Seasoned, analytical and detail oriented professional with deep understanding of financial systems, healthcare revenue cycle management and financial analysis. Proven capability in managing billing functions, improving cash flow and reducing bad debt. Notable strengths are in team leadership and process improvement for increased operational efficiency. This experience has led to impactful improvements in both patient satisfaction and bottom-line results.
Seeking a position in which I can hopefully find another long term home with your company.
Overview
25
25
years of professional experience
Work History
District Revenue Cycle Manager
PT Solutions Physical Therapy
Stockton, CA
09.2021 - 10.2024
Generated reports detailing key metrics such as days in accounts receivable, denial rate.
Managed collection efforts by providing guidance on follow-up procedures for unpaid invoices.
Coordinated between various departments such as front desk staff, medical coders and billers.
Developed strategies to reduce denials, improve accounts receivable, and enhance revenue cycle performance.
Maintained oversight of all billing operations including coding, charge entry, payment posting, collections and appeals.
Monitored daily cash flow activity, ensuring timely filing of claims and proper reimbursement for services rendered.
Collaborated with physicians, clinical staff, payers and other stakeholders to resolve issues related to medical billing.
Performed data analysis to identify trends in denials or rejections from payers and develop strategies for resolution.
Oversaw training of staff on changes in insurance regulations and coding updates impacting reimbursement rates.
Conducted audits of third-party payer contracts to ensure accurate reimbursement rates are being applied.
Investigated any discrepancies that arise during the billing process and resolved them promptly.
Analyzed and reported on billing cycle data to inform management.
Maintained regular performance appraisals for subordinates through verbal, written and on-going review programs.
Billing Manager
Pine Street Physical and Occupational Therapy
Stockton, CA
06.2010 - 09.2021
Developed and implemented billing procedures to ensure accurate data entry and timely payment collection.
Analyzed customer accounts and identified discrepancies in invoices, payments, credits, and deductions.
Reviewed customer contracts for accuracy of pricing, terms of payment, discounts.
Prepared monthly reports on accounts receivable status and aging analysis.
Worked with customers to resolve billing disputes in a timely manner.
Managed daily cash postings from lockbox or other electronic methods of payment processing.
Maintained customer records in accounting systems ensuring accuracy of information entered into system.
Processed customer refunds promptly upon request.
Monitored delinquent accounts and worked with collections department if necessary.
Generated monthly aged trial balances for review by management team.
Investigated unapplied payments or credits to determine appropriate application method.
Resolved billing issues by applying knowledge and completing in-depth research.
Helped customers to bring accounts into good standing by implementing payment plans.
Coordinated interdepartmental efforts to improve integration between billing and customer service functions.
Guest Services Supervisor
Target
Stockton, CA
11.2007 - 06.2010
Ensured smooth operations of guest services by supervising staff, responding to inquiries, and resolving issues.
Monitored daily performance of staff members and provided feedback on areas for improvement.
Provided training and guidance to all team members in customer service best practices, policies, and procedures.
Billing Manager
Associates in Physical Therapy
Wenatchee, WA
07.1999 - 05.2007
Developed and implemented billing procedures to ensure accurate data entry and timely payment collection.
Analyzed customer accounts and identified discrepancies in invoices, payments, credits, and deductions.
Prepared monthly reports on accounts receivable status and aging analysis.
Worked with customers to resolve billing disputes in a timely manner.
Maintained customer records in accounting systems ensuring accuracy of information entered into system.
Processed customer refunds promptly upon request.
Monitored delinquent accounts and worked with collections department if necessary.
Generated monthly aged trial balances for review by management team.
Conducted insurance verification and pre-authorization, coded medical procedures and managed patient charts.
Implemented new billing system software, resulting in an increase in productivity.
Education
Bachelor of Arts - Business Administration And Management
Eastern Washington University
Cheney, WA
04-1997
High School Diploma -
Wenatchee High School
Wenatchee, WA
06-1990
Skills
Billing cycle expertise
Revenue optimization
Medical Billing
Charging methodologies
Revenue metrics analysis
Team Building Leadership
Medical coding knowledge
Collections
Payment posting
Medical billing and collections
Data entry proficiency
Billing systems and software
Insurance Verification
Accounts receivable management
Affiliations
Tennis
Bowling
Pickleball
Disc Golf and Regular Golf
References
References available upon request.
Timeline
District Revenue Cycle Manager
PT Solutions Physical Therapy
09.2021 - 10.2024
Billing Manager
Pine Street Physical and Occupational Therapy
06.2010 - 09.2021
Guest Services Supervisor
Target
11.2007 - 06.2010
Billing Manager
Associates in Physical Therapy
07.1999 - 05.2007
Bachelor of Arts - Business Administration And Management
Eastern Washington University
High School Diploma -
Wenatchee High School
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