Elisa Banigan
Chief Financial Officer
Plano, TX
Accomplished Healthcare Finance & Operations Executive relocating to Dallas Area with solid and progressive experience in all facets of financial management, operations management, and executive leadership within healthcare organizations. Strategically managing and overseeing financial functions for healthcare businesses with net revenue ranging from $50 million to $100 million, 64 to 600 beds, including Inpatient Hospital, Physician Practice Management, Ambulatory Surgery Centers, Behavioral Health, Primary Care Centers, Dialysis, Home Care, Hospice, Rural Hospital, Rehabilitation, Assisted Living, Subacute/Skilled Nursing, and Foundations. Proven success in development and start-up of facilities, streamlining financial processes, enhancing productivity le
vels, introducing process improvements, and implementing technology solutions. Served as the Project Manager responsible for the implementation and conversion of financial and clinical systems along with EMR and Financial System RFP. Opened new Hospital and established processes State, Joint Commission and Medicare Licensing. Bilingual fluency in Spanish.
Additional core competencies include:
* IT Systems Implementation/ Enhancements
* Financial Stewardship & Controllership
* Physician and Vendor Relationship Management
* Financial Reporting & Cash Flow Management
* Financial Analysis & Variance Analysis
* Corporate Compliance Management
* Operational Excellence & Profitability
* Strategy Development & Implementation
* Innovative Leadership & Staff Supervision
* Revenue Cycle Process Management
* Managed Care Contract Negotiations
* Policy and Procedu
re Development
* Budget Management
* HIM Process Improvement
* Internal Controls/HIPPA/TJC Compliance
* Cost Containment
Work Experience
Chief Financial Officer
OASIS Hospital – Phoenix, AZ
January 2011 to Present
Chief Financial Officer
Member of the Administrative Team responsible for opening new Inpatient Hospital. Implementation of new systems and processes to meet DHS, Joint Commission and Medicare Certification Requirements. Financial Administration to meet Hospital goals. Financial and Operational Management for Revenue Cycle, Information Technology, Patient Financial Services, Financial Reporting, Materials Management, Admitting, HIM, and C
ase Management. Negotiated Pricing and Contracted with vendors for medical and surgical supplies for the Hospital.
❖ Recruitment, hiring and retention of the financial management team to coincide with project plan.
❖ Working with the Team developed Policies and procedures for the operation of the Materials Management, Admitting, HIM, Case Management, and Information Technology to meet HIPPA, JCAHO, and DHS along with Corporate Compliance and Internal Control guidelines.
❖ Financial decision making to coincide with the Hospitals business plan to assure success.
❖ Project Management Responsibility for Meditech System Clinical and Financial Implementation to meet Meaningful Use Timeline.
❖ Cash Flow Management Responsibility.
❖ Revenue Cycle process flow oversight
❖ Established effective working relationships with physicians, employees, patients and vendors.
GILA RIVER HEALTHCARE, Sacaton
, AZ (2010)
Chief Financial Officer
Provided leadership and direction to financial and operational matters within a primary care provider of general medical and surgical care for inpatient, outpatient, and emergency room patients for the Gila River Indian and Ak Chin Communities. Directed the planning and management of financial services and revenue cycle. Collaborated with physicians, executive leadership, and staff in surpassing goals and objectives of Gila River. Supervised, coached, and mentored a team of 10 Directors responsible for a staff of 150 employees. Led operations within various reporting departments including Health Information Management, Managed Care, Contracts Management, Information Technology, Legal, Regulatory, Materials Management, Central Supply, Budgeting, Accounting, Grants Administration, Emergency, and Medical Transportation. Reviewed investments with the bank representatives, which increased income. Augmented the contracts database to trac
k terms and conditions of existing/new provider and managed care contracts. Created a monitoring tool for existing grants to ensure expenditure of funds within grant period.
❖ Managed the financial stewardship of the organization with net revenue of $110 million, which encompassed 2 Primary Care Centers, 10 bed Rural Health Hospital, a Behavioral Health facility, Dental Clinics, 2 Dialysis Centers, Diabetes Care, Optometry, Imaging, Physical Therapy, Pharmacy, Podiatry, Public Health Nursing, and School Health.
❖ Championed efforts to complete the revenue cycle assessment and implemented process improvements in Primary Care Outpatient Services, Dialysis, Behavioral Health, and EMS, which reduced days in accounts receivable from 39 to 20.
❖ Boosted cash collections by $10 million within 7 months by working with the Revenue Cycle Team.
❖ Shortened billing cycle from 15 to 5 days.
