1. JANE A. KROLAK, MBA
5554 Whispering Woods Pt. - Sanford, FL 32771 - Cell Phone :( 407) 446-3261 - Email: krolakj@bellsouth.net
ACHIEVEMENTS
Avella - Reduced total A/R > 90 days from 16% ($9.4M) to 4.5% ($2.6M).
Avella - Reduced total unapplied cash from $1.5M to $600K
Avella - Improved cash realization for dates of service > 90 days by 175% (from $343K to $945K)
Avella – Reduced days sales outstanding from 25.2 to 24.3
Exceeded Quest Invigorate individual goal of $5M and achieved $7.5M impact. (2014 evaluation)
Automated the Coding Process = $2.3M Impact to Revenue
Reduced Billing CPC to True Hospital Self-Pay Patients = Reduced Expense $689K, Impact Bad Debt $18M
Reduced Patient Statement Return Mail (automated the process) - ROI = $862K
Reduced Un-responded Claims - ROI = $1.7M
Reduced Bad Debt of Hospital Self-Pay Patients - Cash Realization $517K, Impact to Bad Debt $1.7M
Reduced Timely Filing Rejections - Cash Realization $1.1M Impact to Bad Debt $999K
Reduced Florida Medicaid Eligibility Rejections - Decreased DPMO by 88%
Reduced Florida Medicaid B7 Rejection - Decreased DPMO by 90%
Developed Process Flows through multiple functional areas
Performed root cause analysis across multiple functional areas and/or business units
PROFESSIONAL EXPERIENCE
Consulting – Orlando, Florida (Oct 2014 to Present)
Avella Specialty Pharmacy. Lake Mary, Florida
• Managed an A/R with average monthly sales of $68M and average monthly cash of $66M.
• Directed revenue cycle operations in multiple locations (Phoenix, Arizona and Lake Mary, Florida) that included
billing, collections, and audit from multiple systems.
• Established new billing center in Lake Mary, Florida: staffed, developed departmental structure, wrote job
descriptions, and coordinated all training.
• Restructured the job responsibilities in the Phoenix Arizona location to take advantage of existing talent.
• Established new policies and procedures because very few were in place.
• Resolved sensitive internal reimbursement issues around Medicare.
Behavior Support Services Inc. Orlando, Florida
• Analyzed current rejections and established action plan.
• Resolved provider rejection problems with Medicaid and Medicaid HMO plans.
• Developed managed care contract matrix while collecting and reviewing all managed care contract.
AMERIPATH (AMP)/QUEST Orlando, Florida
Regional Transformation Manager Southwest - Quest Certified Six Sigma Black Belt (7/2008 – Sept 2014)
• Lead process improvement projects that drive results to improve efficiencies and cost savings.
• Manage multiple projects simultaneously.
• Analyze data to draw business conclusions.
• Influence others while working with all layers of the organization.
• Lean, DMAIIC, Project Management.
AMERIPATH Orlando, Florida
Anatomical Pathology Billing Director (10/2006 – 7/2008)
• Managed an A/R of $42M with monthly cash of $26M.
• Directed Orlando Billing Center operations that included billing, collections, coding, customer service, and payment
posting (68 employees).
• Established new billing center in Orlando, Florida: staffed, developed departmental structure, wrote job descriptions,
and coordinated all training.
2. • Implemented and tested new account receivable system.
• Resolved sensitive reimbursement issues concerning internal and external customers.
• Comprehensive knowledge of revenue cycle process, managed care contracting, electronic claims submission, ERAs,
clearinghouse processing, credentialing, banking, refund processing, credit card processing, detailed AR
analysis/trending and productivity measures.
AXIUM HEALTHCARE PHARMACY, INC. Lake Mary, Florida
Vice President of Billing and Reimbursement (11/2004 to 7/2006)
• Managed an A/R of $7M.
• Directed the operation of patient verification, authorization, billing, collections, and cash application (15 employees).
• Resolved sensitive reimbursement issues concerning internal and external customers.
• Educated staff regarding new managed care contracts.
• Wrote and implemented departmental policies and procedures.
• Extrapolated data to create monthly financial reports.
• Trained staff on new Medicare Part D program.
• Implemented electronic billing.
• Designed relational database to sit on top of inadequate patient accounts receivable system.
CONSULTANT Raleigh, North Carolina
Healthcare Consultant – 1/2002 to 11/2004 - Intermittent account receivable projects
• Reviewed and resolved physician’s accounts receivable issues.
CURASCRIPT PHARMACY INC. Orlando, Florida.
Director of Billing and Reimbursement (6/2000 to 11/2001) – (Moved to Raleigh, NC)
• Managed an A/R of $23M and monthly cash of $13M.
• Directed the operation of the billing/reimbursement department (40 employees).
• Billed and collected from 180 managed care contracts, IPAs, Medicare and Medicaid throughout the U.S.
• Resolved sensitive reimbursement issues concerning internal and external customers.
• Educated staff regarding new managed care contracts.
• Created and implemented billing/ reimbursement policies and procedures.
• Initiated monthly financial reports.
• Comprehensive knowledge of timely filing, refund, collections, and managed care laws for multiple states.
ORLANDO HEART CENTER, Orlando, Florida
Business Office Manager – 7/1998 – 6/2000
• Managed an accounts receivable of $5M with monthly revenue of $2M.
• Accountable for the operations of billing, collections, patient registration, scheduling, and cash application, pre-cert,
coding, and patient discharge (30 employees at multiple locations).
• Monitored managed care contracts, indemnity plans, Medicare, and Medicaid to identify payment errors, denials and
reimbursement trends.
• Developed departmental budget.
• Identified and resolved compliance issues.
• Improved the flow of information throughout the business office to reduce errors.
• Reorganized patient access to effectively obtain eligibility information, referrals, and authorizations.
• Resolved and responded to customer complaints.
• Educated medical staff on managed care contracts.
• Trained schedulers to collect patient information essential for pre-certification.
EDUCATION
• Master in Business Administration, 1997 - Webster University – Orlando, Florida.
• Bachelors of Science in Business Administration, 1993 - University of Central Florida – Orlando, Florida.
Business Management - Area of concentration in Management Information Systems
3. • Bachelors of Science in Natural Resources, 1984 - Ohio State University – Columbus, Ohio