Chuck Valentino

About Chuck Valentino

Summary Accomplished Revenue Cycle Healthcare Executive with over two decades of expertise in multichannel Contact Center Operations and Pre-arrival Services, distinguished by a consistent record of spearheading revenue cycle centralization of service strategies that yield substantial revenue growth, cost savings, claim denial improvements, and service excellence. Adept at cultivating and steering high-achieving teams, underpinned by a commitment to an inclusive, collaborative, and engaging work culture. Areas of Expertise Revenue Cycle Management • Strategic Leadership • Negotiations • Patient Engagement Optimization • Strategic Planning & Execution • Conflict Resolution • Risk Management • High-Performance Culture Development • Critical Thinking • Change Management • Denials Prevention • P&L Management • Technology Automation • Communication • Leader Development Key Achievements • Enhanced provider template utilization by 30% through strategic optimization and scheduling, generating an additional $1.3M in appointment revenue for the Primary Care Service Line.• Achieved $500k annual savings and reduced No Authorization Denial rates by 20% by insourcing surgical and outpatient authorization responsibilities.• Demonstrated a proven ability to successfully transition ambulatory service lines to a centralized model, encompassing scheduling, referral management, clinical template updates, and authorization – 11 Service Lines in 16 months.• Successfully reduced medical necessity denials in laboratory claims by $2 million by implementing targeted provider education programs and enhancing system logic, improving claim accuracy and revenue cycle efficiency.• Significantly increased point-of-service collections by 36% over 18 months, resulting in the collection of over $24.5M in outstanding liabilities.• Consistently surpassed NAHAM Access Key Benchmarks and exceeded Incoming Scheduling Call Service Level expectations, demonstrating exceptional performance in core patient access services and call center efficiency.• Manage centralized pre-arrival and scheduling services for the Health System, efficiently handling over 2 million Patient encounters annually.Please feel free to contact me at c••••••••@gmail.com.

Experience

1. Vice President of Enterprise Revenue Integrity

   Tower Health

   Apr 2024 — Present · West Reading, PA, US

   The Vice President of Revenue Integrity is a strategic leader responsible for overseeing both outsourced revenue cycle management functions and in-house, hospital-based revenue-generating departments and service lines. This role ensures alignment between operational execution and organizational financial goals.Essential Duties and Responsibilities:• Champion the development and execution of comprehensive revenue operations strategies, aligning outsourced and in-house revenue cycle functions with organizational financial objectives.• Oversee the performance of outsourced revenue cycle management vendors, ensuring contract compliance, service level adherence, and alignment with health system priorities.• Lead a dedicated team of specialists to monitor, analyze, and address denial trends, implementing proactive solutions to reduce denial rates and optimize reimbursement.• Stay ahead of evolving reimbursement regulations, ensuring billing and coding practices remain compliant while maximizing revenue potential.• Establish and maintain a robust compliance framework, mitigating risks through adherence to healthcare billing and regulatory requirements.• Conduct routine internal audits of revenue integrity workflows to uncover inefficiencies, strengthen charge capture processes, and identify opportunities for improvement.• Leverage advanced data analytics to track key performance indicators (KPIs), uncover trends, and measure the success of revenue integrity initiatives across service lines.• Lead revenue optimization initiatives that drive measurable improvements in cash acceleration, reimbursement rates, and overall financial performance for the health system.• Bridge outsourced vendor operations with non-outsourced hospital departments and service lines, ensuring seamless communication, accountability, and shared ownership of revenue goals.

Education

• Albertus Magnus College

  Bachelor of Science - BS, Business Management

• Housatonic Community College

  General Studies

  1997

• Sacred Heart University

  Master of Business Administration - MBA, Concentration: Marketing