lucas matheny

Retained to collaborate with attorneys and Federal Government in prosecuting healthcare fraud case based on subject matter expertise; included interviewing expert witnesses and attending court hearings Proficiently analyzed discovery reports and accounting records, reviewed and responded to interrogatories and researched case law under False Claims Act Proficiently compiled and produced detailed docket reports, status reports and motions for summary judgment

Throughout my tenure as Sr. Manager, Cash Management, key objectives were obtained including the conversion of a new banking structure including lockboxes, conversion of paper receipts to electronic files for automated account posting, and the development of a routine billing cycle. With a positive successful management style, reduced employee turnover below 5% and maintained un-posted cash to 1.5% of total revenues. Responsible for support and development of all intercompany payment and information systems. Forecast expected cash flows and monitor cash position across 6 entities. Manage payment application, returns, and refunds to over 1.2 million patient accounts totaling $1.2 billion per year. Convert accounts receivable payers to electronic funds transfer and electronic explanation of benefits. Partnered with and developed strategy to integrate payment, and payment information into an automated system.

* Created Liberty Healthcare Groups first effective way to automate manually intensive processes and workflows. Managed and implemented capital projects from conception to implementation. Responsible for reducing SG&A costs and increasing department efficiencies by implementing automated solutions by using outside vendors. * Created, managed, and implemented the automated Insurance Verification system. * Created, managed, and implemented the automated Denial Management system. * Created, managed, and implemented the automated Cash Posting system. * Merged three entities Revenue Cycle Management functions into one entity.

Responsible for the day to day activies of the Accounts Receivable department including billing operations, denial management, and collections. Managed accounts receivable of over $111mm with a diverse payer mix. Reduced overall AR and DSO by focusing on denial reduction, and increased patient collections. o Monitor and reduce Accounts Receivable aging. o Manage relationship with Medical Billing Software organization and customize the product to automate billing practices. o Developed and implemented workflow solutions. o Developed and maintain real time reporting for call center operations, monitor and adjust staff to meet SLA’s. o Routinely plan out claim resubmissions to third party payers.

* Development, implementation, and oversight of Compliance Program including Policy and Procedures, Code of Conduct, Internal and External Audit, Compliance with Federal and State payors and regulations. * Routinely conduct risk assessments, implement monitoring mechanisms, and complete corrective actions as needed. * Develop and implement the annual compliance and audit plan. * Participate in all M&A to evaluate risks and complete transactions through ownership changes. * Conduct internal investigations, draft recommendations, and present to Board of Directors. * Successfully interact with accreditation organization, Medicare contractors, and State Agencies to ensure successful completion of all audits. * Implement organizations Quality Assurance Monitoring program. * Develop and Implement annual FWA and Corporate Compliance Training. * Effectively built and maintained productive government relations. * Maintain compliance with all state licensure requirements. * Serve as the Privacy Officer, and Chairman of the Compliance Committee.

Synergized A1 Diabetes and Atlantic Medical to launch successful mail order pharmacy division, capitalizing on opportunities to expand revenue channels and market leveraging; held full P&L accountability Persuasively negotiated manufacturer contracts to ensure competitive edge and maximize bottom-line profits Successfully secured national licensure in all states per requirements Conducted routine internal compliance audits