Denise Ortiz Smith

About

As a results-oriented Director of Revenue Cycle Management with over a decade of experience, I have consistently excelled in optimizing revenue cycle processes, enhancing patient experiences, and driving organizational growth. Currently, I focus on developing and enforcing revenue cycle standards that streamline patient visit procedures, from registration to the accurate adjudication of accounts. My role encompasses overseeing business functions, analyzing operational data, and collaborating with C-level executives to create strategic financial plans that support organizational objectives. In previous positions at Virginia League for Planned Parenthood and UPIC Health, LLC, I successfully implemented innovative solutions that improved operational efficiency and financial stability. I take pride in my ability to foster strong relationships with stakeholders, ensuring adherence to regulatory compliance while remaining proactive in addressing industry trends and changes. Looking ahead, I am eager to explore new opportunities where I can leverage my expertise in revenue cycle management to drive innovation and financial success. I am particularly interested in roles that allow me to continue enhancing operational efficiency and improving patient satisfaction within the healthcare sector. Areas of Specialization: • Revenue Cycle Optimization • Strategic Financial Planning • Patient Experience Improvement • Performance Metrics Development • Compliance and Regulatory Adherence • Operational Policy Enhancement • Relationship Management with Stakeholders • Data Analysis and Reporting Let’s connect: I’m excited to discuss how I can contribute to your organization’s success. Feel free to reach out to explore potential opportunities and how my background aligns with your needs.

Experience

• Director Revenue Cycle · Virginia League for Planned Parenthood12-01-2014 – 08-01-2024

  Focused on developing and enforcing revenue cycle standards to optimize the entire patient visit process, from registration to accurate account adjudication. Oversaw business functions, ensuring that aged accounts are monitored and collections procedures align with established policies. Analyzed operational data, historical records, and forecasts to identify opportunities for system enhancements. Collaborated with C-level executives and stakeholders to formulate strategic financial plans and design financial dashboards that track key performance indicators. Established internal audit protocols to ensure the accuracy of financial reporting and streamline revenue cycle processes to enhance overall efficiency.

• Director Of Patient Services · UPIC Health, LLC05-01-2017 – 01-01-2018

  Managed comprehensive revenue cycle operations, ensuring optimal billing, reporting, and support functions. Fostered strong relationships while maintaining continuous communication to deliver exceptional customer service. Developed, assessed, and refined operational policies and procedures to enhance effectiveness and ensure regulatory compliance within the Business Office. Stayed ahead of industry trends and regulatory changes to safeguard the organization’s financial health.

• Business Office Manager · Premier HealthCare Associates, Inc09-01-2009 – 12-01-2014

  Oversaw the daily operations of billing and collections, ensuring timely and accurate claims processing. Fostered and maintained strategic partnerships with insurance and pharmaceutical representatives, enhancing overall service delivery. Streamlined accounts receivable processes, significantly reducing the percentage of aging receivables. Conducted comprehensive reviews and adjustments to billing procedures to improve financial outcomes and coordinated with cross-functional teams to address and resolve billing discrepancies and insurance claims issues.

• Quality Control/Data Entry Specialist · MDS Pharma Services01-01-2008 – 03-01-2009

  Performed comprehensive audits of company process guides to ensure full compliance with industry standards and regulatory requirements. Analyzed source documents and raw data to verify alignment with study protocols and operational policies. Identified and recommended improvements to existing processes, contributing to ongoing enhancement initiatives. Collaborated with management to strengthen data integrity and accuracy across all documentation.

Education

• Virginia Commonwealth University - School of BusinessBachelor's degree, Business, Management, Marketing, and Related Support Services

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