VINCENT J.

BREZOVIC
Charlotte, NC 28105 vincentj.brezovic@gmail.com 724-875-1808

SENIOR REIMBURSEMENT / FINANCE ANALYSIS/AUDIT/ COMPLIANCE PROFESSIONAL

Proficient leader of senior hospital service line management. Implemented proven best practices in compliant financial and reimbursement outcomes. The specialized competencies of finance, audit, regulatory/contract compliance, and reimbursement strategy are my passion for supporting healthcare operational service excellence. Proven directorship of managing emerging technology, recognizing merger viable service competitors, and maintenance of existing healthcare service markets. Accomplished in controller and director-level financial strategy, my healthcare competence started as an audit professional with extensive experience in finance model design, revenue cycle reviews, contract compliant reimbursement recovery and decision support management abilities. My seasoned experience includes being a skilled technical administer of mission-critical systems and data analyses involving all revenue, expense, FTE, and Medicare / Medicaid / Champus / Commercial cost report matters. My processes have improved accurate reporting of complex matrix styled services for diverse campuses - free-standing or provider based entities - paid as cost based or via PPS. Highly focused and results-oriented in timely supporting deadline-driven operations. Able to liaise effectively with internal, external, and FI or OIG Fraud auditors. Able to complete complex business agreements, financial statement preparation and compliance mandated reviews. Proficient in all cost reporting software, MS Office, Excel, Word and Lawson software. Specialized in expected payment auditing, contract negotiated term reviews and financial performance monitoring. My ability to multi-task is high - without loss of detail or integrity. My success has proven my ability to effectively work with team player advocacy in complex financial campuses, ad hoc special projects, and new market initiatives worth millions to facility operations and budget development. Audit, Finance Regulatory Compliance Competencies Sr. Strategic Financial/Operational Planning Senior Contract Administration / Evaluation Regulatory Impact & Cost Analysis Direct report responsibility for 20 FTEs Successful Appeal and Audit experience Public, Non-profit and For Profit experience Senior merger, acquisition and joint service management team experience Senior Consultant and practice builder for 3 regional CPA firms for new services Proactive team builder and negotiator skills Research specialist with financial and governmental regulatory web-sites Experience in SAS70 audit program building for HCFA, CMS, Administar, Mutual of Omaha, Empire Blue Cross and Highmark Controller level Financial Reserve Model and account analysis experience for monthly entries Revenue Cycle, Charge Master Review and Pricing research with CCH and MediRegs. A/P, A/R, & Collection review for senior management and CFO presentation State & Federal Regulatory Compliance & Reporting on funded programs experience Cost Report Compilation, Review, Filing, Amendment & Appeal for over 187 facilities (lifetime) Proficient in All cost reporting, patient accounting and general ledger softwares Project management for budget and flex forecast modeling rev, exp, FTEs & capital

EDUCATIONAL BACKGROUND
Certified Public Accountant (CPA) Candidate 2012 PA Bachelor of Science Degree in Accounting St. Francis University, Loretto,PA Senior Health Financial Management Association Ad Hoc Seminar Instructor

VINCENT J. BREZOVIC - PROFESSIONAL EXPERIENCE

GEISINGER HEALTH SYSTEM, Danville PA Director GMC & GHS System Reimbursement (8 hospitals + home office) (August 2012 to Present) Most senior level leadership role for an aggressive growth ACO health system which has nearly doubled in size and FIEs within the 2013 year. Lead support role for merger, acquisition of service line and payer demographic architecture. Key Contributions:
Director oversight of reimbursement implications on acquisitions of 4 new hospitals from various markets. Managed due diligence responsibilities and planned recent merger strategies for a 500 bed 5,000 FTE NJ health system. Developed financial forecast, budgetary, and reserve funding models leveraging historical data bases and program expectations for large teaching, medium and critical access hospitals to help accurately report millions in operations. Developed appeals and protest matter tracking to support reserve funding models for large teaching, medium and low utilization hospitals for conservative balance sheet presentations necessary to defend bond market ratings. Recovered 1.65 million in federal monies due to reimbursement improvements for DSH and IME/GME matters. Supported 340B pharmacy growth and accurate applications of HOP business models.

REIMBURSEMENT HEALTHCARE CONSULTING, Matthews NC Principal : Vincent J. Brezovic (May 2007 to July 2012) Complete Analytical Impact Consultant Services for Specialized Reimbursement and Recovery Issues. Preparer of all cost reports, regulatory research, Wage Index, Disproportionate Share, Bad Debt, GME, IME, Home Office, RHCs and other cost based settlement cost reports and grant funding. Interim Finance Director and Controller level Experience. Key Contributions:
Principal experience as consultant for multiple CBSAs and 3 large regional billion dollar advisory firms. Managed 18 successful CBSA Wage Index improvement engagements totaling 26 million over 2 years. Consultant to Healthcare Financial Management Associations in NC, SC, OH, PA, and TX on PPS initiatives or MAC/FI review strategies. Articulate and proven hospital reimbursement technical competency.

PRICEWATERHOUSECOOPERS, CHARLOTTE NC Senior Healthcare Advisor (2002 April 2007) Developed senior level audit, financial, and reimbursement impact / risk analyses, defined appropriate reserve calculations, composed conservatively aggressive appeals, while constructing compliant financial statements for supra million dollar revenue clients. National thought leader on regulatory compliance for Medicare/Medicaid/Champus issues and sundry government contracts, grants, and cost reports issues. Key Contributions:
Managed financial operational improvements & geographical reclassification market initiatives that increased. revenues by nearly $58m for all projects. Led by example and directed detailed project expectations successfully. Completed provider appeal position papers totaling $18m on intern residency and medical education issues. Compliance Officer experience and management includes developing audit programs for Sarbanes-Oxley 404 and SAS70 audit and contract disputed issues over a two year project period for OIG, HFS, CMS and 4 large insurers. Managed, taught, and supervised reimbursement teams of 4 to 12 reimbursement associates for specialized financial, audit, and operational strategy consulting engagements and developed market trending tools. Lead researcher for governmental changes on interim rate setting, and cost based settlement issues. Controller level skills with contractual rate negotiation and managed care issues. Charge Master Review expertise with Physician RBRVS and Compliance Coding Audit knowledge Contractual allowance and reserve modeling experience across all payers.

REIMBURSEMENT HEALTHCARE CONSULTANT GREENSBURG PA Principal: Vincent J. Brezovic Reimbursement, Settlement, and CR Appeals WESTMORELAND REGIONAL HOSPITAL, GREENSBURG, PA REIMBURSEMENT ANALYST - 456 BEDS , $65M OPERATIONS SOUTH HILLS HEALTH SYSTEM, PITTSBURGH PA REIMBURSEMENT ANALYST 400 BEDS, $55M OPERATIONS CONEMAUGH VALLEY MEMORIAL HOSPITAL, JOHNSTOWN, PA SENIOR REIMBURSEMENT ANALYST - 410 BEDS, $48M OPERATIONS BLUE CROSS OF WESTERN PENNSYLVANIA, PITTSBURGH, PA PROVIDER AUDITOR AND SETTLEMENT RATE ANALYST, $2B AUDIT PORTFOLIO PENNSYLVANIA DEPARTMENT OF AUDITOR GENERAL, PITTSBURGH, PA FIELD AUDITOR III, $776M AUDIT PORTFOLIO

(1997 2002)

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(1991 -1992)

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(1983 -1987)