino resume rev 3
sue mancino resume rev 3
 
CV - General
CV - GeneralCV - General
CV - General
 
Brandi Resume 05-05-15
Brandi Resume 05-05-15Brandi Resume 05-05-15
Brandi Resume 05-05-15
 
MGM-2115
MGM-2115MGM-2115
MGM-2115
 

Similar to Gregory Powers 72015

Stephen Andrews Resume
Stephen Andrews ResumeStephen Andrews Resume
Stephen Andrews Resumesteve_andrews
 
Cr Holland Resume 01 20 2010
Cr Holland  Resume 01 20 2010Cr Holland  Resume 01 20 2010
Cr Holland Resume 01 20 2010
crholland
 
JeanNe_Jones Resume 5.19.15
JeanNe_Jones Resume 5.19.15JeanNe_Jones Resume 5.19.15
JeanNe_Jones Resume 5.19.15JeanNe Jones
 
SRobinson current resume (1B)
SRobinson current resume (1B)SRobinson current resume (1B)
SRobinson current resume (1B)Stanley Robinson
 
R Hulick Resume 2011
R Hulick Resume 2011R Hulick Resume 2011
R Hulick Resume 2011rchulick
 
NiColeRWilson_Resume1_(4)_(2)[1]
NiColeRWilson_Resume1_(4)_(2)[1]NiColeRWilson_Resume1_(4)_(2)[1]
NiColeRWilson_Resume1_(4)_(2)[1]NiCole Wilson
 
Resume.Hayley Hendricks
Resume.Hayley HendricksResume.Hayley Hendricks
Resume.Hayley Hendricks
hayley850
 
Resume_Charles B J
Resume_Charles B JResume_Charles B J
Resume_Charles B JCharles B.J.
 
1Crook chase 2017
1Crook chase 20171Crook chase 2017
1Crook chase 2017Ray Crook
 
Dawn Guidry Resume Dec 2016
Dawn Guidry Resume Dec 2016Dawn Guidry Resume Dec 2016
Dawn Guidry Resume Dec 2016Dawn Guidry
 
An interview presentation that lands senior-level jobs
An interview presentation that lands senior-level jobsAn interview presentation that lands senior-level jobs
An interview presentation that lands senior-level jobspsymar
 

Similar to Gregory Powers 72015 (20)

Stephen Andrews Resume
Stephen Andrews ResumeStephen Andrews Resume
Stephen Andrews Resume
 
Cr Holland Resume 01 20 2010
Cr Holland  Resume 01 20 2010Cr Holland  Resume 01 20 2010
Cr Holland Resume 01 20 2010
 
JeanNe_Jones Resume 5.19.15
JeanNe_Jones Resume 5.19.15JeanNe_Jones Resume 5.19.15
JeanNe_Jones Resume 5.19.15
 
SRobinson current resume (1B)
SRobinson current resume (1B)SRobinson current resume (1B)
SRobinson current resume (1B)
 
MUCH BETTER
MUCH BETTERMUCH BETTER
MUCH BETTER
 
April Resume 3
April Resume 3April Resume 3
April Resume 3
 
Microsoft Word - LINDA ELLIS2
Microsoft Word - LINDA ELLIS2Microsoft Word - LINDA ELLIS2
Microsoft Word - LINDA ELLIS2
 
R Hulick Resume 2011
R Hulick Resume 2011R Hulick Resume 2011
R Hulick Resume 2011
 
George_Clahane Resume
George_Clahane ResumeGeorge_Clahane Resume
George_Clahane Resume
 
NiColeRWilson_Resume1_(4)_(2)[1]
NiColeRWilson_Resume1_(4)_(2)[1]NiColeRWilson_Resume1_(4)_(2)[1]
NiColeRWilson_Resume1_(4)_(2)[1]
 
M Layne Littlejohn CPA Resume March 2015
M Layne Littlejohn CPA Resume March 2015M Layne Littlejohn CPA Resume March 2015
M Layne Littlejohn CPA Resume March 2015
 
Resume_whitneybrian
Resume_whitneybrianResume_whitneybrian
Resume_whitneybrian
 
m.gibson_resume
m.gibson_resumem.gibson_resume
m.gibson_resume
 
Resume.Hayley Hendricks
Resume.Hayley HendricksResume.Hayley Hendricks
Resume.Hayley Hendricks
 
Resume_Charles B J
Resume_Charles B JResume_Charles B J
Resume_Charles B J
 
RLSkowronski, 06262015
RLSkowronski, 06262015RLSkowronski, 06262015
RLSkowronski, 06262015
 
1Crook chase 2017
1Crook chase 20171Crook chase 2017
1Crook chase 2017
 
JEANETTEDORAN
JEANETTEDORANJEANETTEDORAN
JEANETTEDORAN
 
Dawn Guidry Resume Dec 2016
Dawn Guidry Resume Dec 2016Dawn Guidry Resume Dec 2016
Dawn Guidry Resume Dec 2016
 
An interview presentation that lands senior-level jobs
An interview presentation that lands senior-level jobsAn interview presentation that lands senior-level jobs
An interview presentation that lands senior-level jobs
 

