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RAMONA (MONA) OGAS
Fort Worth, Tx
Cell Phone: 682-552-8575
monaogas@gmail.com
CAREER SUMMARY
Energetic, focused healthcare leader thoroughly experienced in various healthcare sectors including: hospital and
physician settings, residential (public and private, Inpatient/Outpatient,Chemical Dependency, Eating Disorders),
healthcare management, medical device and biotechnology, managed care, and IT account management/client services.
Documented success strategically negotiating with C or VP level audiences. Experienced implementing and launching
sales initiatives through relationship building with emphasis on excellent customer experiences.
PROFESSIONAL EXPERIENCE
Caron Treatment Centers/Sunspire Health Texas after 11/1/15
Business Development Officer
December 2014 – April 2016
 Create and implement targeted regional sales strategy for Northwest Texas, Oklahoma and New Mexico to promote
all Caron/Sunspire facilities in sales initiatives, relationship management, new business prospecting to achieve target
sales goals in Regional Revenue Plan and support Caron/Sunspire’s overall strategic plan.
 Develop and create Tier 1 Private Pay referent relationships and provide updated information regarding current
programs and services.
 Set up appointments with key referents and members of Caron/Sunspire leadership and coordinate and host referral
source visitors to all Caron/Sunspire facilities.
 Assist the treatment teams in locating and evaluating residential aftercare facilities and continuing care programs
 Assist the Alumni Department in promoting events and attending alumni meetings.
 Assist the Development Department in identifying candidates for fundraising by making selected calls and visits with
donors, as requested.
HMS
MCO Account Manager
November 2013 - December 2014
 Maintains account ownership and maintenance of book of managed care business to cover the full spectrum of a
provider's revenue cycle needs from improving patient access processes to reducing claims denials and assist clients
to recover and save by cost avoidance resulting in improved client revenue.
 Responsible for analyzing numbers weekly and attending regular budget meetings and achieving budget and revenue
goals growing base accounts.
 Work closely with clients to understand their business and improve outcomes by troubleshooting and problem solving
by coordinating activities with Operations, Project teams, and leadership.
 Provide leadership and clients with reports showing progress against forecasted business sales goals ensuring client
satisfaction, client retention, revenue growth and client referral capability.
MEDASSETS
Revenue Cycle Account Manager
July 2011 – November 2013*
*JPS was client of MedAssets. Offeredposition as Account Manager at MedAssets after reduction of workforce at JPS
 MedAssets provides revenue cycle management technology solutions and healthcare consulting services to cover the
full spectrum of a provider's revenue cycle needs from improving patient access processes to reducing claims
denials.
 Proactively manage, maintain, and grow client relationships to enhance and maintain client satisfaction exceeding
Client Service requirements. Focused on client retention and client referral capability utilizing SalesForce.
 Act as liaison between various inter-departmental teams, i.e. operational engineers, client relations, government
programs, contract analysts, sales, management and clients to ensure client needs are met.
 Ensure optimal implementation and ongoing use of all products through building relationships with key client decision-
makers, i.e. Directors, CEO, CFO, Revenue Cycle Managers, Patient Financial Systems.
JPS HEALTH NETWORK
Managed Care Contract Analyst
June 2008 – July 2011*
*Laid off due to organizational restructure and discontinuation of MedAssets solution
 Led implementation and launch of web-based revenue management solution designed to capture contractual net
revenue.
 Work closely with Director of Patient Accounting, Patient Accounting Managers/Supervisors, Registration, and
Network Development Manager to understand, interpret, and audit complex contracts for over 150 products for over
50 payers consisting of Medicare, Medicaid, Managed Care, Commercial and other government programs.
 Proactively trend and monitor information to ensure appropriate reimbursement on all payers and develop strategy to
rectify any payment issues utilizing best practice measurements.
 Assists in the development of quality indicators, tracking and analytical tools to ensure smooth revenue cycle.
INDEPENDENT CONSULTANT
TEXAS BASED
ROBERT HALF INTL. JPS Health Network,Patient Accounting Department
March 2007 – June 2008
 Worked closely with Patient Accounting management, Hospital Registration, Contracting, Finance management team
to identify, problem-solve, and offer solutions to remove barriers to payment from Medicaid/ HMO accounts and
provide excellent customer service.
