1. GR EG FORT GAN G
500 Scenic Way, Woodstock GA. 30189
404-626-4037
fortgang@bellsouth.net
QUALIFICATIONS
More than 16 years of experience with Wellstar Health System demonstrating a consistent record of achieving short and long
term objectives. Instrumental in reducing accounts receivable, exceeding cash goals, and contributing to the operational
success of Patient Financial Services and other Revenue Cycle departments. Strengths include data acquisition, trending,
interpretation and analysis, financial analysis, problem identification and resolution, process optimization, and collaboration
with others to achieve more encompassing results. Recognized ability to identify problems not visible to others.
EDUCATION
MBA, Kennesaw State University – Kennesaw, GA. Concentration: Finance GPA 3.92
December, 1998
Memb er , Be ta Ga mm a Si gm a – H on or socie ty fo r AAC SB Accr ed ited Busin ess Pro gr am s
BBA, Un iver si ty o f Geo rg ia – Athe ns, GA. Ma jo r: F in ance
Ju ne , 19 88
PROFESSIONAL EXPERIENCE
Ma nage r, C on tr act Ma nage men t - Wellstar Health System, Marietta GA. 2006-Present
• Responsible for ensuring the contractual expected reimbursement for hospital claims and the associated discounts
posted at the time of final bill are accurate and representative of current contract terms
• Produce detailed payor performance reporting and analysis by combining patient accounting and contract
management data with actual insurance and patient payments, denials, charity, discounts, and A/R aging
• Provide high level and detailed denial reporting, trending, and analysis to senior leadership
• Create payor reimbursement analysis used by the Accounting department to calculate net revenue by payor and the
reserves on over $500 million for Wellstar’s monthly financial reporting
• Work closely with other departments such as Billing, Account Resolution, Payments, Reimbursement, Managed Care,
Accounting, Decision Support, Information Systems, Patient Access Services, Utilization Management, Care
Coordination, Imaging, Coding, Compliance, and Internal Audit
• Hire and manage staff that includes six payor specific Reimbursement Analysts, a system wide Denials Auditor, a
Medicaid Outlier Specialist, and a Contract Management Coordinator that:
o Identified and recovered between $3.4 and $7.2 million per year in contractually underpaid claims from $0 balance
(closed) accounts in each of the last eight years
o Analyze and trend $2-3 million per month of hospital claim denial write-offs, identify root causes, work directly with
the payors, the involved departments, and the Business Office to develop and implement processes to resolve the
identified issues
o Receive $10-$12 million per year in additional reimbursement for inpatient accounts that qualify for Medicaid outlier
reimbursement
o Manage the operations of the contract management system that calculates the contractual reimbursement for more
than 60,000 hospital claims containing over $300 million of charges each month utilizing 54 different rates and
reimbursement structures, and identifies paid claims with contractual expected to actual payment variances
o Provide contract modeling functions that calculate and forecast the future financial effects of contractual terms and
rates being negotiated by Wellstar’s Managed Care department
o Analyze contract and service type reimbursement opportunities that can be addressed by the Managed Care
department to strengthen contract terms
o Determine contract specific charge level reimbursement expectations used in new project financial proformas
Primary Systems Utilized – McKesson Star, McKesson Pathways Contract Management (PCON), Epic, MedAssets Contract
Management, Datawatch Monarch Pro, SQL, Microsoft Excel and Microsoft Access

2. Selected Contributions and Achievements:
− 2008 McKesson’s Revenue Cycle Million Dollar Club Top Achiever
− Completed Wellstar’s 21
st
Century Leadership Program
− Department exceeded the 95
th
percentile in employee engagement scores six straight years
− Regularly relied upon by the VP of Revenue Cycle, the VP of Accounting, and the CFO to identify the causes and to
quantify numerous multi-million dollar anomalies
Re ve nue Cycl e In fo rm atio n Syste ms Sp ecia li st - Wellstar Health System, Marietta GA. 1999-2006
• Developed custom reporting and data analysis for the Vice President of Revenue Cycle and his Directors
• Developed and maintained a Revenue Cycle Score Card that provided comprehensive KPI reporting for all Revenue Cycle
departments, and was the primary summary report used for 12 years by more than 40 leaders
• Identified numerous opportunities for process improvement through data analysis
• Worked closely with the Directors of Patient Access Services, Billing, Account Resolution, Payments, and Revenue
Management to develop processes to increase Revenue Cycle efficiencies
• Provided data and reporting not directly available from available from individual systems to support the needs of Internal
Audit, Decision Support, Information Systems, Revenue Management, Reimbursement, Account Resolution, Billing,
Patient Access Services, Utilization Management, Accounting, Finance, Coding, Compliance, HR, as well as a variety of
vendors and consulting agencies by using Excel, Access, Monarch Pro, SQL, Crystal Reports, and other tools
• Electronically reconciled invoices to identify payments that were claimed by two or more Revenue Cycle vendors
• Liaison between Revenue Cycle and Information Systems departments
System Ana lyst II - Wellstar Health System, Marietta GA.
1998-1999
• Financial application and hardware support in preparation for the Y2K transition
Pu rcha si ng Ma nage r - Tom M. Phillips Oil Company, Jasper GA.
1995-1998
• Responsible for purchasing, warehousing, dispatching, and product delivery activities
• Managed office operations
Se ni or Te ch ni ca l Advisor – Prentice Hall Professional Software, Atlanta GA. 1989 – 1994
• Provided highest level technical support for corporate tax and auditing software environments
• Worked with software engineers regarding customer requested enhancements