Angela Montgomery
Sr. Director Denials Management at Conifer Health Solutions
Sr. Director, Collections & Denials Management at Conifer Health Solutions
PFS Operations Executive with over 23 years patient accounting background, including 17 years of experience in directing CBO/Market Management and AR Operations, to achieve strategic and business metrics, hired, trained, and mentored strong AR Management Teams, while achieving excellent results to internal and external customers.  Achieved outstanding financial results, by providing strategic vision and direction for Regional Patient Accounting Service Centers, and serviced multiple market’s accounts receivable, and business office operations. 

Excellent Communication/Solid Organizational/Motivational/Leadership skills Ability to analyze and evaluate the patient account process as it relates to accounts receivables. Proficient in Excel, Word, Lotus-Notes, PowerPoint, Showcase Query System, Windows Exchange, MedeFinance, CodeCorrect, ePremis, Invision, EPIC, Affinity, PBAR, and IMACS, SharePoint

Specialties: Expert in Business Office: Billing, Collections and analysis of Accounts Receivable,
Fundamentals of Revenue Services: Implement New Services, APC, Chart Audit, CDM maintenance, and Gross & Net Revenue Review, Admitting: Quality Control, Pre- Registration, Ins Verification and Financial Counseling. Analytical problem-solver, able to anticipate issues and create new systems that streamline operations, resolved concerns and improved efficiency.

Conifer Six Sigma Black Belt trained to include, Introduction to Six Sigma, Basics of Six Sigma Projects and Teams, Business Performance and Financial Measures in Six Sigma, Basic Statistics and Graphical Methods for Six Sigma and Modeling and Analyzing Process for Six Sigma.

HFMA’s Certified Revenue Cycle Representative (CRCR)
Conifer Health Solutions
https://www.linkedin.com/company/conifer-health-solutions
remote
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Sr. Director Denials Management
Conifer Health Solutions
https://www.linkedin.com/company/conifer-health-solutions
Developed companywide initiatives for the Denials Pillar, which includes: EOB/835 loading of disputes, Denial appeals/follow-up, Payor Resolution/Legal, Payor Audit and Terms and Conditions. Worked with company leaders to identify and implement strategic business solutions in order to meet the Revenue Cycle needs for decreasing days, improving turn-around-time for denial resolution and improving denial recovery. Designed and implemented system enhancements to support the development and implementation of automated/machine learning solutions and processes that sustain these strategic initiatives’. Developed training material for end-users for each process within the denial pillar. Oversight for denials PLM design and implementation of strategies for existing and new client integrations, including establishing protocols, end-user training material, technical documentation, process maps, etc. Perform gap analysis to identify areas of improvement, develop standard processes using process maps, job aids, and P&Ps while working with multiple departments to implement changes, which improve throughput and collections.
remote
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Process, Director II- (EOB, Denials Management, Payer Audits, Payer Resolution)
Tri-City Medical Center
https://www.linkedin.com/company/tri-city-medical-center
Directly responsible for the oversight and coordination of all front end patient access, business office, and revenue cycle.

Revised and implement department policies and procedures within all areas of direct responsibility. Analyzed data within the revenue cycle and implemented performance standards both quantitative and qualitative for all areas. Implemented revenue cycle teams to achieve organizations goals and promote teamwork and collaboration from all parties. Implemented Cash Price Fee Schedule and trained front-line staff how to properly secure payment at the time of service, which improved collections by 200%. Established the “Revenue Cycle Team” to handle: CDM maintenance, APC errors, Chart Audits (defense, concurrent, stop-loss and focus), improved Gross Revenue capture within all ancillary departments. Implemented patient loan program to reduce bad debt and increase cash collections. Implemented Contract Management & Denial Management system.
Oceanside, CA
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Sr. Director of Revenue Integrity
Apollo Health Street
https://www.linkedin.com/company/sutherland_healthcare_solutions
Oversee the daily operations for multiple client projects handling the billing and collections components of government and non-government payers in multiple states. Additionally oversaw direct operations, human resources, logistics, and finances. Established metrics to monitor operations staff for each project to ensure the client’s expectations are met. Collaborate with each client to improve the revenue cycle within their operations, and deploy onshore and offshore resources for each project. Additionally, coordinated with the business development team resulting in gaining the new clients contracting for services.
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VP, Operations of Los Angeles Service Center
Centinela Freeman Health System
https://www.linkedin.com/company/centinela-freeman-health-system
Responsibilities included daily functions of the Revenue Services department for the three facilities: Centinela Campus, Daniel Freeman Memorial Campus and Daniel Freeman Marina Campus. Operations responsible were managing staff for performing charge audits, patient access audits and patient financial audits to identify areas for improvement, and additional responsibilities were: CDM, Chart Audit, APC and end to end Revenue Cycle activities for the entire health system.
 

