Tyeast Reynolds

McDonough, GA-- Tyeast Reynolds Independent Consultant | EKC Pro Solutions Project Manager, Revenue Cycle Management, Analyst, and Consultant: Professional Summary • Seasoned Project Manager with 18+ years of experience in healthcare revenue cycle management with 11+ years of experience supporting EHR/EMR systems, billing software, and clearinghouse integrations • 7+ years as a PM leading Billing and Clearinghouse software implementations. System implementation experience includes AdvanceMD Billing (complete RCM; professional billing and claims management); & Avea Billing system integration (emphasis on billing and revenue optimization); Dentrix & DentalVision implementation for specialty dental practice management (included professional billing and accounts receivable areas); Thoughtful AI & Falcon implementation of AI‐enhanced RCM tools for denial management and predictive analytics; Medledger implementation; CareLogic (Behavioral Health) implementation (included heavy focus on workflows, assessment tools, treatment planning modules). • Specialization in driving operational improvements and optimizing financial performance for healthcare organizations, including physical therapy clinics, recovery centers, and dental practices. Proven track record of implementing data-driven strategies to enhance revenue performance and operational efficiency. • Proficient in using data analytics tools and software to extract, manipulate, and interpret large datasets. Extensive experience in analyzing revenue cycle data to identify trends, patterns, and areas for improvement. Ability to communicate complex analytical findings effectively to diverse stakeholders. • Strong ability to leverage strong project management skills, extensive knowledge of revenue cycle operations, and excellent communication abilities to drive positive outcomes. Core Capabilities  Project Management  Revenue Cycle System Implementations  Software Integration  Strategic Planning  Business Process Reengineering    Pilot Programs Workflow Automation Performance Measurements, KPIs  Revenue Analysis     Data Analysis, Reporting Innovation Process improvement Leadership, Consulting, Coaching Skills Summary Project Management:  Leading and steering multiple projects from conception to completion, ensuring timely delivery while exceeding senior leadership expectations. Leading cross-functional teams to implement strategies ensuring seamless operations and maximum efficiency; allocating resources, including human resources, budget, technology, infrastructure, to support implementation.  Revenue Cycle System Implementations: Implemented WebPT Billing complete RCM at FlexElite Physical Therapy, focusing on professional billing and claims management. Led Avea Integration: Managed accounts receivable (AR) in CareLogic EHR system, implementing strategic collection protocols and optimizing revenue cycle workflows to improve cash flow, reduce days in AR, and maximize reimbursement rates while ensuring compliance with payer requirements and healthcare regulations. Dentrix & DentalVision: Led implementation for specialty dental practice management, including professional billing and accounts receivable. Contributed to implementation of AI‐enhanced revenue cycle tools focusing on denial management and predictive analytics.  Streamlining operations, managing resources, and budgetary control. Instituting robust quality control measures, ensuring delivery of high-caliber results in all projects and assignments. Designing and executing strategic solutions, resulting in optimized processes and improved team performance.  Implementing solution on smaller scale as pilot program before rolling out organization-wide allowing for testing and adjustments in a controlled environment. Setting measurable success criteria and performance indicators to assess effectiveness of solution once it's in place. Healthcare Software Integration:  Leading integration of EHR billing software resulting in improved data accuracy and efficiency in results reporting.  Leading projects to implement interfaces between various healthcare systems, including EMR, billing systems, and clearing house; facilitated seamless data exchange and interoperability.  Collaborating with multiple teams (revenue cycle, utilization, clinical staff) to identify workflow inefficiencies.  Developing custom integration solutions to optimize clinical processes. Revenue Cycle Management (Leadership and Consulting):  Leading revenue cycle management initiatives, overseeing the end-to-end process from patient registration to final payment, resulting in improved financial performance and operational efficiency.  