Cindi Yurkovich
Pittsburgh
Summary
Enthusiastic RCM and Operations leader serving company and client success through skillful oversight of department transformation and continuous process improvement of healthcare revenue management, regulatory and payor compliance maximizing productivity and profitability.
Overview
22
22
years of professional experience
Work History
Senior Account Manager
UHC - Optum Insight
12.2021 - Current
- Establishes and cultivates productive client relationships; client resource serving as the primary point of contact for overall and day-to-day service delivery. Establishes report and sought out as RCM expert, serving as a leader and mentor.
- Coordinates with internal teams to implement client systems, complete projects, and address ongoing service needs, account management.
- Works with RCM pillar leaders and recommends innovative approaches for denial management through front-end process improvement, claim edits, and authorization/referral process updates.
- Proactively educates practices regarding updates to payor policies, prior authorization lists, ICD-10, annual CMS Final Rule and CMS/NGS LCDs. Recommends provider note updates, order updates and system pop-ups to bill clean claims and obtain prior authorizations.
- Analyze denial data determining route cause. Present to client opportunity to revise processes and/or develop provider education to decrease denials.
Director of Operations
Associated Dental Specialists
05.2021 - 12.2021
- Oversaw day-to-day business operations for six locations, rebuilding culture of quality care with an emphasis on financial performance.
- Collaborated with Board to develop and execute corporate goals and objectives for the successful implementation of operational strategies and policies to drive organizational growth and productivity.
- Identified plans and resources required to meet project goals for implementation of HRIS system migrating from paper, consistently meeting deliverables according to deadlines.
- Provided technical and operational direction on installation and integration of CT imaging.
- Reviewed clinical audits to leverage outcomes to improve clinical based methodologies within clinical areas.
- Led decision-making and implementation of company HR policies, procedures, and programs, benefits and salary administration.
- Recruited, hired, mentored and trained staff on business procedures, policies, duties and customer care methods to maintain high productivity and performance metrics.
- Handled customer concerns to maintain operational excellence, ensuring the highest quality patient experience.
Practice Administrator
Mon Health System – Wedgewood Physician Group
10.2020 - 05.2021
- Managed multi-site Primary Care, Behavioral Health, Pediatrics and Occupational Medicine practice operations to optimize template utilization, improve and exceed quality metrics and clinical standards, charge capture and billing functions.
- Responsible for budgeting, finance, revenue cycle, human capital, governance support, project development and strategic planning for implementation of new and expanded services.
- Spearheaded and implemented new projects to expand service lines programs based on market analysis; including facility build out and systems implementation.
- Reported to vice president of physician services working collaboratively with hospital staff, nursing and executive leadership to promote the coordination of care between inpatient and outpatient services.
- Assessed, developed, updated processes and procedures maintaining compliance with OSHA, HIPAA, medication management, benefits administration and general liability guidelines.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
Operations Manager
SCS Cleaning Solutions
03.2020 - 10.2020
- Developed systems and procedures to improve operational quality in response to Coronavirus sterilization guidelines.
- Introduced new methods to improve work environment, company culture or overall business strategy.
- Managed supply chain operations to ensure timely and accurate delivery of services during Pandemic.
Practice Manager
Stepping Stone Psychiatric Care
12.2018 - 10.2019
- Managed overall operations of Behavioral Health practice, oversight of insurance company fee schedules and audits, develop and monitor Quality, KPI’s, and process improvement initiatives, budgets, productivity reports for provider incentives, training documents and materials and human capital.
- Worked with providers to develop clinical tools to improve outcomes of the Adolescent to adults programs focused on primary diagnoses of autism, GAD, MDD, and Bipolar disorder as well as MATA programs.
- Practice realized 20% growth due to provider template updates, staff process improvements and marketing via print, internet, video, cold calls.
- Reduced medication authorization turnaround time to 24 to 48 hours
- Obtained REMS certification for program to administer Spravato and Sublocade.
- Medicaid contract terminated prior to start date; worked with CHS to transfer care to in home county for 128 patients ensuring no breaks in physician visits, medication management, or therapy.
Practice Director
GSWG Family Medicine
11.2016 - 09.2018
- Managed overall operations of large independent Primary Care practice.
