Meticulous revenue cycle manager pursuing an opportunity to apply strong knowledge of accounts payable and receivable in a clinical environment. Diligent and structured with a proven history of implementing improvements to increase financial performance and achieve company objectives. Offering several years of experience at hospitals.
Overview
24
24
years of professional experience
Work History
REVENUE CYCLE MANAGER
SURGICAL HOSPITAL OF OKLAHOMA
Oklahoma City, OK
01.2000 - Current
Manage access to various insurance websites
Make sure all positions maintain the expected productivity standards
Perform yearly evaluations of all revenue cycle staff
Assist the biller with all billing functions
Add new cpt/hcpc codes to Cerner
Ensure statements are sent out daily
Quote MVA surgery costs
Approve time off requests for the revenue cycle staff
Most office positions are outsourced so I assisted with the training of the billing staff
Some of my duties were no longer required because they were performed by the outsourcing company
Accounts payable duties
Scan and upload invoices
Receive purchase orders within Sage
Enter invoices into Sage
Print checks
Enter payroll edits into our payroll system
Receive and respond to calls and emails from vendors.
DATE INTEGRITY SPECIALIST
SURGICAL HOSPITAL OF OKLAHOMA
Oklahoma City, OK
08.2019 - 05.2021
Data enter physician's claims from the Indian Health Orthopedic Contract into a spreadsheet for payment disbursement
Sort mail
Process all checks electronically that come into the hospital (via mail or hand-delivered)
Prepare deposit slips for any cash
Data enter information provided by the coding department
Check each account to make sure all appropriate charges have been applied
Send claims to the appropriate insurance company with the proper information required by each company
Enter and or correct the implant charges provided via an implant log
Fix the prices on charges that the system changes
Reconcile crossover discrepancies and edit failures
Correct any claims that are rejected in our electronic billing system.
BUSINESS OFFICE CLERK
SURGICAL HOSPITAL OF OKLAHOMA
Oklahoma City, OK
07.2010 - 08.2019
Sort mail and process all checks electronically that come in the mail
Balance the One Write Journal, prepare deposit slips for any cash, and process all checks electronically
Post payments and insurance adjustments (until 2013 when this was moved to another desk)
Send claims to the appropriate insurance company for processing
Process refund paperwork (until 2013 when this was moved to another desk).
FLOATER
SURGICAL HOSPITAL OF OKLAHOMA
Oklahoma City, OK
04.2010 - 07.2010
Provide backup coverage for all positions in the business office
Including: Admissions Desk, Pre-Cert--verify patient insurance information to ensure the procedure to be performed is covered
Collection--including various reports regarding statements and secondary billing, calling patients with payment reminders, and setting up terms
Business Office Clerk--key payments received, key applicable charges, process refunds for overpayments, bill insurance companies for procedures, and maintain various spreadsheets.
PRECERT
- 04.2010
Monitored patient insurance verification
Confirmed out-of-pocket, deductible, and coinsurance.
COLLECTOR
12.2000 - 09.2009
Process paperwork to refund overpayments
Administer collection functions daily
Ran various reports
Called patients to set up payment terms and for payment reminders.
Education
Bachelor of Science in Business Management, Cum Laude -
Oklahoma City University
01.1993
Graduated -
Moore Public Schools
01.1988
Pursuing a Masters in Psychology -
University of Phoenix
Skills
Windows
Microsoft Word
Works
10-Key by touch
Filing
Mednet
PCMed
CPSI
Business Communications
Healthland
Emdeon
Excel
Photoshop 60
Smart System
Outlook
Cerner
Quickbooks
Sage
Insperity
ADP
Power Point
Specializedtraining
Quality Service Skills
The Basics of Knock-Your-Socks-Off Customer Service
Achieving Extraordinary Customer Relations
Delivering Quality Service
Property Casualty Principles
Personal Auto Coverage
Underwriting Basics
Timeline
DATE INTEGRITY SPECIALIST
SURGICAL HOSPITAL OF OKLAHOMA
08.2019 - 05.2021
BUSINESS OFFICE CLERK
SURGICAL HOSPITAL OF OKLAHOMA
07.2010 - 08.2019
FLOATER
SURGICAL HOSPITAL OF OKLAHOMA
04.2010 - 07.2010
COLLECTOR
12.2000 - 09.2009
REVENUE CYCLE MANAGER
SURGICAL HOSPITAL OF OKLAHOMA
01.2000 - Current
PRECERT
- 04.2010
Bachelor of Science in Business Management, Cum Laude -