I excel in fast paced environments, and I have a strong understanding of the Revenue Cycle Management process for medical claims. I work well with others, as well as independently. I am driven by results and have the ability to manage, coach, train and motivate others.
Work History
Revenue Cycle Manager
PointClickCare
Mississauga, Canada
10.2022 - Current
Responsible for delivery and outcomes of revenue cycle services contracts
Single point of contact for all day-to-day needs for assigned clients for contracted revenue cycle services
Comprehensively plan, develop, execute, lead and monitor client implementations and ongoing
Service deliverables
Provide direction, priorities and guidance to billing specialists team to ensure customer requirements are met.
Educate, communicate and provide actionable insights and recommendations to clients and key stakeholders to ensure exceptional service delivery
Champion innovation and implementation of new processes and methodologies, and support change management with clients and key stakeholders related to assigned revenue cycle services
Effectively manage communications and follow up between key customer staff and associated stakeholders
Ensure timely tracking of payer and regulatory changes and keeps appropriate staff notified of changes and/or updates that impact reimbursement for assigned clients
Inform decisions regarding workflows and processes related to revenue cycle services
Support operations, as appropriate, in calls or face-to-face meetings with customers to resolve documentation requirements related to reimbursement issues
Assess and train customer on duties related to revenue cycle requirements to facilitate company's successful billing operations
Develop and drive efficiencies and process automation and assist in building lightweight infrastructure to support business objectives
Coordinate service deliverables with all business partners to ensure objectives are met and continuity in results.
Review, analyze and interpret accounts receivable data to monitor progress toward established revenue cycle goals; identifies deterrents to success and implements improvements as necessary to enhance efficiencies and results
Conduct effective monthly A/R reviews with customers and key stakeholders to ascertain status of accounts, discuss collection strategies, and drive continuous improvement
Regional Director of Finance
CommuniCare Company Of Families
Cincinnati, OH
05.2021 - 04.2022
Ensure compliance with company policies and procedures associated with admissions, billing, collection and other related administrative duties.
Oversee multiple Business Office Managers (BOM's) activities to ensure timely, accurate, and complete billing.
Perform detailed accounts receivable reviews with facility staff. Participate in other A/R meetings as needed.
Assist in identification of obstacles to collection goals and help address them; recommend resources needed to achieve desired results.
Assist Executive Director (ED)/BOM in developing plans to improve results.
Monitor timeliness of closing activities; ensure timely close, including coordination of additional resources to complete close when necessary (i.e., missing staff, open positions).
Review clearing accounts to ensure accurate month-end closing and continued smooth functioning of A/R processing.
Review and approve write-offs prepared by BOM after approval by ED.
Supervise training of staff, including development of BOM. Assist and develop annual training plans to improve knowledge and ability of assigned BOM's. Work with corporate staff to develop overall training program for company.
Perform audit activities with respect to following systems: Resident Trust Funds, Medicare regulatory requirements (ABN letters, cut letters, triple checks), Segregation of duties, Continued function of management processes (including pending meetings, collection blitz reviews)
Education
Kent State University
Kent, OH
Skills
A/R Resolution
Denial Management/Appeals
EOB Review/Contractual Adjustments
Contract Interpretation
UB-04/HCFA 1500 claim forms
Physician and Facility Billing
Corporate Cash posting/Reconciliations
Govt/Non-Govt payer guidelines
Medicare/Medi-cal/Commercial Insurance
Negotiations/LOA's
Meeting deadlines and quotas
Process Improvements
Patient Insurance and Benefit Eligibility
Month-end Reporting
Timeline
Revenue Cycle Manager
PointClickCare
10.2022 - Current
Regional Director of Finance
CommuniCare Company Of Families
05.2021 - 04.2022
Kent State University
ACTIVITIES
I am a member of an organization called The ELKS that I volunteer in my spare time for Cerebral Palsy and for our Veterans. I also volunteer at a local Catholic School as a Volleyball Coach for Middle School girls.
ACTIVITIES
I am a member of an organization called The ELKS that I volunteer in my spare time for Cerebral Palsy and for our Veterans. I also volunteer at a local Catholic School as a Volleyball Coach for Middle School girls.