Gregory Powers 72015

  • 1. GREGORY S. POWERS Wakefield, MA 01880 781 224-0403 Powersg40@Yahoo.com PROFILE Senior-level Healthcare Manager with extensive experience in revenue cycle, patient accounting, and creating and improving teams. Progressive, intuitive leader with sound judgment based on best practices, collaboration and resourcefulness. Skilled at identifying and successfully resolving organizational problems. Strong analytical, organizational and long-range planning abilities. Keen ability to establishrapportandcredibilityamongdiverse internal andexternal constituencies. AREAS OF EXPERTISE ● Process Improvement ● CustomerService ● QualityControl ● VendorManagement ● ClaimsSettlements ● ProviderContracts ● Employee Development ● A/R andCollections ● ClientRelationships ● Operational Management ● Financial Reporting ● ProblemResolution SELECTED ACCOMPLISHMENTS  $15M increase incash collections through processimprovementandretainingstaff (DanaFaber)  $4.2M claimdenial recovery,revisingapproachtoagedreceivablescollections (Mt.AuburnHosp.)  Createdcentralizedbillinganddenialunits,resultingin40% reductioninclaimsprocessingtime and 25% improvementinresponse turnaround (DanaFarber)  Negotiated $5MBlue Cross& Blue Shieldclaimshortpay (DanaFarber)  Managed unitwithdailyvolume of 1500 to 2000 claimsperday (Dana Farber) PROFESSIONAL EXPERIENCE Ika Systems,Southborough,MA 4/2014 – 10/2014 ClientManager (ContractConsultant)  Managed 2 NY healthplans with100,000 combined membership  FacilitatedweeklymeetingswithITdeveloperstoworkonclientissuesandenhancements  Transmitted Invoice GenerationandReconciliation  ImplementedOpenIssuesWorkbook Hospital BillingCollectionService,Wakefield,MA 2/2012 – 9/2013 Manager, CustomerService Operations  Designatedas Regional OperationsManagerof satellite office servicingself-pay,Insurance,MA Autoand WorkerCompensationclients  Supervised self-payandcustomerservice teamconsistingof 15 FTEs  Managed teamprovidingcustomerservice support,accountsreceivables managementand paymentcollection forclientsinMA,RI andNY  Monitoreddaily claimplacements,cashcollectionandcustomerservice forassignedclients  Facilitatedweeklyclientcallstoreview cash collection,issues andcustomerservicestatistics  ImplementedOpenIssuesWorkBook toimprove accountability
  • 2. GREGORY S. POWERS PAGE 2 Harvard Vanguard,Boston,MA 11/2009 - 7/2011 BillingManager, Dental Specialties  Managed Revenue CycleOperationsfor5 Dental PracticesinCentralizedBillingUnit,including account maintenance, disbursements,daily claimssubmittal, paymentposting,reporting andQC  Providedleadership/directiontopractice supervisors;supervised 10FTE and5 practice leaders Dana FarberCancer Institute,Brookline,MA InterimAccounts Receivable ProjectManager 10/2008 – 4/2009  Managed teamwithgoal to reduce the agedaccounts receivableover120 days inthe Commercial BillingUnit (see SelectedAccomplishment)  Researchedclaimsanddenials,negotiationclaimpayments, maintainedaccounts,resolved claims,providedreportstoseniormanagement MSMI Corporation,Middleboro,MA 11/2007 – 8/2008 Account Manager  Managed clientrelationshipsandretentionfor Orthopedicsupplycompany  Reviewedmonthlyfinancial reports;made recommendationstoimprove cashflow  Managed clientrevenue cycle Mount AuburnHospital,Cambridge,MA 7/2005 – 11/2007 SeniorManager, PatientFinancial Services.  Managed PatientFinancial Services Departmentwith32FTEs  Oversaw claimsproduction,collection,denial management,worker compensationand customerservice  StabilizedDROdaysfrom48 to 40 Dana FarberCancer Institute,Brookline,MA 1/2003 – 7/2005 Manager, PatientAccounts  Managed BCBSaccounts receivable,claims,claimfollow up,denialmanagement,negotiation, and providercontracts  Builthigh-performance teamandpromotedculture of teamworkandaccountability  WorkedwithCharge Master Analysttoresolve high-dollarclaimdenials Outsource ReceivablesManagement(ORM),Billerica,MA 7/2000- 1/2003 Sr. Consultant Accountable to SWAT team members, Reported to client senior management and ORM President. Successfully built and lead teams working Accounts Receivable projects at some of the leading medical facilities in the Boston area. Projects ran from a high of $10M to claim “clean up” assignments. Representative assignments:
  • 3.  Concord Hospital,Concord, New Hampshire 1/2000 to 12/ 2000 (11 months) $10M Receivable: resolved and secured payment of aged accounts receivable. Project was verysuccessful ingeneratingadditionalcashandloweringDROdays. Mass Eye and Ear Hospital, Boston, MA 2000-2001 Client DRO days reduced from 107 to 74 in a short period of time. Had an active role in the reorganization of client financial services department. Built financial team that was cross- functional. Negotiated claim denial appeals with major payers ,educated client staff on billing process ,worked with client management on process changes. Price Waterhouse Coopers, a sub-contractor on project, recommended me for Dana Farber positionthatI accepted. Partners Heath Care, Boston, MA. 1/2002 – 12/2002 (11 months) Manager project to lower aged accounts receivable from HMO providers. Secured paymentforseveral highdollarthirdpartyclaims. Beth Israell DeaconessMedical Center,Boston, MA Nov 1998 – Jan 2000 ClaimsClerk,BCBS Nov1998- April 1999 Manager, BCBSUnit April 1999 – Jan 2000 Blue Cross & Blue Shieldof MA. July 1992- Nov 1998 Analyst,CustomerReceivablesManagement July1992- Oct 1995 National AccountsAnalyst,Supervisor Oct 1995- Nov1998 COMPUTER SOFTWARE IDX,Meditech,Dentrex,SoarianFinancials,MicrosoftOffice2010 EDUCATION B.A.,Business Management,NortheasternUniversity,Boston,MA 1993 A.S.,BusinessManagement,QuincyCollege,Quincy,MA 1989