Cheryl Reece
Humble,TX
Summary
Efficient Revenue Cycle Manager adept at implementing procedural improvements and executing revenue metrics analysis to dive corporate financial objectives. Eager to apply 30 years of account management to increase revenue and add value to the team.
Overview
31
31
years of professional experience
Work History
Revenue Cycle Manager
Gene By Gene
Houston, TX
03.2023 - Current
- 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.
- Successful in assisting employees with appeals which yielded an additional 1.5 million dollars.
- Generated reports detailing key metrics such as days in accounts receivable, denial rate.
- Checked payroll, vendor payments and other accounting disbursements for accuracy and compliance.
- Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
- Analyzed and reported on billing cycle data to inform management.
- Performed data analysis to identify trends in denials or rejections from payers and develop strategies for resolution.
- Other: Assisting with Credentialing & Certified Notary
Revenue Cycle Manager
The Center for ENT
Houston, TX
01.2016 - 01.2023
- Manage Billing Office to make sure all policies and procedures are in place
- Oversee operations and workflow to optimize production and assist with problem resolution in all situations
- Implemented new processes to cut down on Patient Responsibility AR prior to rendering services
- Verifying insurance benefits for all patients which includes Surgeries, CT Scans and Allergy and obtain prior authorization as needed
- Oversees coding for eight providers that specialized in otolaryngology, audiology and allergy
- Ensures electronically filing of medical claims from ECW to Navicure in a timely manner
- Resolves unpaid and denied claims at claim level and in bulk with payors
- Oversees patient accounts by reviewing balances and credits, making collection calls, handling customer service calls
- Successfully overturn denials due to no payment or underpayments from the insurance companies
- Identify issues that may be keeping the claim from being paid such as insurance changes, coordination of benefits and transfer of balance to correct payor, process noncash related adjustment per established guidelines
- Oversees payment posting process & reconciled bank deposits with money posted in ECW daily
- Other: Assisting with Credentialing & Certified Notary
- Maintained oversight of all billing operations including coding, charge entry, payment posting, collections and appeals.
- Participated in revenue cycle processes, working to maximize profitability and increase revenue.
- Investigated any discrepancies that arise during the billing process and resolved them promptly.
- Oversaw training of staff on changes in insurance regulations and coding updates impacting reimbursement rates.
- Oversaw complete lifecycle of revenue operations.
- Monitored daily cash flow activity, ensuring timely filing of claims and proper reimbursement for services rendered.
- Developed strategies to reduce denials, improve accounts receivable, and enhance revenue cycle performance.
- Assisted with implementation of electronic health record system upgrades designed to optimize revenue cycle activities.
- Assisted with customer requests and answered questions to improve satisfaction.
- Displayed strong telephone etiquette, effectively handling difficult calls.
- Completed day-to-day duties accurately and efficiently.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
Practice Manager
Allergy Sinus and Asthma Associates
Houston, TX
01.2014 - 01.2016
- Managed 15 employees
- Credentialing
- E-Post and manually posting all medical insurance and patient payments
- Verification of benefits for all Allery patients
- Assisted front office with checking in patients
- Successfully attested for Meaningful Use for 2014 and 2015
- Reconciled monthly bank statements with ECW
- Certified Notary
- Maintained financial records, including billing and accounts receivable and payable.
- Monitored compliance with HIPAA regulations concerning patient privacy rights.
- Conducted regular meetings with staff to discuss operational issues and ensure proper communication between departments.
Medical Collector/Biller
Allergy & ENT Associates
Houston, TX
01.2006 - 01.2014
- Daily filing of medical claims to Navicure and Availity RCM by working claim errors in Nextgen and claims errors returned from Navicure and Availity RCM
- Worked patient accounts by reviewing balances, making collection calls, handling customer service calls and sending appeals due to none or under payment from insurance companies
- Worked with reports for patient AR and credit balances
- Worked closely with medical coder as back up for reviewing charges
- Maintained insurance master files and referring doctor files in Nextgen
- Assisted collectors when they were very busy; helping work reports, AR, phone calls and wherever I was needed
- Team player in winning award for top AR in collections.
Medical Collector/Biller
N.E. OBGYN Associates
Humble, TX
01.2005 - 01.2006
- Daily posted insurance and patient payments to medical accounts in NABLE
- Called patients with delinquent accounts for collection of payments
- Filed and appealed health claims due to none or under payment
- Verified PPO, HMO, Medicaid and Medicare insurances by phone or internet
- Processed medial record requests from patients or other facilities.
Medical Biller/Team Leader
Diagnostic Clinic of Houston
Houston, TX
01.1993 - 01.2005
- Audited patient’s accounts for accurate balances
- Resolved patient problems through phone calls, correspondence or by patient contact
- Prepared patient statements for billing records for law firms
- Posted insurance and patient payments to medical accounts
- Managed and ordered office supplies
- Managed 12 staff members by overseeing work flow and job performance
- Reconciled daily payment deposits from patients and insurance companies with billing system
- As part of the management team, I participated in restructuring the business office
- Trained new employees on computer systems and job functions
- Participated with the implementation of two computer system conversions, Clinix and Nextgen.
Education
Skills
- Customer Service
- Insurance Claims
- Problem Solving
- Medical Coding
- Practice Management
- HIPAA
- ICD-10
- Revenue Cycle
- Notary
- Practice Management Systems- ECW, Nextgen, Xifin, Advanced MD, Nable and Clinix
- Billing Cycle Performance
- Account Monitoring
- Compliance Assessment
- Employee Training Oversight
- Decision-Making
- Willing to Learn
- Data Analysis
- Critical Thinking
- Operational Reporting
- Goal Setting
- Staff Recruitment and Hiring
- Prioritizing and Planning
- Proactive and Focused
- Relationship Building
- Business Relationship Management
- Team Building Leadership
- Work Planning
- Attention to Detail
- Staff Management
- Excels in Team Leadership
- Staff Training
- Proficient in Microsoft Office
- Collections Actions
- Typing and 10-Key Entry
References
References available upon request.
Timeline
Revenue Cycle Manager
Gene By Gene
03.2023 - Current
Revenue Cycle Manager
The Center for ENT
01.2016 - 01.2023
Practice Manager
Allergy Sinus and Asthma Associates
01.2014 - 01.2016
Medical Collector/Biller
Allergy & ENT Associates
01.2006 - 01.2014
Medical Collector/Biller
N.E. OBGYN Associates
01.2005 - 01.2006
Medical Biller/Team Leader
Diagnostic Clinic of Houston
01.1993 - 01.2005
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