❖ Attained a Fiscal YE Operating Margi
n of 13.4% versus budget of 3.3% as well as Total Margin of 19.5% versus budget of 5.7%
❖ Recommended the implementation of an adjudication system for the Managed Care Company, which facilitated payment under Medicare Like Rates for a savings of 60%.
❖ Developed and managed the operating and capital budget for 2011.
❖ Led the Physicians, Information Technology, and the Leadership Team in identifying a portal solution to implement HIE and meet Meaningful Use requirements.
❖ Spearheaded negotiations with IHS and Tribal Government to obtain approval of AFA funding and Tobacco funds for 2011.
❖ Led negotiations with AHCCCS for recovery of lost services and reimbursement.
CFO/Vice President of Finance
QUALITY CARE MANAGEMENT, LLC – Wall, NJ
2000 to 2009
Directed executive leadership and financial stewardship responsibilities for a develo
pment and management company for Meridian Health Systems Subacute and Long Term Care Division & Senior Living, which included Assisted Living, Skilled Nursing, and Outpatient Rehabilitation. Executed project management functions for the implementation of multi-site start up financial systems along with the upgrade of existing systems. Maintained accountability for regulatory reporting with Federal and State Agencies. Created and delivered presentations to the Board of Directors. Monitored budgeting systems against industry benchmarks. Managed external audits and intermediary audits. Cultivated positive and enduring relationships with banking and financing agencies, vendors, attorneys, auditors, and internal operations
❖ Strategically managed and supervised accounting and financial functions with revenues in excess of $60 million for Skilled Nursing and $14 million for Assisted Living.
❖ Led efforts to maximize cash flow through effective management
of billing, collections, and accounts receivable functions.
❖ Played a key role in the acquisition and due diligence process for new business development.
❖ Introduced internal control procedures for SOX compliance.
Controller
MERIDIAN HEALTH SYSTEM, INC – Wall, NJ
1997 to 2000
Participated in financial management activities for various affiliates including Jersey Shore University Medical Center, Ocean Medical Center, and Riverview Medical Center. Communicated with legal, banking, audit, vendors, human resources, IT, and risk management.
❖ Executed cash management, financing, financial reporting, budgeting, audit functions, internal controls, and tax planning for the health systems 15 affiliated entities, which encompassed revenue of $15 million across the real-estate holding company, 3 foundations, home care and hospice, ambulatory care, 3 home care ret
ail businesses, and parent holding company.
❖ Monitored the financial reporting and controls for the health systems joint ventures in rehabilitation services, ambulatory surgery, behavioral health, and purchasing cooperative and offshore captive insurance company.
Director of Finance, Primary Care
JERSEY SHORE UNIVERSITY MEDICAL CENTER – Neptune City, NJ
1995 to 1997
Managed corporate financial reporting, budgeting, and administration of accounting functions for Faculty, Affiliates, and Management Service Organization. Led efforts to implement IT Systems for payroll, accounts payable, practice billing, and internal controls for each practice location. Prepared preliminary practice valuations and reviewed independent valuations.
❖ Established the financial reporting system for 21 physician practices acquired and managed (65 MDS).
❖ Evaluated operational r
esults against industry benchmarks for the practices and developed monthly monitoring/reporting for practice managers.
❖ Formulated MSO return on investment formula for acquired practices, monthly reporting for physician production levels, capitation monitoring, and reporting system.
❖ Managed acquisition tasks involving the purchase of OB/GYN, Primary Care, and Pediatric practices.
Director of Finance
MERIDIAN HEALTH AFFILIATES, INC – Neptune City, NJ
1986 to 1995
Managed financial reporting of 5 affiliated entities including Durable Medical Equipment, Temporary Agency, Foundation, Collection Agency, and Wellness & Fitness. Handled cash management, payroll, information systems, general ledger, billing, and accounts payable.
❖ Created the planning and internal control systems for all entities.
❖ Devised the financial business plan and mode
ls for new business ventures.
Early Career: Controller – MONOC (Monmouth Ocean Hospital Service Corporation), Neptune, NJ
Controller – St. Lawrence Rehabilitation Center, Lawrenceville, NJ
Assistant Controller – United Hospitals Medical Center, Newark, NJ
Education
Master of Business Administration in Finance
Monmouth University – Long Branch, NJ
Bachelor of Science in Accounting
Fairleigh Dickinson University – Teaneck, NJ
Skills
Microsoft Office (Excel, Word, Access), Meditech Clinical and Financial, Source Medical-Advantx System,Kronos,Vista Electronic Health Record, RPMS and FIS systems, IHN Suite, Siemens, ADP Time Saver, Raiser’s Edge, Empower Time and Attendance, ADP Pay Force, ADP PCPW, Lawson, MAS90, Novell GroupWise, Word Perfect, IDX Practice Management System