Jaime Bou

Experience

• 

  Banco Popular Dominicano

  Jun 2011 - Aug 2011

  Human Resources Intern

  Interned for the HR department for one summer, assisted with updating of the organizational chart of the bank.

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  JLB Transporte S.A.

  Jan 2012 - Sept 2013

  Transportation Assistant

  JLB Transporte S.A. provided transportation services of raw materials to companies like Cemex Dominicana and VMO Concretos.• Define the freight rates to be paid to the affiliated carriers based on a cost analysis.• Prepare annual income and expense budgets for our own fleet.• Prepare reports and indicators that allow visualization of the management of the transportation department: availability, performance, costs, etc.

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  MCC-Medical Claims Consultants

  Oct 2013 - Jan 2016

  Collections Specialist

  Insurance Collector for client Oglethorpe Inc, which at the time operated 5 different rehabilitation and psychiatric treatment centers across the East coast of the United States. • Ensured timely payment of claims from insurances.• Resolved all denied claims in a timely manner.• Alternated insurance collection between different treatment centers.

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  ADOHEALTH

  Feb 2016 - Feb 2017

  Collections Specialist

  Insurance Collector for all commercial insurances for our sole client Advanced Neuro Spine Institute in Aventura, Florida.• Revenue Cycle team collected between US$1.2 - US$1.6 million in revenue monthly for the client. • Ensured timely payment of claims from insurances.• Created and provided management with monthly reports on productivity .• Consistently met monthly revenue goals for the client.• 8x Collector of the month.

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  MCC-Medical Claims Consultants

  May 2017 - Mar 2018

  Revenue Cycle Coordinator

  Coordinated and worked with a team of 22 employees in the Revenue Cycle department. Team was responsible for the billing and collecting of insurance claims and patient debt, whilst ensuring steady cash flow for 10 physicians and 7 rehabilitation and psychiatric centers in the United States. • Prepared financial reports demonstrating an overview of the revenue received for each physician and facility and presented to clients and upper management. • Provided access for all insurance web portals to increase productivity.• Compiled monthly report of productivity of employees to management and worked with the team to resolve any issues that diminished employee performance.• Ensured billing of claims were done correctly and submitted on a timely manner. Show less

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  Medicalls

  Apr 2018 - now

  Promoted to Director in September 2021 after successfully rescuing a client from financial difficulties due to a failed implementation of a new PM/EHR system.• Reimplemented the PM/EHR system from scratch to ensure proper functionality. Addressed issues such as accurate claims routing, automatic payment posting, and staff training for properly utilizing the PM/EHR system.• Through this reimplementation, managed to significantly boost revenue from $600K in Q2 2021 to $1.8 million in Q3.• Introduced a new revenue stream by initiating the mailing of patient statements in Q4 2021, and collaborating with FinTech company Instamed to facilitate online patient payment capture.• Achieved consistent revenue growth every quarter since 2022, averaging $2.4 million per quarter in 2022, and reaching $2.8 million in Q1 2023. A significant milestone was accomplished in Q2 2023, as we achieved $3 million in revenue for the first time in the history of the practice.• Maintained an A/R closing rate of 60 days for both 2022 and 2023.• Conducted a comprehensive analysis of our contracted rates with each insurance company and their respective plans by comparing the allowed amount of each claim to the Medicare allowed amount. This strategic approach enabled us to promptly identify underpayments, leading to successful renegotiations or contract adjustments.• Assumed responsibility for achieving our MIPS goal this year by collaborating with AQUA Registry. Additionally, performed audits to ensure accurate inclusion of data from our EHR system in the registry. • Streamlined the billing process for operative reports and hospital consultations using Python automation. Manual billing was previously necessary, since the documents came as a PDF document from the hospital EHR system. The Python script I developed can accurately identify and extract essential fields for billing, including insurance details, policy ID #, admit dates, preoperative diagnoses, and procedures performed. Show less Currently managing the Revenue Cycle department for Medicalls. In charge of managing and consulting on the clients' Accounts Receivables, Denial Management, Posting.• Reduced the accounts receivables of open insurance claims of the client from $15M to $9M in one year • Decreased denial rate of the claims submitted by the practice from 6.6% to 3.55% from 2018 to 2019 by identifying denial trends using SQL, in turn increasing revenue and ensuring the medical coding and medical documentation for the services billed were accurate for payment as per insurance payment guidelines. • With the implementation of these processes we increased annual insurance revenue from 2018 to 2019 by 3.89%. • Elaboration and presentation of monthly financial reports to each client. • Present findings and recommended solutions that are interfering with the Accounts Receivables of the clients. Show less

  • Director of Revenue Management

    Sept 2021 - now

  • Revenue Cycle Manager

    Apr 2018 - Sept 2021