Accomplished 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, resolving patient inquiries, complaints and achieving company objectives. Offering over 16 years of experience in healthcare.
Overview
25
25
years of professional experience
Work History
Revenue Cycle Manager, Medical Clinical Operations
Change Healthcare/Optum
Atlanta, GA
11.2019 - Current
Monitored revenue and compared to targets to address any variances and resolved actual-to-budget variances.
Manages the operation of the call center for BREG, Sonic Healthcare, NYCDOH, CHN, Mount Sinai Morningside & Mt Sinai West.
Monitored the accuracy and completeness of daily registration, insurance verification, scheduling and collections.
Ensures a high level of quality service provided to patients.
Responsible for adequate staffing in all Patient Access and Early Out areas.
Responsible for staff development, including training, reviews of progress and communications of findings.
Evaluated revenue cycle processes and established actionable methods to increase productivity and efficiency.
Oversaw complete lifecycle of revenue operations.
Provided revenue cycle process support to all clinical personnel, including resolving procedure challenges.
Performed internal audits and various administrative duties, including Productivity tracking and Payroll.
Analyzed and reported on billing cycle data to inform management.
Developed strategic plans for day-to-day financial operations.
Established internal audit procedures to validate and improve accuracy of financial reporting.
Assisted with day-to-day operations, working efficiently and productively with all team members.
Keep up to date on changes on all Insurances as well as Federal and State laws impacting healthcare.
Produce weekly, monthly SLA’s, managerial reporting, provide knowledge, guidance of the information and definition that are available for evaluation.
Monitors all processes specifically to assure compliance with department policies and procedures.
Resolved problems, improved operations and provided exceptional service.
Excellent communication skills, both verbal and written.
Completed paperwork, recognizing discrepancies and promptly addressing for resolution.
Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
Supervisor, Self-Pay Collection & Financial Asst.
Northside Hospital Business Office
06.2008 - 11.2019
Monitored revenue and compared to targets to address any variances and resolved actual-to-budget variances.
Evaluated revenue cycle processes and established actionable methods to increase productivity and efficiency.
Oversaw complete lifecycle of revenue operations.
Analyzed and reported on billing cycle data to inform management.
Provided revenue cycle process support to all clinical personnel, including resolving procedure challenges.
Performed internal audits and various administrative duties, including Productivity, Compliance, Disciplinary and Payroll.
Managed patient, Insurance adjuster inquiries through telephone, email.
Utilized active listening and communication skills to address customer inquiries.
Cultivated impactful relationships with customers and drove business development by delivering product knowledge.
Trained new employees on procedures and policies to maximize team performance.
Liaised between clinic and Insurance or employers. Worked with Occupational Health|Employer Based Clinics|Work Comp for any billing questions or account reviews and corrections.
Ran weekly, month end Financial Reports.
Supervised, direct and coordinates the collection functions, operations and personnel for Northside Hospital, Northhside Hospital Cherokee, Forsyth and Northside Outpatient Facilities.
Educated staff on organizational mission and goals to help employees achieve success.
Conducted regular reviews of operations and identified areas for improvement.
Devised and implemented processes and procedures to streamline operations.
Evaluated staff performance and provided coaching to address inefficiencies.
Optimized customer experience by delivering superior services and effectively troubleshooting issues.
Monitored workflow to improve employee time management and increase productivity.
Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
Senior Credit Analyst
Recall Total Information Management
03.2006 - 11.2007
Maintained Credit Files on Top 100 Revenue customers, updating each at least annually..
Supplied Dun & Bradstreet with monthly North America accounts receivable aging for their use with Portfolio Scope analysis of our trade accounts receivable exposure and use in their trade exchange program. Promptly act on and communicate with field personnel as needed regarding action items that are taken in response to D&B Portfolio Scope ratings.
Provided credit analysis as appropriate and requested by the business.
The central point of contact for all customer accounts that are placed with third party collection agencies and their attorneys as required.
Monitored and audit (monthly) accounts balances on Recall aging vs. Collection agency status reports to ensure that all cash received are posted properly, accounts adjustments are made as appropriate and when applicable insuring that closed collection accounts have the collector numbers re-assigned; in order that any new activity will be collected upon by the Collections personnel.
Maintain a sense of urgency on appropriate account placements to increase cash flow to the company.
Maintained and was the central point of contact for all bankruptcy matters. Maintain files, database spreadsheet and file necessary documents related to the case (I.E., Proof of Claims).
Provided a weekly report on past due balances to NA Credit & Collections Manager on Friday of each week. The report identifies the dollars and number of accounts by line of business that are available to be placed for Collection, those that are already placed with agencies and the accounts that are identified that (for business reasons) that the company will not place for collections.
Performed credit reviews on corporations to assess financial conditions.
Analyzed customer data such as financial statements to determine level of risk involved for extending credit.
Placed customer accounts on hold due to past due payments.
Offered insight to upper management regarding credit decisions.
Utilized strong communication and interpersonal skills to obtain necessary financial information from customers.
Contacted customers and requested financial documentation.
Made decisions and recommendations about extending lines of credit.
Assessed credit risk and analyzed financial statements.
Monitored credit accounts routinely to identify and mitigate issues and prevent losses.
Senior Credit Analyst
John Deere Landscapes
04.2002 - 02.2006
Improved understanding of financial statements, which helped in assessing risk.
Conducted presentations to upper management and executive teams for loan recommendations.
Performed credit reviews on corporations to assess financial conditions.
Worked in tandem with sales team and customers to negotiate payments and verify account reconciliations.
Analyzed customer data such as financial statements to determine level of risk involved for extending credit.
Placed customer accounts on hold due to past due payments.
Utilized strong communication and interpersonal skills to obtain necessary financial information from customers.
Conducted financial review of customer lines of credit by assessing company financials and initiating credit application reviews.
Assessed credit risk and analyzed financial statements.
Made decisions and recommendations about extending lines of credit.
Reviewed and approved or denied credit applications to keep organization profitable by making informed lending decisions.
Reviewed credit reports to comprehensively view borrowers' credit history and identify potential red flags.
Manage the bankruptcy claim process.
Reviewed and released blocked sales orders within assigned regions.
Collection Supervisor
Accu-Tech Corporation
09.1998 - 11.2001
Trained and mentored new employees on collection methods, documentation requirements and performance strategies.
Supervised staff of collectors, monitoring phone calls and letters.
Followed prescribed scripts and maintained friendly but firm attitude with full knowledge of contractual requirements and legal remedies.
Reviewed, researched, and corrected discrepancies and customer concerns.
Provided objective appraisals, performance reviews and development plans for all collectors.
·Maintained monthly status report for National Collection Manager and Director on all delinquent accounts.