Summary
Overview
Work History
Skills
Personal
Timeline
Generic

Cynthia Daniels

Revenue/Billing Manager
Grandview,MO

Summary

Dedicated medical billing professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

Overview

27
27
years of professional experience

Work History

Revenue Cycle/Billing Manager

KC Bariatric, LLC
04.2023 - Current
  • Established performance metrics for evaluating staff effectiveness, leading to continuous improvement initiatives within department.
  • Maintained up-to-date knowledge of industry regulations and compliance requirements, ensuring department remained compliant at all times.
  • Manage 6-8 medical billers.
  • Created transparent work environment that fostered open communication between team members, promoting collaboration and problem-solving skills development.
  • Implemented policies that improved accounts receivable collections, resulting in reduced outstanding balances and increased cash flow.
  • Reviewed contracts for accuracy before finalization, ensuring that all agreed-upon terms were documented correctly per customer negotiations.
  • Provided ongoing professional development opportunities for staff members through workshops, seminars, and mentoring programs.
  • Trained and mentored staff on procedures, compliance requirements, and collections techniques.
  • Worked with customers to develop payment plans and bring accounts current.
  • Reviewed billing problems, researched issues, and resolved concerns.
  • Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
  • Conducted periodic reviews of existing processes to identify areas of potential cost savings or efficiency improvements.
  • Conducted performance reviews and implemented improvement plans.
  • Established internal audit procedures to validate and improve accuracy of financial reporting.
  • Developed strategic plans for day-to-day financial operations.
  • Reviewed historical records, current operational data and forecasting information to identify and capitalize on system enhancement opportunities.
  • Improved overall financial reporting by streamlining control processes and reporting structures.
  • Supported financial director with special projects and additional job duties.
  • Created financial dashboards to provide insights into key performance indicators.
  • Increased efficiency in billing processes by implementing new software and automating routine tasks.
  • Reduced errors and discrepancies in invoicing by closely monitoring billing data and conducting regular audits.
  • Streamlined communication with clients by establishing clear expectations for payment terms and resolving disputes promptly.

Revenue Cycle Manager

Full Circle Medical
07.2021 - 04.2023
  • Supported clinical team members with revenue cycle procedures and addressed issues.
  • Identified discrepancies between budgetary targets and actual revenue and expenses.
  • Completed financial reporting and analysis for billing revenue cycle.
  • Review, obtain and upload contracts Commercial, Medicare/Managed and Medicaid/Managed plans
  • Monitored and guided revenue cycle operations.
  • Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
  • Performed routine closings, maintained clean, accurate and accessible records and kept close eye on transaction updates monthly.
  • Trained employees
  • Resolved escalated customer issues
  • Kept up-to-date and accurate funding accounts for internal departments, key programs and special projects.
  • Provide EOM Reporting to Center and Management Co
  • Provide EOM Overview to Center and Management Co
  • Providing audit information for outside
  • Accounts Receivable, Commercial, SNF, Medicare/Managed plans,, Medicaid/Managed plans, Work Comp
  • Insurance and Patient refunds
  • Insurance Verification/Payer issues
  • Authorizations
  • Payment posting
  • Charge Entry
  • Validated existing accounting management and reporting systems to assess quality and conformance, identify problems and implement corrective actions.
  • Improved revenue cycle efficiency by streamlining processes and implementing best practices.
  • Reduced accounts receivable days outstanding, optimizing billing and collections efforts.
  • Increased cash flow through timely resolution of payer denials and underpayments.
  • Provided staff training on revenue cycle management best practices, increasing productivity across department.
  • Streamlined workflows to minimize claim rejections and maximize reimbursement rates from insurance providers.

Sr. Clinical Administrative Coordinator

UHG
10.2020 - 07.2021
  • Coordinated, monitored, assigned and documented patient and clinical care activities.
  • Oversaw quality assurance programs to enhance performance and consistently achieve superior care standards.
  • Optimized organizational systems for payment collections, AP/AR
  • Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills.
  • Resolved issues through active listening and open-ended questioning, Escalate major issues.

Revenue Cycle Manager

In2itive Business Solutions
10.2018 - 10.2020
  • EOM Reporting to Centers and Management Co
  • Report EOM Overview to Centers and Management Co
  • Provided audit information for outside companies, including Federal Organizations.
  • Monitored and guided revenue cycle operations.
  • Obtain, review and upload contracts for all Commercial, Medicare/Managed, Medicaid/Managed plans
  • Supported clinical team members with revenue cycle procedures and addressed issues.
  • Identified discrepancies between budgetary targets and actual revenue and expenses.
  • Completed financial reporting and analysis for billing revenue cycle.
  • Accounts Receivable, Commercial, SNF, Medicare/Managed plans, Medicaid/Managed plans, Work Comp
  • Billing and Collections
  • Insurance and Patient refunds
  • Insurance Verification/Payer Issues
  • Authorizations
  • Payment Posting
  • Charge Entry
  • Performed routine closings, maintained clean, accurate and accessible records and kept close eye on transaction updates throughout each quarter.
  • Supported Client Services Manager with special projects and additional job duties.
  • Denials and appeal processing to resolution

Suspended Billing Supervisor

Apria Healthcare
02.2011 - 09.2018
  • Developed and implemented improvements to billing system to maximize efficiency, reduce delinquency and increase accuracy.
  • Oversaw financial operations, producing invoices, processing payments and preparing deposits.
  • Reviewed documentation for compliance with requirements and accuracy of information.
  • Coordinated with other internal departments and customers to keep operations running smoothly and solve both routine and complex problems.
  • Performed account reconciliations and resolved variances.
  • Identified, researched and resolved billing variances to maintain system accuracy and currency.
  • Generated and submitted invoices based upon established accounts receivable schedules
  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
  • Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
  • Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
  • Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
  • Resolved issues through active listening and open-ended questioning, escalating major problems to VP over Denver Market
  • Supervised 40-50 administrative team members and provided constructive feedback, resulting in higher morale and increased employee retention.
  • Resolved issues through active listening and open-ended questioning, escalating major problems VP over Denver Market
  • Initial training for Hospital Account Mangers(HAM) and Territory Managers(TM), additional ongoing training if requested.
  • Coordinated individual duties after careful evaluation of each employee's skill level and knowledge.
  • Suspended Billing Training for New Hires

Skills

  • Accounts Payable
  • Accounts Receivable
  • Account Resolution
  • Advantx
  • Billing cycle expertise
  • CPR
  • Critical Thinking
  • Excellent Customer Service
  • Denial Resolution
  • Epic
  • FACETS
  • HST Pathways
  • Medical Billing/ASC, Physician, SNF, Surgery
  • Prioritizing and Planning
  • Sharepoint
  • Waystar

Personal

  • Volunteer at local soup kitchen monthly with my family

Timeline

Revenue Cycle/Billing Manager

KC Bariatric, LLC
04.2023 - Current

Revenue Cycle Manager

Full Circle Medical
07.2021 - 04.2023

Sr. Clinical Administrative Coordinator

UHG
10.2020 - 07.2021

Revenue Cycle Manager

In2itive Business Solutions
10.2018 - 10.2020

Suspended Billing Supervisor

Apria Healthcare
02.2011 - 09.2018

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Cynthia DanielsRevenue/Billing Manager