Heather Verbeck
El Dorado,KS
Summary
Efficient revenue cycle manager adept at implementing procedural improvements and executing revenue metrics analysis to drive corporate financial objectives. Eager to apply several years of account management to increase revenue and add value to the team.
Reduced overall AR by 56% for insurance AR over 90 days, 60% for insurance AR over 120 days, and 82% for insurance AR over 365 days. Maintained discharge not final billed accounts below 3.5 days on average.
Overview
20
20
years of professional experience
Work History
Revenue Cycle Manager
MedHQ
Wichita, Kansas
02.2018 - Current
- Started this position as an outsourced government biller. As the team grew, I was promoted to a team lead with 5 employees.
- Helped implement Cerner as a new EMR.
- Trajectory then signed a new client, and I was moved to that client as the Revenue Cycle Manager. I now have 13 direct reports that consist of coders, billers, and AR specialists.
- 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.
- Reviewed patient billing information to ensure accuracy and compliance with federal and state regulations.
- Analyzed financial reports on a regular basis to identify areas of improvement in the revenue cycle process.
- Performed data analysis to identify trends in denials or rejections from payers and develop strategies for resolution.
- Implemented new policies and procedures for streamlining workflow processes within the revenue cycle department.
- Oversaw training of staff on changes in insurance regulations and coding updates impacting reimbursement rates.
- Ensured adherence to HIPAA guidelines when handling protected health information.
- Investigated any discrepancies that arise during the billing process and resolved them promptly.
- Analyzed and reported on billing cycle data to inform management.
- Evaluated revenue cycle processes and established actionable methods to increase productivity and efficiency.
- Participated in revenue cycle processes, working to maximize profitability and increase revenue.
- Created and updated financial reports on frequent basis to present information to leadership teams.
- Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
- Maintained regular performance appraisals for subordinates through verbal, written and on-going review programs.
Medicare Coordinator
Susan B Allen Memorial Hosp
El Dorado, KANSAS
06.2004 - 01.2018
- Reviewed patient accounts to ensure accuracy and completeness of information.
- Assisted with the development of new processes for billing, and reimbursements.
- Performed account reconciliations between insurance companies and internal systems.
- Researched discrepancies on unpaid claims and reconciled them.
- Audited payments from third-party payers to ensure accuracy of reimbursement amounts.
- Processed appeals related to denied or rejected claims in a timely manner.
- Collaborated with other departments to resolve customer inquiries regarding billing issues.
- Ensured all regulatory requirements were met when submitting claims for payment.
- Maintained current knowledge of insurance policies, procedures, regulations, and guidelines.
- Provided training sessions on billing software applications and procedures to staff members.
- Monitored accounts receivables daily to determine appropriate follow-up action needed.
- Evaluated existing workflows for efficiency and effectiveness in order to recommend changes as needed.
- Identified and corrected payment problems involving patients or third-party payers.
- Reached out to responsible companies and individuals to collect on outstanding debts.
Education
Some College (No Degree) - Elementary Education
Emporia State University
Emporia, KSSkills
- Meditech
- Cerner
- Waystar
- Availity
- SSI
- All payer websites
- Claims Management
- Account resolutions
- Billing cycle expertise
- Revenue metrics analysis
- Medical Billing
- Account Monitoring
- Employee Training Oversight
- Team Building Leadership
- Operational Reporting
- Relationship Building
- Critical Thinking
- Customer Service
- Workflow Coordination
- Team building
- Intuit QuickBooks
- Data Analytics
- Billing cycle performance
- Decision-Making
- Goal Setting
- Multitasking Abilities
- Time Management
- ad
Timeline
Revenue Cycle Manager
MedHQ
02.2018 - Current
Medicare Coordinator
Susan B Allen Memorial Hosp
06.2004 - 01.2018
Some College (No Degree) - Elementary Education
Emporia State University
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