Dynamic Revenue Cycle Accounts Manager with a proven track record at Mass General/Brigham, enhancing billing processes and optimizing workflows. Skilled in data analysis and team leadership, I successfully identified revenue cycle improvements, driving profitability and ensuring compliance. Adept at financial reporting, I thrive in fast-paced environments, delivering impactful results.
Overview
20
20
years of professional experience
Work History
Revenue Cycle Accounts Manager
Mass General/Brigham
Charlestown, Mass
04.2014 - Current
Served as liaison between Department of Medicine and Professional Billing Office for billing services.
Strategized and implemented new policies to enhance billing processes.
Integrated practice buy-ins into unique procedures to increase operational efficiency.
Oversaw accounts receivable management workflows to optimize operations.
Resolved reimbursement issues with payers, ensuring prompt payments.
Analyzed front-end workflows, documenting and improving processes to enhance performance.
Prepared monthly, quarterly, and annual financial reports for management review.
Financial Administrator
Children's Hospital
Boston , MA
01.2009 - 01.2014
Facilitated communication between Cardiology Practice and Professional Billing Office on billing matters.
Enhanced billing flow through strategic planning and process improvements.
Managed all aspects of Revenue Cycle, including Third Party, Coding, and Credentialing departments.
Reviewed clinical notes to ensure accurate procedure coding.
Supported appeals process for coding errors to secure proper reimbursements.
Performed inpatient coding to maintain compliance with industry standards.
Generated reports to identify discrepancies and assisted in resolution with supporting documentation.
Oversaw discrepancy resolution processes to ensure compliance with regulations.
Assistant Billing Manager
Mass General Physicians Organization, Inc
Boston, MA
01.2005 - 01.2009
Serving as a Financial Administrator between the Pediatric Practice, Neurology Practice, and the Professional Billing Office for all aspects of professional billing services
Strategize and implement new policies to enhance billing flow
Increase efficiency through Pediatric practice buy-ins to new procedures and software systems (i.e., Patient Keeper, Front Desk)
Implement and Identify Revenue Cycle Improvements
Oversee and Determine Workflows for A/R Management
Assist in Resolving Reimbursement Concerns with Payers
Analyze, Document, and Improve Front End Workflows
Oversee and Resolve Discrepancies with Supporting
Educate Practices on Proper Billing Procedures and Compliance Departments (3rd Party, Coding, Credentialing)
Train Internal and External MGPO Staff
Recorded Minutes
Maintain Batch Control Database
Maintain Credentialing spreadsheet update
Distribute monthly Reports to the Practices workflow
Senior Director, Performance Improvement & Outcomes - Perioperative and Procedural at Mass General Brigham, Brigham & Women's HospitalSenior Director, Performance Improvement & Outcomes - Perioperative and Procedural at Mass General Brigham, Brigham & Women's Hospital
Director, Operations & Process Improvement at Brigham & Women's Hospital | Mass General BrighamDirector, Operations & Process Improvement at Brigham & Women's Hospital | Mass General Brigham