Ashley Bowens
Macon,GA
Summary
Adept at driving revenue enhancements and denial resolution. Significantly improved financial outcomes through strategic process optimizations and effective team leadership. Leveraging data analytics and interpersonal skills, fostered a culture of continuous improvement, achieving notable increases in cash flow and patient satisfaction.
Meticulous Revenue Cycle Manager with strong background in continuous improvement and revenue performance analysis. Focused and organized with demonstrated success in achieving company goals through increased efficiency initiatives illustrated over 10 years of Healthcare Revenue Management success.
Overview
18
18
years of professional experience
Work History
Revenue Cycle Manager
Christ Community Health Service
07.2018 - Current
- Monitored and guided revenue cycle operations.
- Implemented process improvements, ensuring accurate charge capture and coding compliance.
- Provided staff training on revenue cycle management best practices, increasing productivity across the department.
- Completed financial reporting and analysis for billing revenue cycle.
- Managed cross-functional teams to improve overall revenue cycle operations.
- Streamlined workflows to minimize claim rejections and maximize reimbursement rates from insurance providers.
- Analyzed complex data sets to derive actionable insights for improving internal processes related to revenue cycle management.
- Maintained a thorough understanding of regulatory requirements, ensuring compliance throughout all aspects of the revenue cycle.
- Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
- Coordinated with finance team to produce accurate monthly reports on collection metrics and trends.
- Conducted regular audits to identify areas for improvement in the revenue cycle process.
- Improved revenue cycle efficiency by streamlining processes and implementing best practices.
- Increased cash flow through timely resolution of payer denials and underpayments.
- Established strong relationships with payers, improving communication and resolving disputes more effectively.
- Reduced accounts receivable days outstanding, optimizing billing and collections efforts.
- Monitored industry trends to anticipate changes that may impact the organization''s revenue cycle performance.
- Identified discrepancies between budgetary targets and actual revenue and expenses.
- Served as a liaison between the organization''s leadership team members and payers during contract negotiations, securing favorable terms for reimbursement rates.
- Negotiated contracts with third-party vendors for billing-related services, achieving cost savings without compromising quality.
- Established continuous improvement culture within revenue cycle department, fostering innovation and efficiency.
- Enhanced interdepartmental collaboration, leading to more cohesive approach to revenue cycle management and improved financial outcomes.
- Collaborated with IT to develop new revenue cycle management software, leading to improved tracking and reporting of key financial metrics.
- Negotiated with insurance companies to maximize reimbursements, ensuring financial stability for healthcare facility.
- Reduced denial rates through meticulous claims review and enhanced coding practices, ensuring maximum revenue capture.
- Streamlined patient financial counseling processes, improving patient understanding and satisfaction with billing procedures.
- Streamlined billing processes, significantly reducing errors and enhancing revenue cycle efficiency.
- Improved patient satisfaction scores by simplifying billing process and enhancing transparency.
Governmental Senior Revenue Cycle Analyst
Parallon Shared Services Center
10.2014 - 07.2018
- Reduced outstanding accounts receivable balances through diligent follow-up and effective communication with stakeholders.
- Improved collection rate 40% by creating automated communication cycles for late payments.
- Communicated revenue cycle information to non-technical audiences in easily-understood terms.
- Coordinated closely with clinical departments, ensuring accurate and timely capture of all relevant charges for services provided.
- Monitored daily reports, identifying trends or discrepancies that warranted further investigation or action from the revenue cycle team.
- Provided exceptional customer service when addressing patient inquiries or concerns, fostering trust and satisfaction in the billing process.
- Analyzed financial and statistical data related to revenue cycle, creating in-depth reports to show KPIs.
- Maintained up-to-date knowledge of payer requirements, ensuring accurate billing practices across all departments.
- Managed appeals process effectively, successfully overturning denied claims to secure payment for services rendered.
- Contributed to improved cash flow by monitoring and resolving aged account balances in a timely manner.
Senior Revenue Analyst
Charleston Area Medical Center Health System Inc.
08.2012 - 06.2014
- Participated in budgeting processes, providing input on expected revenues based on historical patterns and market conditions.
- Streamlined invoicing processes for improved accuracy and timely payments.
- Identified new software solutions to automate manual tasks within the department, increasing overall productivity levels.
- Optimized pricing strategies by analyzing market trends and competitor data, driving profitability.
- Developed financial models to forecast revenue and support strategic decisionmaking.
- Enhanced internal controls, ensuring accurate financial reporting and minimizing risk exposure.
- Reduced outstanding accounts receivable balances through proactive follow-up and negotiation tactics.
- Trained junior analysts on company-specific systems and best practices for efficient revenue analysis work flow execution.
Medical Biller and Coder
Northside Hospital Atlanta
05.2007 - 08.2012
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
- Provided support to administrative staff by ensuring proper handling of sensitive patient data according to HIPAA regulations.
- Collaborated with other billing professionals during team meetings to exchange best practices and strategies for overcoming common challenges in the industry.
Education
Master Of Healthcare Administration - Health Care Administration
Virginia State University
Petersburg, VASkills
- Revenue performance
- Denial resolution
- Billing cycle expertise
- Account monitoring
- Cash flow management
- Healthcare industry
- Data analytics
- Claims management
- Account resolutions
- Medical billing
- Revenue enhancements
- Procedure optimization
- Billing cycle performance
- Charging methodologies
- Revenue optimization
- Revenue metrics analysis
- Revenue quotas
- Teamwork and collaboration
- Customer service
- Time management
- Attention to detail
- Problem-solving abilities
- Multitasking Abilities
- Reliability
- Excellent communication
- Critical thinking
- Organizational skills
- Effective communication
- Adaptability and flexibility
- Decision-making
- Team building leadership
- Relationship building and management
- Cash handling expertise
- Proactive and focused
- Financial analysis and reporting
- Client relationship management
- Interpersonal skills
- Conflict resolution
- Operations management
- Goal setting
- Professionalism
- Quality assurance
- Proficient in EPIC, MEDITECH,Eclinical, Kareo, Practice Fusion, Cerner and 40
Timeline
Revenue Cycle Manager
Christ Community Health Service
07.2018 - Current
Governmental Senior Revenue Cycle Analyst
Parallon Shared Services Center
10.2014 - 07.2018
Senior Revenue Analyst
Charleston Area Medical Center Health System Inc.
08.2012 - 06.2014
Medical Biller and Coder
Northside Hospital Atlanta
05.2007 - 08.2012
Master Of Healthcare Administration - Health Care Administration
Virginia State University
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