- RCM oversight of $8+M annual charges, ACO and Pay for Performance program data submission and payment review, annual ICD-10 and CMS final rule review determine impact to coding (PB & HCC; in-house and HM nursing support) for office, hospital, and SNF charges.
- Expense management of $5.5M in revenue, P&L and variance report creation for monthly partner meeting. Annual collaboration with managing partners on development of Strategic plan and Budget; quarterly reviewed and updated.
- Updated and developws processes and procedures, create and monitor KPI’s, efficiency,
- Reorganization of practice based on staffing model review; created new job descriptions, implemented coding productivity report, performance review documentation and salary ranges based on market compensation analysis.
- Decreased OT 65% ($27K) and increased productivity of billers evidenced by decreased charge lag for hospital and SNF charges.
- Improved patient satisfaction by elevating patient experience and acting as liaison between staff and physicians
- Credentialed Physician/CRNP/PA with payors, hospitals, assisted living and skilled nursing facilities and maintained PA State license, DEA and PDMP.
- Worked with new voice/data vendor to install VOIP system (inter-office call transfer capabilities, voicemail to email module implemented and detailed phone tree by user). Reduced communication costs.
- Program Roll Out of Gynecology service line; facility enhancements, human capital, marketing, credentialing, EMR updates, establish new service line P&P’s, consents, forms as well as standard par levels, equipment protocols.
Director, Business Services & Purchasing
Lifecare Hospitals of Pittsburgh
06.2014 - 11.2016
- Managed project plans, timelines, meetings and budgets for build out of free-standing med psych unit within LTAC. Researched and documented anti-ligature standards, cost out of required materials and labor tracking against budget for $1.5M project.
- Included in Leadership, JCAHO, strategic planning, and quality committees as well as daily census meetings.
- Benefit verification for all LTAC admissions (Verify benefits available for DRG LOS - Medicare, Medicaid and Commercial payor categories.)
- Campus-wide Business Services finance for 5 LTAC locations, Free Standing Psych Unit, and TCC operating models; signing authority, business office: AP, expense tracking and reporting via Great Plains , payroll, charge capture, billing, budget, financial analysis as well as internal department financial reports, P&L, variance and MAR for all locations.
- Cultivated positive relationships with vendors to deliver timely and cost-effective supply of services and materials. Contract and vendor management, procurement system management and report generation, warehouse maintenance and reorganization and intradepartmental quality, and process improvement.
- Devised and implemented processes and procedures to streamline operations for the business office; charge reconciliation interface, daily nursing unit charge capture, cost out of patient outside vendor referrals, and level of care assessment.
- Conducted regular reviews of operations and identified areas for improvement for daily cash collection, copays and monthly deposits.
- Analyze key patient expense items for bottom line expense reduction (implementing new vendor contracts and managing new vendor onboarding); work with units on usage reports and PAR levels.
- Reduced staff modeling by 20% in business office and 15% in purchasing.
Regional Practice Manager
ProMed Xchange
07.2012 - 04.2014
- Project manager responsible for onboarding of medical practices; facility build-out, capital budget and purchasing, align program business models, negotiate and implement vendor contracts, standardize SOPs, strategic planning, contract and expense tracking.
- Performed market analysis to determine future practice locations, build ramp up wRVU volumes in line with provider productivity targets in contracts.
- Ensure practice optimization by providing expertise in the areas of financial reporting, analysis, budgeting, expense control, revenue enhancement, clinic administration, human capital and space management to increase efficiencies, profitability and visibility.
- Examined work flows and performed staffing analysis to ensure practices were operating within MGMA guidelines making adjustments if needed.
- Worked to transition acquired practices from legacy systems to standardized billing, expense tracking, EMR and dictation systems.
- Ensured payor credentialing completed, hospital privilege applications, APP collaborative agreements and supervising physician applications are submitted and PDMP and CAQH websites are updated prior to provider start date.
- Presented financials (P&L, wRVU’s, annualized projections) and opportunities to C-level executives and practice physicians.
Practice Administrator Satellite Operations
Ohio Valley General Hospital
10.2011 - 07.2012
- Manage health center practices presenting to Medical Director and President/CEO financial performance and corrective action for budget variances.
- Maximize efficiencies and level of quality of care by establishing program goals and key quality indicators, developing action plans and monitoring progress.
- Identified methods for continuous improvement, process improvement opportunities and developed standardized P&P’s.
