Results driven Revenue Cycle Manager adept in financial analysis, audit support, account reconciliations and collections. Proficient in preparing financial statements, monitoring controls and completing closings. Highly detail-oriented, proactive, and diligent. Skilled in optimizing processes and leading teams to achieve goals through innovative strategies and effective resource allocation. Proven track record of enhancing operational efficiency and financial health.
Overview
10
10
years of professional experience
Work History
Revenue Cycle Manager
Cumberland Pediatric Dentistry and Orthodontics
Smyrna, Tennessee
09.2015 - Current
Participated in revenue cycle processes, working to maximize profitability and increase revenue.
Oversaw complete lifecycle of revenue operations.
Performed data analysis to identify trends in denials or rejections from payers and develop strategies for resolution.
Maintained oversight of all billing operations including coding, charge entry, payment posting, collections and appeals.
Provided revenue cycle process support to all clinical personnel, including resolving procedure challenges.
Ensured adherence to HIPAA guidelines when handling protected health information.
Monitored daily cash flow activity, ensuring timely filing of claims and proper reimbursement for services rendered.
Implemented new policies and procedures for streamlining workflow processes within the revenue cycle department.
Evaluated revenue cycle processes and established actionable methods to increase productivity and efficiency.
Developed strategies to reduce denials, improve accounts receivable, and enhance revenue cycle performance.
Analyzed and reported on billing cycle data to inform management.
Oversaw training of staff on changes in insurance regulations and coding updates impacting reimbursement rates.
Reviewed patient billing information to ensure accuracy and compliance with federal and state regulations.
Created and updated financial reports on frequent basis to present information to leadership teams.
Resolved customer inquiries promptly while maintaining excellent customer service standards.
Coordinated between various departments such as front desk staff, medical coders and billers.
Assisted with implementation of electronic health record system upgrades designed to optimize revenue cycle activities.
Maintained regular performance appraisals for subordinates through verbal, written and on-going review programs.
Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
Coordinated preparation of external audit materials and external financial reporting.
Generated reports detailing key metrics such as days in accounts receivable, denial rate.
Investigated any discrepancies that arise during the billing process and resolved them promptly.
Worked effectively in team environments to make the workplace more productive.
Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
Utilized advanced technical skills and expertise to troubleshoot complex problems and implement solutions.
Conducted testing of software and systems to ensure quality and reliability.
Provided support and guidance to colleagues to maintain a collaborative work environment.
Utilized various software and tools to streamline processes and optimize performance.
Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
Education
High School Diploma -
Clarksville High School
Clarksville, TN
05-1996
Registered Dental Assistant- Retired
Skills
Month-end closing support
Revenue reporting
Microsoft Excel proficiency
Regulatory compliance
Process improvement
Account reconciliation
Timeline
Revenue Cycle Manager
Cumberland Pediatric Dentistry and Orthodontics
09.2015 - Current
High School Diploma -
Clarksville High School
Registered Dental Assistant- Retired
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