Analyzing accounts receivable and cash collection trends, identifying areas for improvement and implementing strategies to optimize revenue generation and reduce outstanding balances.  Mentoring and coaching revenue cycle teams, providing guidance on best practices, workflow optimization, and compliance standards to enhance team performance and achieve organizational goals. EKC Pro Solutions, LLC  Serving as a trusted advisor and consultant to healthcare organizations, providing insights and recommendations on revenue cycle optimization, process improvements, and compliance strategies.  Collaborating with clinical and administrative teams to identify revenue cycle inefficiencies, develop solutions, and implement process improvements to enhance revenue capture and financial performance. Building and maintaining strong relationships with clients, delivering exceptional service, and earning trust as a reliable partner in revenue cycle management and consulting. AR and Cash Collection Trend Analysis:  Analyzing accounts receivable and cash collection data. Analyzing variance between set targets and actual performance to identify systemic issues.  Conducting in-depth analytics for revenue cycle, identifying potential bottlenecks and areas of improvement. Utilizing dashboards within EHR and Clearinghouse to evaluate payer collection performance. Identifying trends and potential areas for improvement. Comparing organization’s performance against industry standards.  Skillfully extracting reimbursements and payments from diverse sources, including patients, insurance carriers, financial aid providers, and guarantors. Reporting and Presentation:  Crafting and delivering concise, impactful reports and presentations to clients and executive team, driving informed decisionmaking. Developing presentations that highlight collections’ performance, including collection rates, days sales outstanding (DSO), and outstanding accounts receivable. Visualize these metrics for better understanding.  Preparing presentations that forecast revenue based on historical data and future trends. Regularly conducted deep dives and analyses, translating data into actionable insights presented in a coherent manner. Payment and Denials Management:  Orchestrating efficient payment processing systems and managing denials, reducing financial discrepancies, and enhancing the cash flow. Establishing robust appeals process to challenge and overturn denied claims.  Conducting thorough analysis to identify the root causes of denials. Determining whether denials are due to internal issues (e.g., coding errors, documentation deficiencies) or external factors (e.g., payer policy changes).  Implementing proactive measures to prevent denials; fee schedules, contracts, billing practices to align with payer guidelines. Providing clinicians and admin staff feedback on documentation/coding issues contributing to denials. Professional Experience Northpoint Recover, Boise, ID (Remote) Feb 2024 to Present Revenue Cycle Project Manager  Conduct a comprehensive assessment of current revenue cycle processes and performance metrics.  Identify key areas for improvement based on data analysis, stakeholder input, and industry best practices.  Develop and implement targeted solutions, including process redesign, technology integration, and staff training.  Establish monitoring mechanisms to track progress, measure outcomes, and sustain improvements over time.  Engage stakeholders across departments, ensuring alignment, collaboration, and accountability throughout project lifecycle. FlexElite Physical Therapy and Wellness Center, Alpharetta, GA (Remote) May 2024 to Nov 2024 Project Manager and Consultant  Spearheaded the startup process for FlexElite, overseeing key project milestones from planning to launch.  Implemented WebPT Billing for Physical Therapy, focusing on outpatient therapy documentation and scheduling. Focusing on professional billing and claims management.  Managed vendor relations, ensuring technology and service providers met project requirements and deadlines.  Led technology selection, evaluating and implementing software solutions to optimize practice operations.  Developed and standardized SOPs to ensure operational efficiency across all departments.  Coordinated the provider selection process, including professional vetting and onboarding.  Led and managed the successful launch of the center, ensuring all processes were in place for seamless operations.  