Michelle Durner

About Michelle Durner

People have often called me a triple threat—but in a good way! Based on strengths in practice management, revenue cycle management and accounting/finance administration, I seek to find the story behind the numbers. What are the trends? What are potential areas for improvement? What strategies and workflows will take us where we want to go?My career is focused around helping clients run their businesses in a cost effective and efficient way. Over the years, I’ve partnered with physician practices, medical groups, health systems and payors, working out strategies and processes to maximize cash flow, reduce administrative staff overhead and meet industry compliance standards.My goal is to enhance financial and operational performance by providing clients and colleagues with information, education and meaningful analysis of data. Numbers don’t lie. Understanding how to track and interpret them is my superpower. Tracking and analyzing metrics and goals related to finance, revenue cycle, implementation, productivity, clinical performance, and customer experience. Interpreting the data to help client companies achieve competitive advantage.Throughout my career, I’ve worked closely with senior leadership, both internally and externally to address key operational issues and drive strategic growth initiatives. I’ve led business development efforts in new and existing and markets to grow a client base with large medical groups, health systems and payors.The value I bring—as a triple threat, of course—is developing strong relationships to deliver measurable, positive outcomes.Specialties: Emergency Medicine, Anesthesia, Optometry, Internal Medicine, Endocrinology, Ophthalmology, Family Practice, General Surgery, Neurology, Orthopaedic Surgery, Pediatrics, Urgent Care, Geriatrics, Plastic Surgery, Behavioral Health, Hospital based physicians, Hospital outpatient, Clinics.

Experience

1. Vice President Revenue Cycle Management

   Eating Recovery Center

   Jul 2023 — Present

   Maximize collection of payments and reimbursement across inpatient, residential, PHP, IOP, and outpatient levels of care within a behavioral-health specialty, including commercial, governmental, and patient-responsibility balances. Resolve escalated reimbursement issues with payors, providers, and internal systems to ensure optimal accounts-receivable performance.Provide oversight to assigned team by supervising, guiding, and directing employees to be effective team members. Ensure that everyone is equipped with the right skills, tools, and talents necessary for executing their duties. Use established people processes to ensure an optimal level of performance and that capabilities meet current and future standards.Responsible for strategic planning, goal setting, monitoring/measuring work performance, operations/workflow management, risk management, continuous quality improvement, and customer service within the revenue cycle operations.Oversee insurance eligibility processes, charge processing, claims submission, payment posting, collections, denial management, reporting results and analysis, concurrent and retrospective auditing, proper coding, training and development related to revenue cycle, analytics of key performance indicators, and all other revenue cycle management activities.Onboard and lead global teams to enhance the revenue cycle process.Monitor KPIs and departmental goals in accordance with established policies and industry best practices. Provide leadership and revenue cycle team with status and reporting in KPIs and metrics.Implement and manage RPA to enhance revenue cycle processes.

Education

• University of North Carolina at Charlotte

  Bachelor's degree, Finance

• University of North Carolina at Charlotte

  Bachelor's degree, Accounting

Skills

• Practice Management
• Physicians
• Surgery
• Working with Physicians
• Hospitals
• Financial Analysis
• Strategic Planning
• Healthcare Information Technology
• Family Medicine
• Medical Billing
• Healthcare Management
• Pediatrics
• Financial Reporting
• Hipaa
• U.s. Health Insurance Portability and Accountability Act (Hipaa)
• Emergency Medicine
• Accounting
• Healthcare Industry
• Healthcare
• Medical/Surgical
• Leadership
• Revenue Cycle