Summary
Overview
Work History
Education
Skills
Timeline
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Ereca Alford

Supervisor, Revenue Cycle Management
Wildwood,MO

Summary

Dynamic leader with a proven track record at Urgent Care Group, enhancing revenue cycle efficiency and fostering team growth. Expert in billing cycle performance and adept at building strong customer relationships. Achieved significant improvements in financial outcomes and team morale by implementing strategic process optimizations and fostering a culture of continuous improvement.

Revenue management professional prepared to drive success in this role. Proven track record in optimizing revenue cycles, improving financial performance, and implementing efficient processes. Strong focus on team collaboration and achieving results. Adept at adapting to changing needs and fostering reliable work environment. Skilled in financial analysis, strategic planning, and regulatory compliance with keen eye for improving operational efficiencies.

Knowledgeable Desired Position with proven background in revenue cycle management, delivering strategic improvements to optimize financial performance. Successfully implemented process enhancements and streamlined billing operations, resulting in efficient revenue collection and improved patient satisfaction. Demonstrated expertise in healthcare finance and team leadership, fostering collaboration and driving results.

Overview

17
17
years of professional experience

Work History

Revenue Cycle Manager

Urgent Care Group
06.2023 - Current
  • Monitored and guided revenue cycle operations.
  • Implemented process improvements, ensuring accurate charge capture and coding compliance.
  • Provided staff training on revenue cycle management best practices, increasing productivity across the department.
  • Completed financial reporting and analysis for billing revenue cycle.
  • Streamlined workflows to minimize claim rejections and maximize reimbursement rates from insurance providers.
  • Analyzed complex data sets to derive actionable insights for improving internal processes related to revenue cycle management.
  • Maintained a thorough understanding of regulatory requirements, ensuring compliance throughout all aspects of the revenue cycle.
  • Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
  • Coordinated with finance team to produce accurate monthly reports on collection metrics and trends.
  • Conducted regular audits to identify areas for improvement in the revenue cycle process.
  • Improved revenue cycle efficiency by streamlining processes and implementing best practices.
  • Championed system enhancements that improved automated billing functionality.
  • Reduced accounts receivable days outstanding, optimizing billing and collections efforts.
  • Developed and implemented training programs for new hires, leading to more competent and effective billing team.
  • Streamlined patient financial counseling processes, improving patient understanding and satisfaction with billing procedures.
  • Established continuous improvement culture within revenue cycle department, fostering innovation and efficiency.
  • Spearheaded integration of new electronic health records system, ensuring seamless data flow and improved billing accuracy.
  • Improved patient satisfaction scores by simplifying billing process and enhancing transparency.
  • Facilitated workshops on best practices in revenue cycle management, raising expertise level across organization.
  • Improved team morale and reduced turnover by implementing comprehensive staff development and recognition program.
  • Achieved significant improvements in cash flow by refining patient payment collection process.
  • Established internal audit procedures to validate and improve accuracy of financial reporting.
  • Developed strategic plans for day-to-day financial operations.
  • Complied with established internal controls and policies.

Patient Account Representative

Urgent Care Group
01.2022 - 06.2023
  • Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
  • Posted payments and processed refunds.
  • Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
  • Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.
  • Worked with outside entities to resolve issues with billing, claims, and payments.
  • Streamlined billing processes for increased efficiency in managing patient accounts.
  • Facilitated smooth communications between patients, providers, and insurers, fostering an atmosphere of trust and collaboration.
  • Provided exceptional customer service, handling sensitive patient situations with professionalism and empathy.
  • Conducted regular audits of patient accounts, identifying discrepancies and rectifying errors as needed.
  • Ensured compliance with healthcare regulations while processing claims and managing patient accounts.
  • Electronically submitted bills according to compliance guidelines.
  • Enhanced patient satisfaction by promptly addressing inquiries and resolving account issues.
  • Identified trends in unpaid accounts, developing targeted solutions for improved revenue recovery.
  • Maintained accurate records of all transactions, ensuring timely payments from patients and insurance providers.
  • Achieved a significant reduction in aged accounts receivable through diligent follow-up efforts with both patients and insurers.
  • Prepared reports detailing billing actions, flags and other key information.
  • Responded to patient, family and external payer inquiries.
  • Utilized computer programs to create invoices, letters and other documents.
  • Negotiated payment plans with patients experiencing financial difficulties, supporting them in meeting their obligations without undue stress.
  • Reduced outstanding balances by implementing effective collection strategies tailored to individual patients'' needs.
  • Educated patients on financial policies, promoting understanding of their responsibilities within the healthcare system.
  • Demonstrated adaptability in navigating complex payer guidelines to maximize reimbursement opportunities for the organization.
  • Maintained office inventory and organized supplies for efficiency and expected needs.
  • Reconciled statements with patient records.
  • Researched billing errors and discrepancies to initiate corrective action.
  • Responded to customer inquiries and provided detailed account information.
  • Developed and documented collection procedures and policies to comply with government regulations.
  • Monitored customer accounts for payment delinquency and initiated collection efforts.
  • Entered client details and notes into system for interdepartmental access and review.
  • Worked with customer to create debt repayment plan based on current financial condition.
  • Maintained accurate records of customer accounts, payments and payment plans.
  • Processed debtor payments and updated accounts to reflect new balance.
  • Listened to customers and negotiated solutions that met creditor and debtor needs.