 Worked closely with managed care Medicaid payers to ensure successful launch and implementation of new payers,
specifically AMERIGROUP and Evercare.
DEPUY SPINE
Regional Manager, Reimbursement and Payer Relations
Initial hire of a team of field-based managers hired to launch and support the CHARITÉ Artificial Disc.
August, 2004-March 2007*Entire reimbursement team laid off as part of national workforce reduction
 Developed reimbursement support materials and tools for hospitals, physicians, payers, and patients for the October
2004 launch of the CHARITÉ Artificial Disc.Provided consulting to ensure Managed Care Contracts developed,
negotiated, and trends monitored for over 30 Managed Care contracts with multiple payers.
 Leveraged and developed relationships with local and national payers as part of the launch plan for a new and
emerging technology. Attained targeted policies with payers exceeding targeted goals by 20%.
 Planned and executed large promotional events to targeted Medical professional audiences through panels,
conferences, trade shows, receptions, etc
 Drove sales exceeding territory revenue targets by development and implementation of territory business plans for 7
states by building team relationships with Sales Management as well as Distributor Principals and field sales
representatives.
INAMED HEALTH
Senior Regional Alliance Manager
Texas based
November 2003-August 2004*
*INAMED was client at Certus Group. When Certus Group dissolved, continued working with INAMED
 Addressed reimbursement payment and coverage concerns as it relates to the LAP-BAND® Adjustable Gastric
Banding System Treatment of Morbid Obesity utilizing best practice measurements.
 Leveraged and/or developed relationships with key decision-makers (Medical Directors, Medical Policy, etc.) of large
payers to establish and influence coverage policies with a focus on state and regional payers to expand acceptance of
the BAND®.
THE CERTUS GROUP
Senior Associate
Texas based
November 2002-October 2003*
 Member of a field-based team of health policy professionals serving medical device, pharmaceutical and
biotechnology industries by assisting in development and execution of new and emerging technologies.
 Developed comprehensive reimbursement strategies that cover coding payment and coverage of technology for all
care settings.
 Served as field-based reimbursement team for clients uniquely positioned to execute reimbursement strategies.
 Conducted ad-hoc research projects with payer markets to identify specific issues for client technology.
 Provided technology assessment, payer surveillance, policy intervention, training and educational programs for clients
covering reimbursement and health policy concepts and processes.
 Planned and executed large targeted events, including providing keynote speakers and standard of excellence facility
representation exceeding targeted goals in terms of attendance and referrals.
 *Was 1st employee of new consultant group formed by 4 partners. Partnership was dissolved in October 2003.
MEDTRONIC, INC.
NEUROLOGICALDIVISION
Therapy Access Consultant, Florida based
August 1997 – October 2002
 Identified managed healthcare and government intermediary opportunities and implement programs to resolve or
decrease barriers to entry for 5 therapies and drive sales of medical devices.
 Worked with payers and government programs to establish or influence coverage decisions through face to face
meetings,
 Provided training and educational programs to physicians, hospital administration, hospital CFO’s, medical
directors, case managers, and billing personnel in clinics and hospitals.
THE WILLOUGH AT NAPLES, FL
Director of Patient Accounts/Acting CFO
July 1996-August 1997
 Supervised and managed all aspects of business office for nationally recognized eating disorder and chemical
dependency inpatient facility and 3 off-site counseling centers.
 Worked with high end private pay clients to negotiate rates for inpatient, outpatient and partial hospitalization
services.
 Negotiated contracts with managed care companies and employer groups. Managed accounts receivable and
reported to administration; consistently exceeded cash collection goals by 20-30%.
 Developed financial policy and procedures to ensure compliance and fiscal responsibility of multi-disciplinary, multi-
facility hospital system.
