Cynthia E Maddox
Stockbridge
Summary
Highly organized and detail-focused Revenue Cycle Specialist with over 20 years of medical experience and an exceptional track record of accurately handling financial and reimbursement issues.d in all aspects of a medical office setting, which would include billing, credentialing, payment posting, balancing debits and credits, reconciling accounts and ensuring accuracy and completeness of data. Proficiency in the overall improvement of the functionality of the Revenue Cycle Management Department. Efficient Revenue Cycle Manager adept at implementing procedural improvements and executing revenue metrics analysis to dive corporate financial objectives. Eager to apply 20 plus years of account management to increase revenue and add value to your team. 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 objective. Offering over 20 years of experience in a medical office setting.
Overview
13
13
years of professional experience
Work History
Revenue Cycle Manager – Billing Office
Peachtree Neurological / Piedmont Healthcare
03.2018 - 07.2024
- Company Overview: Practice sold to Piedmont Healthcare in 2022.
- Responsible for the payments posting for all electronic and paper checks, also responsible for all of the electronic and paper billing of all claims.
- Responsible of various other duties which include identifying revenue cycle problems and implementing a system to ensure that accurate billing information is entered into the billing system.
- Correct coding of diagnoses and procedure codes.
- Direct communications with hospital and insurance companies in reference to patients billing and providers participation.
- Expertise in all areas of collections, all cash and insurance payment postings, contract analysis and credentialing.
- Proven experience working in a diverse environment of multiple specialties practices.
- Proficiency in multiple specialty software practices.
- The ability to coordinate billing and collection activities.
- Monitoring of - account receivables activities.
- Practices consisted of six physicians and one physician assistant.
- Responsible for the billing for both locations which included MRI’s, EEG’s, EMG’s and all office visits.
- Currently working remotely for the last year.
- Practice sold to Piedmont Healthcare in 2022.
Revenue Cycle Specialist
Sibley Heart Center
02.2017 - 03.2018
- Extensive knowledge of prior experience with all insurance verifications, health care benefits assessment, paperwork and documentation for billing Medicare/Medicaid and commercial insurances.
- Capability to multi-tasking and proactive problem solving.
- Responsible for helping to coordinate patient billing, payment plans and Financial Assistance Application and collections.
- Field inbound patient calls and be able to address their billing/financial issues personally manage a large portion of the company AR.
- 20 plus years of experience with appealing claims and responding to claim audits.
- Several work Ques/spreadsheets to maintain accurate and correct claims to be generated.
- Responsible for providing patients with estimates before procedures are done.
- Reposting all claims once the needed information has been corrected or added and providing excellent patient service.
Revenue Cycle Manager
Silk Information Systems / Dent2Med Software LLC
05.2011 - 02.2017
- Company Overview: Company sold.
- Responsible for the client setups and the interaction with our billing software.
- Responsible for the billing of all electronic and paper claims to all carriers Medicare, Medicaid, Medicare Advantage plans and Commercial insurances.
- Confirming insurance eligibility, making sure that referrals, precertification and any other needed documentation are attached.
- Followed up on all unpaid claims, Updating prices for procedure codes, setting patients up on payment arrangements, taking patient credit card payments and posting to the patients accounts, posting insurance payments, setting up payment and payment arrangements for in house collections patients, calling patients in reference to past due accounts, turning the patients over to collections and working closely with the collection agency to monitor and to report back to the office activities on all accounts.
- I worked remotely for 5 years.
- Company sold.
Education
Real Estate License Salesperson -
01.2009
Some College (No Degree) -
01-1995
Skills
- Excellent Analytical Skills
- Month End Reports
- Patient Accounts
- Collection Letters
- Interpersonal Skills
- Year End Report
- Employee Relations
- Implementation Improvements
- Daily Deposits
- Billing & Payment Posting
- Electronic Claim Submission
- Training & Development
- Performance Management
- Organizational Development
- Increased Productivity
References
References upon request
Skill Proficiencies
- Excellent Analytical Skills
- Month End Reports
- Patient Accounts
- Collection Letters
- Interpersonal Skills
- Year End Report
- Employee Relations
- Implementation Improvements
- Daily Deposits
- Billing & Payment Posting
- Electronic Claim Submission
- Training & Development
- Performance Management
- Organizational Development
- Increased Productivity
Timeline
Revenue Cycle Manager – Billing Office - Peachtree Neurological / Piedmont Healthcare
03.2018 - 07.2024
Revenue Cycle Specialist - Sibley Heart Center
02.2017 - 03.2018
Revenue Cycle Manager - Silk Information Systems / Dent2Med Software LLC
05.2011 - 02.2017
GEORGIA INSTITUTE OF REAL ESTATE - Real Estate License Salesperson,
Columbus Technical Institute - Some College (No Degree),
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