Operations Supervisor

The Lake House
01.2008 - 12.2021
  • Managed daily operations for optimal performance, ensuring smooth workflows and timely completion of tasks.
  • Maintained open lines of communication with upper management to provide regular updates on operational progress and challenges faced by the team.
  • Conducted regular performance evaluations for direct reports, identifying areas for improvement and setting development goals accordingly.
  • Enhanced team productivity by providing ongoing training, coaching, and mentoring to staff members.
  • Ensured compliance with company policies, industry regulations, safety standards, and local laws during daily operations.
  • Reduced employee turnover by fostering a positive work environment and addressing employee concerns promptly.
  • Implemented quality control systems to reduce errors, resulting in increased customer satisfaction rates.
  • Led continuous improvement initiatives aimed at reducing waste, increasing efficiency, and enhancing overall productivity levels within the organization.
  • Coordinated emergency response plans in times of crisis situations or natural disasters affecting company operations.
  • Improved operational efficiency by streamlining processes and implementing time-saving strategies.
  • Developed and implemented standard operating procedures to ensure consistency in service delivery across all shifts.
  • Contributed to long-term strategic planning discussions within the leadership team to help shape future direction for the business unit.
  • Optimized resource allocation through careful planning and monitoring of inventory levels, staffing needs, and equipment maintenance schedules.
  • Increased production output by optimizing equipment usage and scheduling preventive maintenance programs.
  • Achieved cost savings through diligent budget management and negotiation with vendors on pricing and contracts.

Education

High School Diploma -

Lafayette High School
Wildwood, MO

Skills

  • Revenue performance
  • Billing cycle expertise
  • Account resolutions
  • Clinical team guidance
  • Procedure optimization
  • Budgetary analysis
  • Billing cycle performance
  • Revenue metrics analysis
  • Revenue optimization
  • Charging methodologies
  • Budget monitoring
  • Revenue quotas
  • Problem-solving abilities
  • Multitasking Abilities
  • Reliability
  • Planning and coordination
  • Relationship building and management
  • Customer relationship development
  • Team Management
  • Cash handling expertise
  • Team building
  • Profitability improvement
  • Financial analysis and reporting
  • Conflict Resolution
  • Recruitment and hiring
  • Professionalism
  • Operations Management
  • Time management abilities
  • Strategic Planning
  • Adaptability
  • Accounting management
  • Project Management
  • Problem-solving aptitude
  • Performance Management
  • Human resources knowledge
  • Performance Metrics
  • Negotiation
  • Cost Control
  • Change Management
  • Business Intelligence
  • Debt management
  • Resource Allocation
  • Mergers and Acquisitions
  • Economic forecasting
  • Business strategy
  • Recruit well-qualified staff
  • Write reports
  • Excels in team leadership
  • Build customer relationships

Timeline

Revenue Cycle Manager

Urgent Care Group
06.2023 - Current

Patient Account Representative

Urgent Care Group
01.2022 - 06.2023

Operations Supervisor

The Lake House
01.2008 - 12.2021

High School Diploma -

Lafayette High School

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Ereca AlfordSupervisor, Revenue Cycle Management