Diligent Revenue Cycle Manager aiming to leverage 20 + years of financial reporting expertise and budget monitoring experience to add value to an organization. Well-versed in billing cycle operations, accounts payable, and revenue performance analysis. Eager to fulfill a Senior Management opportunity to aid in perpetuating company values.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Revenue Cycle Specialist - Consultant
Curalta Foot & Ankle, LLC
Clifton, NJ
11.2022 - 02.2024
Identify trends to improve overall revenue cycle performance (Increase cash flow, reduce m
Produce daily, weekly, and monthly reporting on revenue cycle activity
Monitor AR trends for government and commercial payers
Determined areas of improvement and implemented processes to alleviate issues and reduce unmanageable debt in company’s new system (Mod Med)
Communicates revenue impact to Senior Management
Provides feedback and solutions to help mediate and improve overall performance
SME for complex denials, payment variances related to contractual agreements, fee schedules, and edits.
Revenue Cycle Manager
One Call - Non-Emergency Transportation (Behavioral Health / Ambulatory)
Jacksonville, FL
08.2021 - 11.2022
Motivated team with strong task prioritization abilities of handling patient needs, scheduling, and billing transportation for non-emergency ambulance trips (ALS,BLS)
Processed reimbursement payments to members based on Medicare and state guidelines
Assisted in providing clinical oversight in the delivery of behavioral health services across multiple service areas, programs, and overall service delivery sites
Assisted with keeping track of obtaining prior authorizations on time and coordinating with clinical staff to complete necessary paperwork
Ensured all forms were completed in accordance with company procedures
Monitored calls to ensure the team was providing the best customer service, which improved client complaints.
Revenue Cycle Manager
One Call Care Management Diagnostics / Radiology
Parsippany, NJ
04.2014 - 07.2021
Monitored and guided revenue cycle operations
Successfully assessed current revenue cycle procedures and implemented improvements to foster efficiency
Completed financial reporting and analysis for billing revenue cycle
Maintained compliance within State and Federal guidelines
Provided ongoing guidance, feedback, and forecasting to executive management on key indicator trends and performance measures
Developed and implemented management controls and quality assurance processes to ensure the accuracy and efficiency of claims submission, payments, and posting
Monitored and evaluated clearinghouse rejection reports
Reduced first-time claim submission errors to ensure accurate billing and decrease payer DSO
Partnered with the sales and client representatives to help with client acquisition
Evaluated the effectiveness of the process, recommended, and implemented changes to policies and procedures
Active participant in three of the company’s most important acquisitions for multi-million-dollar deals
Performed extensive financial Due Diligence to determine and eliminate potential risks which pose a threat to deal value
Developed and monitor reporting tools to track Key Performance Indicators (KPIs), (e.g., A/R, DSO, Cash Collections, and Aging Reports by Payor)
Make recommendations and implement continual process improvements to improve performance
Understands the business of healthcare by being updated and staying current on the policies and procedures applicable to federal/state laws and regulatory agency standards
In addition, stays updated and understands current trends in Healthcare and Healthcare Revenue Cycle and incorporates these trends, as needed.
Accounts Payable / Receivable Supervisor
One Call Care Management Diagnostics / Radiology
Parsippany, NJ
05.2002 - 04.2014
Managed and recorded day to day financial transactions for customers
Handled and/or assisted in process improvements involving the Billing team and invoice processing when needed
Developed relationships with key customers to ensure timely payments and resolve any concerns or delays
Reviewed payments received for application to correct invoices and reviewed invoices prior to distribution as needed
Work closely with CFO to ensure all needs are being met in a timely manner
Delivered a high volume of transactional work with accuracy and timeliness focusing on Accounts Payable processing and reporting
Monitor and manage the Company’s Accounts Payable mailboxes
Complete weekly reviews of invoicing workflows and vendor ownership assignments within the Company’s ERP
Prepared accounts payable aging analysis and reconciled AP to the General Ledger on a monthly basis as part of the accounting close
Handle vendor correspondence ensuring timely and professional responses
Researched and resolved a variety of routine internal and external inquiries concerning account status, including communicating the resolution of discrepancies to appropriate persons.
Senior Account Specialist
Lladró (Fine Porcelain)
Moonachie, NJ
04.1998 - 02.2002
Managed accounts payable using SAP accounting software and other programs
Ensured bills were paid in a timely and accurate manner while adhering to departmental procedures
Processed due invoices for payments
Analyzed workflow processes
Recommend procedure improvements
Reconciled vendor/supplier AP aging balances
Established and maintained relationships with new and existing vendors
Trained staff and developed training materials for SAP software.
Revenue Cycle Analyst
Hackensack Meridian Health / Physician Billing- EPIC
Hackensack, NJ
04.2024
Supports Revenue Cycle team by monitoring and identifying opportunities and efficiencies as it relates to EPIC revenue cycle products
Meet with department leaders to make recommendations to prevent future denials and payment variances
Monitor key metrics related to revenue cycle to accelerate cash flow
Reconcile registration and billing edits in EPIC to ensure claims are successfully accepted and paid in a timely manner
Meet and collaborate with cross functional teams to ensure alignment of billing practices with regulatory requirements support and uphold industry best practices.
Education
Associate of Arts - Criminal Justice
Bergen Community College
04.1997
Skills
Revenue Enhancements
Billing cycle ability which includes EDI /Clearinghouse processes
Partnered with Sales and client representatives to help aid with several client acquisitions
EPIC
Set individual goals for Revenue Cycle team
Hospital Billing
Workers Compensation
Knowledge of CPT coding, ICD-9 and ICD-10
Managed offshore Billing, Collections, and EDI team of 25 employees i
Behavioral Health Claims Management
Certification
EPIC Certification
ICD.10 Coding Certification
HIPPA Compliance Certification
Timeline
Revenue Cycle Analyst
Hackensack Meridian Health / Physician Billing- EPIC
04.2024
Revenue Cycle Specialist - Consultant
Curalta Foot & Ankle, LLC
11.2022 - 02.2024
Revenue Cycle Manager
One Call - Non-Emergency Transportation (Behavioral Health / Ambulatory)