Performed assessments of the Revenue Cycle flow for the three campuses from all departments: scheduling, admitting, case management, health information management, nursing, ancillary services, charge capture and business office. Developed seven teams to address issues identified: Admitting, Pre-Admitting, Charge Capture, In-House, HIM, Denials, and Business Office. Developed and implement tools to improve the revenue cycle process for the system as well as tools to monitor status after implementation. Assisted with development of processes for hospital-based clinics (1206D) to optimize the revenue cycle for five newly implemented clinics
Director of Revenue Services
Tenet Healthcare
https://www.linkedin.com/company/tenet-healthcare
Directly responsible for the oversight and coordination of all front end patient access information for Inpatient, Ancillary Departments and Emergency, including Pre-Registration, Insurance Verification, Financial Counseling, Quality Control and PBX Communications, reporting directly to the Chief Financial Officer and Central Business Office Director. 

Responsible for all Month-end Accruals, Credit Balance and OTC Cash Goals and ran other reports to support and validate the financials. Revised and implement department policies and procedures in accordance with JCAHO, OIG, and Corporate Compliance. Analyzed data within the revenue cycle and implemented performance standards both quantitative and qualitative for all areas. Implemented revenue cycle teams to achieve organizations goals and promote teamwork and collaboration from all parties. Update Cash Price Fee Schedule and trained front-line staff how to properly secure payment at the time of service, which improved collections by 10%. Established the “Revenue Services Department” to handle: CDM maintenance, APC, Chart Audits (defense, concurrent, stop-loss and focus), improved late charges by 8% and concurrent audits maintained 2% of Gross Revenue. 

Facilities Under Tenet Healthsystems

•	4/2001 - 11/2004	Centinela Hospital-Tenet Healthsystems, Dir. of Patient Financial Services
•	5/2000 -  4/2001	 Fountain Valley-Tenet Healthsystems Fountain Valley, Dir. of Patient Services
•	11/95 -    5/2000	Century City Hospital-Tenet Healthsystems Los Angeles, Dir. of Patient Services
•	11/93 -    11/95		New Beginnings--Tenet Healthsystems Lakewood, CA Business Office Manager
•	11/89 -    11/90		Lakewood Regional-NME Lakewood, CA Follow-up Specialist
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Director of Patient Financial Services
Tenet Healthcare
https://www.linkedin.com/company/tenet-healthcare
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Director of Patient Financial Services-Fountain Valley
Tenet Healthcare
https://www.linkedin.com/company/tenet-healthcare
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director of patient financial service
Tenet Healthcare
https://www.linkedin.com/company/tenet-healthcare
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Follow up Specialist
MBA
Business Administration
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University of Phoenix
https://www.linkedin.com/school/university-of-phoenix/
BSBM
Business Management
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University of Phoenix
https://www.linkedin.com/school/university-of-phoenix/
Children
Heartful Hands
Support raising money for toy drive, volunteering at the toy drive each year
Director
Healthcare Financial Management Association (HFMA)
HFMA’s Certified Revenue Cycle Representative (CRCR)
Tricia Ibrahim
      
          



            
              
        
              
  

    
        Angela and I worked together for 8 years at Centinela Freeman Health System and Apollo Health Street. She is one who always strives to improve all aspects of the Revenue Cycle throughout the organizations.  She is driven and motivated to improve processes and implement best practices.  Her vast knowledge of the Revenue Cycle and her eye for detail supersedes all standards and expectations.  

Angela always shares her knowledge and expertise’s with others.  She has been instrumental in my growth as a person and a professional.  Angela encouraged me to return back to school and obtain my degree.  She provided me opportunities to grow and develop my knowledge and skills. 

 It was a pleasure to work with Angela and I'd be happy to have the opportunity to do so again in the future.  She would be a valuable asset to any organization.

Tricia Ibrahim Paul J. Brown
      
          



            
              
        
              
  

    
        Angela is competent, personable and effective in her work. She remains calm in stressful situations and, while highly focused, is always available through her open door. She brought order to a somewhat chaotic situation.
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Elkins Park, PA
Angela Montgomery
Higher Education Professional
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Kansas City, MO
Angela Montgomery
Nursing @ CPFMC
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Greater Cleveland
Angela Montgomery
Loan Support Team Lead at CrossCountry Mortgage, LLC
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Victoria, Australia
Angela Montgomery
Nutrien Horsham Distribution Centre
https://www.linkedin.com/in/benefits4u
Morrisville, NC
Angela Montgomery
System Benefits Manager at UNC Health
Tenet Healthcare Alumni
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Healthcare Meaningful Use Portal
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Centers for Medicare & Medicaid Services
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San Diego-Imperial Chapter of the Healthcare Financial Management Association
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Executive Suite
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Revenue Cycle Directors Group
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Health Care Treasury and Finance
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Healthcare Technology Alliance
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HIMSS
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Healthcare Executives Network (HExN)
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Healthcare Revenue Integrity Professionals
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Health Care Finance:  Revenue Cycle Management
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