Hello friends! I am Jeffery Walburer
Welcome to my About Me section! Here, you’ll learn more about my experience, passion for healthcare consulting, and dedication to helping healthcare organizations navigate credentialing, compliance, revenue cycle management, and operational efficiency.
With over 20 years of experience in healthcare leadership, I have consistently delivered measurable improvements in operational efficiency, financial performance, and patient care delivery. My expertise spans practice administration, revenue cycle management, compliance, strategic growth initiatives, and healthcare technology implementation. I hold the ACMPE (American College of Medical Practice Executives), CRHCP (Certified Rural Health Clinic Professional), and CRCR (Certified Revenue Cycle Professional) certifications, reinforcing my commitment to excellence in healthcare management.
"Healthcare success isn’t just about numbers—it’s about building systems that empower providers, optimize revenue, and ensure every patient gets the care they deserve. I don’t just manage operations—I create sustainable, high-performing healthcare environments where efficiency, compliance, and financial strength drive better outcomes for all." – Jeffery Walburger
Years of professional experience and expertise in the healthcare industry
Financial & Strategic Expertise – Leveraging MBA & Master’s in Accounting
With both a Master’s in Accounting and a Master’s in Business Administration (MBA) with a focus on Healthcare Administration, I bring a comprehensive financial and operational perspective to healthcare management. My dual expertise allows me to strategically align financial performance with operational efficiency, ensuring long-term sustainability and profitability for healthcare organizations.
Financial Expertise & Strategic Decision-Making
• Balance Sheet Analysis – Evaluating assets, liabilities, and equity structures to ensure financial health, liquidity, and investment opportunities. • Income Statement Review – Assessing profitability, revenue streams, and expense management, optimizing cost structures to improve bottom-line performance.
• Cash Flow Optimization – Identifying bottlenecks in revenue cycles and implementing strategies to increase liquidity, operational flexibility, and working capital. • Budgeting & Forecasting – Developing growth-focused financial plans, aligning operational needs with long-term fiscal strategies and regulatory requirements. • Financial Risk Assessment – Ensuring compliance with GAAP, industry financial standards, and payer requirements, minimizing financial risks while maximizing revenue potential.
Business Administration & Operational Strategy
• Organizational Leadership & Growth Planning – Utilizing MBA-level strategic planning to align financial health with scalable operations and expansion strategies. • Process Improvement & Efficiency Optimization – Applying Lean Six Sigma methodologies to enhance workflow efficiency, reduce waste, and improve revenue cycle performance. • Healthcare Policy & Compliance – Understanding the regulatory landscape (Medicare, Medicaid, HIPAA, Stark Law, Anti-Kickback Statute) to ensure compliance and risk mitigation. • Revenue Cycle Leadership & Market Positioning – Analyzing payer mix, reimbursement trends, and financial benchmarks to create competitive advantages and improved profitability. • Data-Driven Decision-Making – Utilizing financial modeling, performance analytics, and KPI tracking to guide executive-level strategy and informed decision-making.
By combining financial acumen with operational expertise, I provide high-level strategic insights that drive profitable growth, operational efficiency, and financial sustainability for healthcare organizations.
Work Experience
M&R Healthcare Consulting Services, LLC (2017 – Present) – Chief Operating Officer & Owner
At M&R Healthcare Consulting Services, LLC, the focus is not just on fixing immediate revenue cycle issues but on building scalable, sustainable solutions that enhance financial stability and operational effectiveness for years to come.
Optimizing Revenue Cycle & Financial Performance
• Conducted in-depth revenue cycle audits for major healthcare organizations, identifying inefficiencies in coding, documentation, and claims management, resulting in a 15% increase in collections and a 30% reduction in claim denials for UCSF Medical Center.
• Developed and implemented customized revenue cycle strategies, improving billing accuracy, claims management, and payer reimbursements, leading to a 30% increase in revenue capture for an ambulatory surgery center.
• Led contract negotiation efforts with payers, ensuring optimized reimbursement rates and streamlined revenue flow for physician groups and hospital networks.
• Provided executive-level consulting for healthcare startups, enabling 25% revenue capture improvement within six months and ensuring long-term financial sustainability.
Operational Efficiency & Workforce Development
• Spearheaded workflow restructuring and automation initiatives, leading to a 40% reduction in administrative processing time and an increase in staff productivity for multiple clients.
• Designed and executed targeted training programs that improved employee engagement and reduced turnover by 40%, ensuring teams were aligned with best practices in revenue cycle and operational management.