CHARTER MEDICAL CORPORATION-PSYCH/CHEMICAL DEPENDENCY
1988-1996
CAREER PROGRESSION:
Regional Business Office Manager, State of FL 1994 - 1996
Assistant Director, Central Business Office, Atlanta, GA 1994
Business Office Manager, Fort Myers, FL 1991 - 1994
Senior Patient Accounts Rep., Lubbock, TX 1988 – 1991
EXPERIENCE PRIOR TO 1988 PROVIDED UPON REQUEST
EDUCATION: Bachelor of Business Administration, Management, TEXAS A & M UNIVERSITY

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Resume 2016

  • 1. RAMONA (MONA) OGAS Fort Worth, Tx Cell Phone: 682-552-8575 monaogas@gmail.com CAREER SUMMARY Energetic, focused healthcare leader thoroughly experienced in various healthcare sectors including: hospital and physician settings, residential (public and private, Inpatient/Outpatient,Chemical Dependency, Eating Disorders), healthcare management, medical device and biotechnology, managed care, and IT account management/client services. Documented success strategically negotiating with C or VP level audiences. Experienced implementing and launching sales initiatives through relationship building with emphasis on excellent customer experiences. PROFESSIONAL EXPERIENCE Caron Treatment Centers/Sunspire Health Texas after 11/1/15 Business Development Officer December 2014 – April 2016  Create and implement targeted regional sales strategy for Northwest Texas, Oklahoma and New Mexico to promote all Caron/Sunspire facilities in sales initiatives, relationship management, new business prospecting to achieve target sales goals in Regional Revenue Plan and support Caron/Sunspire’s overall strategic plan.  Develop and create Tier 1 Private Pay referent relationships and provide updated information regarding current programs and services.  Set up appointments with key referents and members of Caron/Sunspire leadership and coordinate and host referral source visitors to all Caron/Sunspire facilities.  Assist the treatment teams in locating and evaluating residential aftercare facilities and continuing care programs  Assist the Alumni Department in promoting events and attending alumni meetings.  Assist the Development Department in identifying candidates for fundraising by making selected calls and visits with donors, as requested. HMS MCO Account Manager November 2013 - December 2014  Maintains account ownership and maintenance of book of managed care business to cover the full spectrum of a provider's revenue cycle needs from improving patient access processes to reducing claims denials and assist clients to recover and save by cost avoidance resulting in improved client revenue.  Responsible for analyzing numbers weekly and attending regular budget meetings and achieving budget and revenue goals growing base accounts.  Work closely with clients to understand their business and improve outcomes by troubleshooting and problem solving by coordinating activities with Operations, Project teams, and leadership.  Provide leadership and clients with reports showing progress against forecasted business sales goals ensuring client satisfaction, client retention, revenue growth and client referral capability. MEDASSETS Revenue Cycle Account Manager July 2011 – November 2013* *JPS was client of MedAssets. Offeredposition as Account Manager at MedAssets after reduction of workforce at JPS  MedAssets provides revenue cycle management technology solutions and healthcare consulting services to cover the full spectrum of a provider's revenue cycle needs from improving patient access processes to reducing claims denials.  Proactively manage, maintain, and grow client relationships to enhance and maintain client satisfaction exceeding Client Service requirements. Focused on client retention and client referral capability utilizing SalesForce.  Act as liaison between various inter-departmental teams, i.e. operational engineers, client relations, government programs, contract analysts, sales, management and clients to ensure client needs are met.  Ensure optimal implementation and ongoing use of all products through building relationships with key client decision- makers, i.e. Directors, CEO, CFO, Revenue Cycle Managers, Patient Financial Systems.
