Tammy Gaines
Senior Director, Revenue Cycle Operations
Summary
Business and financial operations administrator with demonstrated success identifying and implementing innovative approaches to conventional processes in healthcare operations. Extensive experience in large, complex, and distinguished health systems requiring cross-functional stakeholder management with integrated decision-making. A collaborative leader adept at coalition building to promote practice efficiency, profitability, and change management across the enterprise. Strategic focus on technology-driven platforms and advanced business models to enhance and augment operational capabilities. Expansive knowledge in revenue cycle operations, patient access, physician compensation models, decision support, and capitation arrangements.
Experience
Senior Director, Revenue Cycle Operations
Scripps Health / San Diego, CA
A high-visibility leader responsible for the overall strategy and operational performance of the Scripps Medical Foundation (SMF) enterprise-wide revenue cycle and payer strategies to ensure priorities and techniques align well with the organization’s strategic initiatives and objectives. Established and lead Revenue Cycle Operations Governance Committee with enterprise-wide leadership representation from Scripps Medical Groups (Clinic & Coastal), Corporate Audit & Compliance, Finance, Corporate Accounting, Corporate Contracting, Information Systems, Human Resources and Scripps Health Plan to establish end-to-end revenue cycle stakeholder collaboration, transparency, and accountability.
Director of Revenue Operations and Practice Management
University of California San Diego Health System / San Diego, CA
Responsible for the oversight and management of Medical Group
operations including patient access, billing and collections, revenue
integrity, and revenue cycle information systems while developing alignment
strategies across the enterprise to standardize common functions among 15
clinical departments encompassing the Faculty Practice Group.Developed a collaborative and
integrated management structure across the UCSD enterprise (School of Medicine,
Medical Group, Medical Center, IT) to promote financial viability and enhanced
patient experience while maintaining and promoting positive relationships with
both internal and external stakeholders.
Director of Physician Management Services
MedSynergies (now Optum Health) / Dallas, Texas
Director, Revenue Cycle Operations
Baylor Scott & White Health / Belton, Texas
Education
Temple College
Accounting, Finance
University of Mary Hardin-Baylor
Accounting, Finance
Skills