• Provided strategic leadership in compliance, financial planning, and staffing models, allowing healthcare organizations to scale effectively while maintaining operational efficiency.
Transforming Healthcare Organizations for Long-Term Success
• Successfully guided healthcare practices through EHR transitions, ensuring seamless integration and enhanced operational performance.
• Assisted in the financial turnaround of underperforming practices, implementing structured billing and collections strategies that boosted net revenue by 20% within the first six months.
• Partnered with leadership teams to restructure operations, improve cash flow, and eliminate inefficiencies, allowing organizations to focus on delivering high-quality patient care without financial stress.
Cottage Hospital (2019 – 2023) – Senior Director & Director of Outpatient Clinics
During my tenure at Cottage Hospital, I held leadership roles that were instrumental in driving operational efficiencies, optimizing financial performance, and expanding healthcare services. My responsibilities included:
Senior Director of Outpatient Clinics and Ancillary Services (March 2022 – November 2023)
- Led operational and financial oversight for the hospital, ensuring alignment with strategic goals, mission, and values.
- Conducted comprehensive data analysis on costs, operations, and forecasts to guide decision-making and performance improvement.
- Developed and executed departmental strategic planning, including staffing models, budget management, and infrastructure improvements.
- Identified and secured grant funding opportunities, overseeing current grant operations and seeking future funding avenues.
Director of Outpatient Clinics (April 2019 – March 2022)
- Provided administrative and financial oversight for Rural Health Clinics, overseeing multiple specialties, internal medicine, and behavioral health services.
- Evaluated the total clinic operation, ensuring optimal policies and procedures for personnel, fiscal management, and patient care.
- Managed monthly financial reports, cost analysis, and developed annual budgets to maintain financial sustainability.
- Ensured compliance with federal and state regulations, including CMS requirements and other accreditation standards.
- Led physician recruitment and hiring processes, as well as managing 30+ full-time employees, ensuring high performance and engagement.
- Oversaw insurance credentialing, claims management, and billing operations to optimize revenue cycle efficiency.
- Served as an Athena Health super user, improving EHR utilization and efficiency in outpatient settings.
- Spearheaded quality metric improvement initiatives tied to performance-based reimbursement models.
Guthrie Medical Center (2017 – 2019) – Director of Practice Administration
Oversaw multiple specialties, internal medicine, family practice, laboratory, and radiology services, ensuring optimal day-to-day operations and long-term growth.
Practice Operations & Workforce Optimization
• Managed 80+ full-time employees (FTEs) to maintain high-quality patient care and operational efficiency.
• Optimized workflows and staffing models, increasing productivity while reducing overhead costs.
• Developed and managed multi-million-dollar budgets, exceeding financial performance targets.
Ascension Health (2003 – 2017) – Operations Manager & Director of Operations
During my tenure at Ascension Health, I played a pivotal role in expanding, modernizing, and financially strengthening healthcare operations.
Strategic Healthcare Operations & Revenue Growth:
• Provided leadership and oversight for multiple service lines, including mental health, dental, and ambulatory services, ensuring financial stability and regulatory compliance.
• Managed operational restructuring initiatives, optimizing staffing models and implementing Lean Six Sigma methodologies to enhance efficiency. • Led the successful implementation of new EHR systems (Cerner, Allscripts, Dentrix/Dexis, Celerity), streamlining data management, patient flow, and billing operations.
• Spearheaded multi-million-dollar grant applications and funding initiatives, securing resources for expansion and new service lines.
• Directed performance management, staffing, and financial planning for a team of 50+ FTEs, ensuring operational excellence and staff retention.
My role at Ascension Health allowed me to develop a deep understanding of healthcare operations at scale, refining my ability to implement large-scale process improvements and drive financial success.
What I Bring to the Table
I specialize in expanding service lines, optimizing operations, and improving financial performance. My experience spans hospital leadership, private practice administration, and consulting, allowing me to develop strategic solutions that drive growth and enhance patient care. At Cottage Hospital, I successfully expanded key service lines, particularly endocrinology, transforming it into a high-performing, financially successful department. My expertise in identifying inefficiencies, implementing process improvements, and enhancing patient access has been key to my success. At Ascension Health, I played a critical role in large-scale operational restructuring, financial optimization, and system-wide EHR implementations, ensuring strong financial health and compliance across multiple service lines. I am passionate about developing strategies that drive growth, improve patient care, and create sustainable financial outcomes. If you’re looking for a proven leader who understands both the big picture and the operational details of healthcare management, I’d love to connect.