  • 2. JPS HEALTH NETWORK Managed Care Contract Analyst June 2008 – July 2011* *Laid off due to organizational restructure and discontinuation of MedAssets solution  Led implementation and launch of web-based revenue management solution designed to capture contractual net revenue.  Work closely with Director of Patient Accounting, Patient Accounting Managers/Supervisors, Registration, and Network Development Manager to understand, interpret, and audit complex contracts for over 150 products for over 50 payers consisting of Medicare, Medicaid, Managed Care, Commercial and other government programs.  Proactively trend and monitor information to ensure appropriate reimbursement on all payers and develop strategy to rectify any payment issues utilizing best practice measurements.  Assists in the development of quality indicators, tracking and analytical tools to ensure smooth revenue cycle. INDEPENDENT CONSULTANT TEXAS BASED ROBERT HALF INTL. JPS Health Network,Patient Accounting Department March 2007 – June 2008  Worked closely with Patient Accounting management, Hospital Registration, Contracting, Finance management team to identify, problem-solve, and offer solutions to remove barriers to payment from Medicaid/ HMO accounts and provide excellent customer service.  Worked closely with managed care Medicaid payers to ensure successful launch and implementation of new payers, specifically AMERIGROUP and Evercare. DEPUY SPINE Regional Manager, Reimbursement and Payer Relations Initial hire of a team of field-based managers hired to launch and support the CHARITÉ Artificial Disc. August, 2004-March 2007*Entire reimbursement team laid off as part of national workforce reduction  Developed reimbursement support materials and tools for hospitals, physicians, payers, and patients for the October 2004 launch of the CHARITÉ Artificial Disc.Provided consulting to ensure Managed Care Contracts developed, negotiated, and trends monitored for over 30 Managed Care contracts with multiple payers.  Leveraged and developed relationships with local and national payers as part of the launch plan for a new and emerging technology. Attained targeted policies with payers exceeding targeted goals by 20%.  Planned and executed large promotional events to targeted Medical professional audiences through panels, conferences, trade shows, receptions, etc  Drove sales exceeding territory revenue targets by development and implementation of territory business plans for 7 states by building team relationships with Sales Management as well as Distributor Principals and field sales representatives. INAMED HEALTH Senior Regional Alliance Manager Texas based November 2003-August 2004* *INAMED was client at Certus Group. When Certus Group dissolved, continued working with INAMED  Addressed reimbursement payment and coverage concerns as it relates to the LAP-BAND® Adjustable Gastric Banding System Treatment of Morbid Obesity utilizing best practice measurements.  Leveraged and/or developed relationships with key decision-makers (Medical Directors, Medical Policy, etc.) of large payers to establish and influence coverage policies with a focus on state and regional payers to expand acceptance of the BAND®. THE CERTUS GROUP Senior Associate Texas based November 2002-October 2003*  Member of a field-based team of health policy professionals serving medical device, pharmaceutical and biotechnology industries by assisting in development and execution of new and emerging technologies.  Developed comprehensive reimbursement strategies that cover coding payment and coverage of technology for all care settings.  Served as field-based reimbursement team for clients uniquely positioned to execute reimbursement strategies.
  • 3.  Conducted ad-hoc research projects with payer markets to identify specific issues for client technology.  Provided technology assessment, payer surveillance, policy intervention, training and educational programs for clients covering reimbursement and health policy concepts and processes.  Planned and executed large targeted events, including providing keynote speakers and standard of excellence facility representation exceeding targeted goals in terms of attendance and referrals.  *Was 1st employee of new consultant group formed by 4 partners. Partnership was dissolved in October 2003. MEDTRONIC, INC. NEUROLOGICALDIVISION Therapy Access Consultant, Florida based August 1997 – October 2002  Identified managed healthcare and government intermediary opportunities and implement programs to resolve or decrease barriers to entry for 5 therapies and drive sales of medical devices.  Worked with payers and government programs to establish or influence coverage decisions through face to face meetings,  Provided training and educational programs to physicians, hospital administration, hospital CFO’s, medical directors, case managers, and billing personnel in clinics and hospitals. THE WILLOUGH AT NAPLES, FL Director of Patient Accounts/Acting CFO July 1996-August 1997  Supervised and managed all aspects of business office for nationally recognized eating disorder and chemical dependency inpatient facility and 3 off-site counseling centers.  Worked with high end private pay clients to negotiate rates for inpatient, outpatient and partial hospitalization services.  Negotiated contracts with managed care companies and employer groups. Managed accounts receivable and reported to administration; consistently exceeded cash collection goals by 20-30%.  Developed financial policy and procedures to ensure compliance and fiscal responsibility of multi-disciplinary, multi- facility hospital system. CHARTER MEDICAL CORPORATION-PSYCH/CHEMICAL DEPENDENCY 1988-1996 CAREER PROGRESSION: Regional Business Office Manager, State of FL 1994 - 1996 Assistant Director, Central Business Office, Atlanta, GA 1994 Business Office Manager, Fort Myers, FL 1991 - 1994 Senior Patient Accounts Rep., Lubbock, TX 1988 – 1991 EXPERIENCE PRIOR TO 1988 PROVIDED UPON REQUEST EDUCATION: Bachelor of Business Administration, Management, TEXAS A & M UNIVERSITY