Abel Guevara

Dura Medic is the nations largest hospital-centered durable medical equipment (DME) provider. Plans, directs, reviews, coordinates and evaluates through the functions of the department to increase positive cash flow, achieve operational efficiencies, and ensure compliance with established laws, regulations, practices and procedures Plans and directs patient insurance, billing and collections and data processing to ensure accurate patient billing and efficient account collection Monitors and audits productivity goals, reviews level of progress and achievement, and exercises discretion and judgment when recommending and implementing measures for improvement Develops, implements and administers annual capital budget; initiates corrective action to significant variances Identifies key performance and project metrics to effectively manage operations. Measures and reports noteworthy statistical and status information. Plans and prepares monthly revenue reports for review and use by senior leadership Establishes and maintains a working relationship with all third party vendors assigned to the billing department. Oversees all collection efforts, account management and related vendor relationships Develops, supervises and maintains daily cash processing workflows and associate reconciliations. Ensure all monies received to general ledgers match the posted receipts Reviews current status of patient accounts to identify and resolves billing and processing problems in a timely manner Responsible for billing & collections, cash application, patient finance services, and data entry teams. Monitors progress of teams on a daily basis and re-directs follow up efforts as appropriate Establishes and implements methodologies for the collection of delinquent accounts ensuring third-party payors are contacted Establishes and recommends credit and collection policies, and makes recommendations for improvement

CONTACT: AGuevaraIII@gmail.com Let me turn information into action! Provide on-site or remote business assessment, engagement consulting, and support services to healthcare organizations across the nation. Prepare recommendations on operational issues as they relate to regulatory compliance for the Medicare program. Plan an active role in education and coaching internal resources in areas of subject matter expertise (healthcare quality, compliance, accreditation, medical billing, revenue cycle management, pharma, medical device). Apply qualitative and quantitative skills to various client situations. Partner with leadership, managers, and associates to implement process change and deliverables. Translate complex data into constructive data and information to make recommendations for change. Develop and contribute supplemental presentation materials for use by additional team members. Consistently handle sensitive protected health information (PHI) in accordance with HIPAA, ISO, and accreditation policies. Create more comprehensive answers to business question via data visualizations created by Tableau