Kelsey Mroz
Revenue Cycle Management
Sparta,MI
Summary
Proven leader in revenue cycle management at Mary Free Bed Rehabilitation Hospital, I've driven significant process enhancements and financial outcomes through expert integration of technology and development of high-performing teams. My approach combines deep regulatory knowledge with a commitment to innovation, achieving streamlined operations and enhanced interdepartmental collaboration.
Overview
8
8
years of professional experience
5
5
years of post-secondary education
2
2
Certifications
Work History
Hospital Billing & Revenue Cycle Manager
Mary Free Bed Rehabilitation Hospital
Grand Rapids , MI
2021.01 - Current
- Enhanced interdepartmental collaboration, leading to a more cohesive approach to revenue cycle management and improved financial outcomes.
- Spearheaded integration of new electronic health records system (EPIC), ensuring seamless data flow and improved billing accuracy.
- Improved revenue cycle efficiency by streamlining processes and implementing best practices.
- Reduced accounts receivable days outstanding, optimizing billing and collections efforts.
- Maintained thorough understanding of regulatory requirements, ensuring compliance throughout all aspects of the revenue cycle.
- Developed, implemented, and regularly updated department policies and procedures to ensure compliance with industry standards and regulatory requirements, improving operational efficiency and consistency.
- Analyzed financial and statistical data related to the revenue cycle, creating reports to show KPIs.
- Monitored industry trends to anticipate changes that may impact the organization's revenue cycle performance.
Interim Revenue Cycle Manager Access
Mary Free Bed Rehabilitation Hospital
Grand Rapids , MI
2022.03 - 2022.11
- Improved revenue cycle efficiency by streamlining processes and implementing best practices.
- Led cross-functional team to redesign patient intake process, resulting in improved data accuracy and smoother billing cycle.
- Established continuous improvement culture within revenue cycle department, fostering innovation and efficiency.
- Enhanced interdepartmental collaboration, leading to a more cohesive approach to revenue cycle management and improved financial outcomes.
- Provided staff training on revenue cycle management best practices, increasing productivity across the department.
Revenue Cycle Team Lead
Mary Free Bed Rehabilitation Hospital
Grand Rapids , MI
2019.02 - 2020.12
- Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
- Established clear performance metrics for the team which helped in tracking progress towards set targets effectively.
- Reduced denial rates through meticulous claims review, ensuring maximum revenue capture.
- Reduced days in accounts receivable by implementing more efficient follow-up procedures with payers.
- Maintained a thorough understanding of regulatory requirements, ensuring compliance throughout all aspects of the revenue cycle.
Revenue Cycle Analyst
Mary Free Bed Rehabilitation Hospital
2018.02 - 2019.02
- Maintained up-to-date knowledge of payer requirements, ensuring accurate billing practices across all departments.
- Used EMR and Tableau to identify financial trends.
- Optimized charge capture procedures, contributing to more accurate billing statements and higher collection rates.
- Provided valuable insights to leadership by analyzing key performance indicators related to the revenue cycle process.
- Monitored daily reports, identifying trends or discrepancies that warranted further investigation or action from the revenue cycle team.
Patient Account Representative
Mary Free Bed Rehabilitation Hospital
2017.02 - 2018.02
- Electronically submitted bills according to compliance guidelines.
- Conducted regular audits of patient accounts, identifying discrepancies and rectifying errors as needed.
- Developed strong relationships with key contacts at insurance companies to expedite resolution of claim disputes or other account-related issues.
- Provided exceptional customer service, handling sensitive patient situations with professionalism and empathy.
- Educated patients on financial policies, promoting understanding of their responsibilities within the healthcare system.
- Facilitated smooth communications between patients, providers, and insurers, fostering an atmosphere of trust and collaboration.
Education
MBA - Finance
Davenport University
Grand Rapids, MI 2024.05 - 2026.02
Baker College
Flint, MI 2013.05 - 2016.12
Skills
- Revenue Cycle Management: Expertise in overseeing billing, coding, collections, and accounts receivable.
- Patient Access Optimization: Managing patient registration, scheduling, insurance verification, and authorization processes.
- Compliance and Regulatory Knowledge: Experience with healthcare billing regulations, coding practices, and payer guidelines.
- Contract Negotiation: Experience in managing third-party payer relationships, negotiating contracts, and reviewing denials.
- Financial Acumen: Strong knowledge of KPIs, financial analysis, budgeting, and reporting.
- Team Leadership & Development: Mentoring and developing high-performing teams with a focus on patient/people-centered culture.
- Technology Integration: Experience with EHR, scheduling systems, and implementing technology for process improvement.
Certification
Certified Outpatient Coder, COC
Timeline
MBA - Finance
Davenport University
2024.05 - 2026.02
Interim Revenue Cycle Manager Access
Mary Free Bed Rehabilitation Hospital
2022.03 - 2022.11
Hospital Billing & Revenue Cycle Manager
Mary Free Bed Rehabilitation Hospital
2021.01 - Current
EPIC Resolute Professional Billing - SBO
2021-01
Certified Outpatient Coder, COC
2019-07
Revenue Cycle Team Lead
Mary Free Bed Rehabilitation Hospital
2019.02 - 2020.12
Revenue Cycle Analyst
Mary Free Bed Rehabilitation Hospital
2018.02 - 2019.02
Patient Account Representative
Mary Free Bed Rehabilitation Hospital
2017.02 - 2018.02
Baker College
2013.05 - 2016.12
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