K

Kami Coots

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Senior Vice President Operations
Houston, Texas, United States

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Résumé


Jobs verified_user 0% verified
  • EnableComp
    Senior Vice President Operations
    EnableComp
    Oct 2022 - Current (3 years 11 months)
    Executive Service Line Leader accountable for achieving a target of $9 million or greater in revenue annually for a growing Medicaid contracted service offering. Responsible for strategic and operational oversight of a team of 110 associates who focus on provider enrollment, eligibility, authorization, billing, follow-up, and denial trending services for Medicaid and Out-of-State Medicaid claims. Partner with client executive and operational revenue cycle leaders to achieve key cash collections, AR targets, and other defined goals and deliverables. Strategize with internal and external stakeholders to proactively identify trends and areas of process improvement and implement solutions. Support Sales efforts to expand service offerings t
  • EnableComp
    Vice President Client Engagement
    EnableComp
    Nov 2021 - Oct 2022 (1 year)
  • Parallon
    AVP Client Relations
    Parallon
    Mar 2020 - Nov 2021 (1 year 9 months)
    Monitor and present monthly operating metrics to facility executive leadership for 10 HCA facilities. Serve as the liaison between facility executive and department leaders, the Revenue Cycle Shared Service Center and Division offices. The scope of such efforts includes Credentialing, HIM, Patient Registration, Revenue Integrity, Billing, Collections, Denials (pre-bill & post-bill), Appeals and Vendor Relations. Maintain and promote collaborative customer relations with Division leadership, facility leadership, physicians and physician office teams. Stay abreast of payor trended issues, facilitate solutions for denial trended issues and proactively communicate denial or underpayment concerns. Focus on special projects as needed.
  • Parallon
    Regional Patient Access Director
    Parallon
    Jan 2019 - Mar 2020 (1 year 3 months)
  • Parallon
    Director - PreBill Denials
    Parallon
    Mar 2017 - Jan 2019 (1 year 11 months)
    Responsible for operational oversight of a team that works with Patient Registration, Case Management and Insurance companies to obtain authorization prior to final billing. Analyze payer denial trending and work with Revenue Cycle Shared Service Center, Division & Facility leadership to implement process or system improvements focused on reducing or resolving denials. Function as a liaison between Division Denials leadership, Facility leadership and the Revenue Cycle Shared Services leadership for the Denials Management Action Teams. Support implementation of Shared Services action plans focused on reducing denials. Focus on multiple denial reviews with an eye on trending & opportunities to reduce denials. Work with Patient Registratio
  • Parallon
    Revenue Integrity Director
    Parallon
    Dec 2015 - Mar 2017 (1 year 4 months)
    Responsible for system & strategic oversight of all operational processes which facilitate and direct the timely and accurate capture of patient charges and subsequent patient billing. Successfully model change leadership. Lead & motivate people, encourage team work, buy in and the ability to communicate effectively. Build a collaborative, engaged team with a combined focus on building morale & delivering results. Monitor executive dashboards for overall Revenue Cycle performance & direct Revenue Integrity resources to identified performance deficiencies. Oversee implementation and ongoing charge reviews of revenue capture through all hospital departments for 18 hospitals. Function as a liaison between revenue departments, Finance, Bus
  • Seton Healthcare Family
    Revenue Cycle Process & Systems Integration Manager
    Seton Healthcare Family
    Jan 2012 - Jan 2015 (3 years 1 month)
    Coordinate integration efforts merging new hospitals into the Central Texas Market. Successfully lead a team of Business Systems Analysts & contractors managing Revenue Cycle process, reporting & technology. Oversight includes patient registration, financial screening & patient refunds; patient eligibility, payment estimation & authorization; medical necessity/advanced beneficiary notices; billing; remittances & claims statusing; payer maintenance & reporting; patient accounting & financial operations; regulatory/compliance oversight. Lead a team of trainers with a focus on Revenue Cycle technology & workflow across 10 facilities. Successfully manage vendor relationships and serve as a liaison between Information Services & the Rev
  • Seton Healthcare Family
    Revenue Integrity Manager
    Seton Healthcare Family
    Jan 2009 - Jan 2012 (3 years 1 month)
    Responsible for implementing a centralized charge capture team for all Nursing Services and Surgical Services at 7 hospitals accomplishing a 14 million dollar net revenue impact. Successfully manage a Revenue Integrity team of 37 consisting of operational associates, reporting/analytics and project coordination. Cultivate strong professional relationships between hospital service lines, nursing leadership, analytics and Revenue Integrity. Oversee revenue reconciliation and reporting for all departments across seven hospitals network-wide and work to resolve revenue management process inconsistencies and deficiences. Perform as an enterprise resource as it relates to Revenue Integrity on chargable services and recommend system changes
  • Texas Mutual Insurance Company
    Operations Project Leader
    Texas Mutual Insurance Company
    Jan 2004 - Jan 2009 (5 years 1 month)
  • L
    Accounts Payable Manager
    Labatt Food Service
    Jan 2002 - Jan 2004 (2 years 1 month)
  • State Farm Insurance
    Senior Claims Specialist
    State Farm Insurance
    Jan 1993 - Jan 2000 (7 years 1 month)
Education verified_user 0% verified
  • Texas State University
    MBA, Business - Finance & Economics
    Texas State University
    Jan 1999 - Jan 2001 (2 years 1 month)
  • A
    Associate’s Degree, Claims
    American Institute For Chartered Property Casualty Underwriters
    Jan 1993 - Jan 1995 (2 years 1 month)
  • Sam Houston State University
    BBA, Business Management
    Sam Houston State University
    Jan 1990 - Jan 1992 (2 years 1 month)
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