Linda McDaniel

Professional Highlights

Linda McDaniel has over 30 years in the healthcare industry, specializing in all areas of business office operations and project management. Extensive expertise in analyzing, auditing, training, and problem-solving and a proven track record in managing and leading others through collaboration and interpersonal communication to complete goals and deliver positive results within schedule and budget constraints.

Relevant Experience

Operations Consultant
KAV Consulting, LLC
2012 - Present

Diagnostic Health Corporation/HealthSouth
1995 - 2012

  • National Business Office Specialist
    • Supported approximately 62 freestanding diagnostic facilities and the national business/billing office in all areas of business office operations.
    • Developed and implemented the strategy for building, maintaining and utilizing a contract database for approximately 600 Managed Care contracts covering 85% of total gross revenue.
    • Served as Project Manager for hiring and managing the team that built the contract database and corresponding data files within established deadlines and budget constraints.
    • Responsibilities included managing the maintenance and use of the contract database to forecast net revenue and contractual information and validate payer reimbursement.
    • Was responsible for identifying and coordinating documentation for recovery of over a million dollars of underpayments.
    • Developed and documented policies and procedures for several areas of business office operations and created and implemented audit and control tools.
    • Served as interim administrator at the Beaumont center, a multi-modality facility, for 5 months to coordinate construction, equipment purchases/repairs and operations after hurricane Rita damage and upper management re-structure.
    • Served as Project Manager for several special projects related to training and process improvements for billing, collections, recovery, intake and business controls.
  • Regional Business Office Specialist
    • Responsibilities included supporting 31 freestanding diagnostic facilities in all areas of business office operations.
    • Successfully moved the billing and collections responsibilities from a regional setting to each facility.
    • Developed and implemented reimbursement tracking tools to ensure correct reimbursement.
    • Assisted facility management with handling reimbursement, coding, and clean claim audits.
    • Worked with the IT team to adapt the computer systems to payer clean claim requirements to maximize electronic billing.
    • Completed several system cleanup projects to obtain consistent financial information across databases.
    • Worked with center management consistently on analyzing, developing, implementing and assessing accounts receivable collection strategies.
  • Regional Business Office Manager
    • Established and executed procedures for monitoring, reporting and managing accounts receivable, revenue and utilization information for the diagnostic facilities.
    • Prepared accounts payable invoices and office payroll.
    • Established and executed procedures required to maintain expenses based on budgeted guidelines.
    • Prepared all provider applications and maintained credentialing information. Supervised and participated in the preparation of monthly, quarterly and yearly financial reports for the facilities.
    • Hired, trained, assessed, disciplined and terminated employees.
    • Coordinated computer conversions for the diagnostic facilities and the regional business office.
  • Patient Account Representative
    • Performed insurance verification and patient registration.
    • Input patient data, collected co-pays and set payment arrangements.
    • Scheduled exams and screened and prepped patients.
    • Duties also included collecting attorney accounts and appealing insurance denials
Vendor/Application Experience

Athenahealth

  • Billing and Accounts Receivable (BAR)
  • Paperless Collections System (PCS)
  • DBMS - both Report Writer and Screen Builder
  • Claim Form Generator
  • Transaction Editing System (TES)
  • Enterprise Task Manager (ETM)
  • Payor Contracts Module (PCM)
Linda McDaniel