Provided ongoing monthly consultancy to maintain quality and ensure continuous improvement post-launch Health Connect America, Franklin, TN (Remote) Feb 2023 to Oct 2023 Revenue Cycle AR Manager & Project Manager  Led technical implementation of CareLogic EHR. Managed integration between clinical and billing systems at Health Connect America, focusing on hospital billing and revenue optimization. Establishing data exchange protocols while coordinating crossfunctional teams. Implemented system interoperability solutions connecting EMRs, billing systems, and clearinghouse platforms, with structured project timelines and resource allocation. Managed project lifecycle from requirements gathering to go-live while configuring interfaces and data migration.  Successfully managed collection efforts for a substantial number of accounts receivable, showcasing effective financial leadership. Implemented denial management strategies that significantly reduced instances of claim denials, contributing to improved revenue cycle efficiency. Led adoption of clean claim philosophy, resulting in streamlined practice management and increased billing accuracy. EKC Pro Solutions, LLC BioSerenity Smart Healthcare Solutions, Detroit, MI (Remote) Oct 2021 to May 2022 Revenue Cycle Project Manager and Consultant  Responsible for many projects and assignments, including preparation and delivery of well-organized, effective reports and presentations to clients and executive team.  Accountable for a range of responsibilities, including client management, solution implementation, and project management. Workstreams for the project; engage with the Director of Revenue Cycle to assist with daily operational meetings and workflows.  Leading, guiding, and coaching the Revenue Cycle Director and RCM staff to ensure high-quality results. RiverMend Health Centers, LLC, Atlanta, GA Aug 2017 to Jul 2019 Director of Revenue Cycle, Eating Disorder & Chemical Dependency Dec 2018 to Jul 2019 Director of Revenue Cycle, Chemical Dependency Jul 2018 to Dec 2018 AR Follow-Up Supervisor Aug 2017 to Jul 2018  Led day-to-day operations for seven Behavioral Health facilities, generating $7.2M in monthly revenue.  Collaborated with the CFO, COO, and Senior Management to set strategic goals, define controls, and direct the revenue cycle management department.  Led implementation of Avea billing and revenue cycle management (RCM) system for behavioral health, transitioning from Medledger Billing and EMR software to optimize claims processing, enhance collections workflow, and improve financial performance while ensuring seamless integration with existing clinical documentation workflows.  Conducted thorough assessments of AR benchmarks, preparing monthly reports detailing A/R status and improvement opportunities.  Developed and implemented denial management strategy, reducing $750K backlog of pending claims in 30 days.  Reduced the legacy A/R balance from $7M to $4M, collecting approximately $3M from out-of-network payers.  Improved patient access processes and boosted patient collections by 27% D4C Dental Brands, Atlanta, GA Jul 2011 to Dec 2016 Revenue Cycle Manager  Managed collection operations for about $5.5M in outstanding receivables for pediatric dental accounts receivables.  Managed a group of 42 employees and collected accounts receivable for twenty to twenty-two pediatric dental offices across the state of Georgia.  Increased A/R by 43% by performing an analysis of claim denials, posted payments, and effective reporting for 20 different locations.  Led Dentrix & DentalVision implementation for specialty dental practice management, including professional billing and accounts receivable.  Designed, implemented, and managed Standard Operating Procedures (SOPs) to improve patient care, ensure compliance with regulatory mandates, and align operations with best practices.  Established initiatives and incentives, when specified, to promote progress in a required key targeted area and contributed in setting and meeting results Certifications  Project Management Foundations (Mar 2023)  Project Management Professional (CAPM), PMI, In Progress (Expected completion May 2025)  Project Management Professional (PMP), PMI, Planned (Expected completion August 2025) Technical Skills Software Systems: AdvanceMD EHR, Eaglesoft, CareLogic, DentalVision, Medledger EMR, Avea, Kipu, Dentrix PM Tools: Microsoft Project, SmartSheets, Notion, Monday.com, Microsoft Office Suite, SharePoint, EHR/Clearinghouse dashboards, Falcon platforms for Revenue Cycle Methodologies: Phased implementation with milestone tracking; Integrated workflow management across RCM functions; Agile/Scrum and Waterfall; DMAIC (Define, Measure, Analyze, Improve, and Control) for process improvement initiatives EKC Pro Solutions, LLC