- Performed market analysis to validate practice P&L projection for Board approval of new health center locations.
- Selection and oversaw implementation of integrated electronic medical record for all health center locations in order to be compliant with 2012 measurable use guidelines.
- Worked with Finance to document and catalog assets and inventory of acquired practices.
Division Administrator
University Of Pittsburgh
08.2006 - 10.2011
- Manage Department of Radiology, Medicine-Div Rheumatology and Anesthesiology clinical, academic, business and administrative affairs by providing expertise in the areas of financial reporting, data analysis, budget, expense control, revenue enhancement, strategic planning, clinic administration, human capital and space management with a concerted effort on process improvement.
- Deficit reduction of $60M to overall portfolio and reduced hard money deficit from $1.2M to $529K in a two year period by managing expenditures, closely monitoring salary and fringes against grant/hard money/KPI budges as well as increasing revenue.
- Project manager oversaw new grants database shadow system implementation, updates processes for encumbering and reconciling accounts, tracking expenses by faculty member, and developing overhead expense tracking.
- Develop tracking system for operating and discretionary expenses as well as multi-year commitment funding.
- Coordinated faculty recruitment of three new physicians, developed staffing model, compensation and productivity models to support recruitment, and retention and productivity of faculty and staff.
- Implemented a tracking system to ensure inpatient billing was being captured at all UPMC facilities and worked with the VA to establish an on-call physician compensation fee basis system.
- Project management for expansion of new satellite offices, research lab space allocation/renovations, research administration relocation
- Worked with MRRC leadership team to develop flow diagram and processes for the creation of new MRI research sequences to ensure compliance with regulations for patient safety and meet research protocol desired outcomes
- Worked with MRRC IT manager to updated in-house system for user agreements, scheduling and grant billing allowing approximately 15% of grant manager’s time to be focused on pre award efforts
- Was selected to attend first class of 50 for PDS Management Certificate Program.
Research Administrator
Magee Womens Research Institute
09.2001 - 08.2006
- Responsible for research administration operations, grant budgets, proposals, progress reports, and monthly University reports.
- Dealt directly with funding agencies, Institute, hospital and university departments regarding financial performance and funding.
- Examined workflow and develop new staffing model to increase efficiency of operations.
- Created and implemented inventory tracking system to reduce laboratory and supplies costs.
- Coordinated Faculty, Board, Finance, Advisory and Steering Committee meetings, weekly Work in Progress research seminars, faculty retreats, and national preeclampsia meeting.
- Took on HR generalist responsibilities for department to reduce staffing.
Education
Bachelors - Healthcare Administration
American Intercontinental University
Associates - Business Management
CCAC
Associates - Pharmacology
CCAC
Health Administration Mini MBA -
UPMC, Physician Services Division
Skills
- RCM & Operations Leadership
- Project & Financial Management
- Client Relationship Management
- Data & Route Cause Analysis
- ICD-10, CDM, Coding Knowledge
- Collaborative Team Development
- Innovative Process Improvement
- MicroSoft Word Suite, VISIO, Teams, OneNote, Allscripts, IDX, Centricity, EPIC, Alert-MD experience
Timeline
Senior Account Manager
UHC - Optum Insight
12.2021 - Current
Director of Operations
Associated Dental Specialists
05.2021 - 12.2021
Practice Administrator
Mon Health System – Wedgewood Physician Group
10.2020 - 05.2021
Operations Manager
SCS Cleaning Solutions
03.2020 - 10.2020
Practice Manager
Stepping Stone Psychiatric Care
12.2018 - 10.2019
Practice Director
GSWG Family Medicine
11.2016 - 09.2018
Director, Business Services & Purchasing
Lifecare Hospitals of Pittsburgh
06.2014 - 11.2016
Regional Practice Manager
ProMed Xchange
07.2012 - 04.2014
Practice Administrator Satellite Operations
Ohio Valley General Hospital
10.2011 - 07.2012
Division Administrator
University Of Pittsburgh
08.2006 - 10.2011
Research Administrator
Magee Womens Research Institute
09.2001 - 08.2006
Bachelors - Healthcare Administration
American Intercontinental University
Associates - Business Management
CCAC
Associates - Pharmacology
CCAC
Health Administration Mini MBA -
UPMC, Physician Services Division
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