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Dorothy Mazalewski

@dorothymazalewski

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Experienced RCM Director with a focus on revenue cycle management.

United States

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What I'm looking for

I seek a role that values collaboration and offers opportunities for professional growth.

I am a focused and decisive RCM Director with over twenty years of professional experience in revenue cycle management across various healthcare settings. My career has been marked by a proven track record of achieving company goals through diligent effort and effective follow-through. I have successfully overseen RCM operations for urgent care facilities, women's health practices, and dental groups, implementing best practices that maximize efficiency and cash collections.

Throughout my career, I have managed diverse teams and centralized workflows to enhance operational performance. My expertise includes coding, claim creation, denial management, and compliance with federal regulations. I pride myself on my strong organizational and interpersonal skills, which have enabled me to lead teams effectively and foster a collaborative work environment. I am committed to continuous improvement and have a passion for training and mentoring staff to achieve their full potential.

Experience

Work history, roles, and key accomplishments

RCM Director

Emergence Health Holdings

Sep 2024 - Present (10 months)

Oversee Revenue Cycle Management for 32 urgent care facilities located in northern New England. Manage internal and external RCM teams to maximize efficiency and achieve KPIs related to cash collections, AR > 90 days, denial management, and clean claim rates.

Revenue Cycle Management KPIs Denial Management Team Leadership

RCM Director

Advantia Health

Mar 2023 - Present (2 years 4 months)

Managed RCM functions including coding, claim creation, denials, billing, self-pay, and customer service across over 40 women’s health practices. Centralized RCM workflows, policies, and procedures across various practices in IL, MO, VA, and MD.

Revenue Cycle Management Claims Management Denial Management Billing Workflow Optimization

RCM Director – Consultant

Child Smiles – Family Smiles

Jan 2022 - Present (3 years 6 months)

Implemented RCM best practices into a large dental group with multiple offices, covering billing, cash reconciliation, AR aging, denials, clean claim, and self-pay procedures. Oversaw medical surgical center billing, AR management, and self-pay functions.

Billing Denial Management

Director Revenue Cycle

Med-Metrix

Nov 2019 - Present (5 years 8 months)

Oversaw a full outsource ARS project in Epic, encompassing billing, WQs, follow-up, denials, and appeals. Coordinated daily with coding, patient access, revenue integrity, and charge capture to ensure accurate claim billing.

Revenue Cycle Management Epic Billing Project Management

Director Revenue Cycle

Bio Reference Laboratories

Feb 2019 - Present (6 years 5 months)

Oversaw the non-government denials department and managed the follow-up team for claim status. Provided training to staff in follow-up procedures and proper protocol to resolve denials.

Denial Management Staff Training

Interim CBO Director

Prime Healthcare

Jul 2018 - Present (7 years)

Oversaw the business office for three PA facilities, including billing, follow-up, cash collections, AR trending, and denial management. Partnered with C-suite leadership to streamline processes to improve cash collections and decrease denials.

Office Management Billing Cash Collections AR Denial Management Leadership

Director Account Receivables

nThrive

Apr 2017 - Present (8 years 3 months)

Managed the operations for two Full Business office clients, including billing, collections, AR management, denials, and appeals. Maintained the contract manager application for client sites and trained offshore global teams.

Billing Collections Denial Management Contract Management

Associate Director Account Receivables

nThrive

Nov 2016 - Present (8 years 8 months)

Oversaw the operations for the Full Business office for Texas Children's Hospital, encompassing billing, follow-up, denials, cash posting, appeals, and self-pay. Provided consulting services for clients in areas of improvement such as Patient Access and Billing.

Billing Denial Management Consulting Vendor Management

Senior Manager Account Receivables

nThrive

Mar 2015 - Present (10 years 4 months)

Managed operations of the Full Business office for Texas Children's Hospital and a Louisiana hospital. Prepared and presented client report packages for weekly revenue cycle meetings and led these meetings.

Payer Trend Analysis

Manager Account Receivables

Medassets

Jan 2011 - Present (14 years 6 months)

Managed and controlled the business office, maintaining high customer satisfaction for a NJ Hospital. Developed and presented reporting packages to clients on key performance indicators and worked with senior management to develop efficient workflow production.

Office Management Key Performance Indicators Workflow Optimization Revenue Forecasting

Supervisor Account Receivables

Medassets

Jan 2008 - Present (17 years 6 months)

Oversaw self-pay, commercial, and full business office outsourced projects. Responsible for billing and follow-up for commercial payers.

Appeals

Follow-up Representative

Medassets

Jan 2006 - Present (19 years 6 months)

Responsible for billing and follow-up for commercial payers. Audited paid claims by commercial payers to verify if claims were paid per contract and submitted appeals for contract violations.

Billing Commercial Payer Follow Up Appeals