Summary
Overview
Work History
Education
Skills
Timeline
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KIMBERLY HALL

Galena

Summary

Results-driven RCM Manager with extensive experience in revenue cycle management, dedicated to delivering strategic improvements that enhance financial performance. Proven track record in implementing process enhancements and streamlining billing operations, leading to efficient revenue collection and increased patient satisfaction. Expertise in healthcare finance, combined with strong team leadership skills, fosters collaboration and drives exceptional results. Committed to leveraging industry knowledge to optimize operational efficiency and support organizational goals.

Overview

27
27
years of professional experience

Work History

EHR Financial Analyst

The Buckeye Ranch
07.2023 - Current
  • Optimizing financial workflows, reducing processing time and enhancing accuracy. Implemented data-driven strategies, resulting in improved financial performance and significant reduction of accounts receivable.
  • Improved cash flow management with rigorous accounts receivable tracking.
  • Partnering with cross-functional teams to align financial strategies with organizational goals. Facilitated effective communication between finance and other departments.
  • Fostering strong partnerships with clinical teams to align financial strategies with patient care goals.

Client Manager

Advocate RCM
09.2021 - 03.2023
  • Acted as liaison between the Client and Advocate
  • Utilized various resources and software systems to generate reports, conduct data analysis, identify trends and variances, develop recommendations, implement solutions, and communicate all to the Client and internal operations
  • Worked closely with internal departments that can assist in the resolution of solving data variances identified
  • Provided support to internal departments when additional assistance is required to meet Client needs
  • Performed proactive revenue analysis by tracking client’s activity against budgeted productivity, financial goals, and Key Performance Indicators (KPIs)
  • Provides ongoing and timely communication to the Client when a variance has been identified. Ensures the Client has a clear understanding of the variance by reporting on how the variance was identified, the progress of the resolution, and provides documentation support as needed
  • Provides ad hoc reporting and feedback to client as necessary.
  • Travels to the Client site on a scheduled basis and attends industry related conferences and organizational meetings
  • Participates in continuing professional education to be current with industry trends and practices
  • Ensures overall client satisfaction and retention

Medical Billing Specialist - Subcontractor

Advocate RCM/MedComm Billing Consultants, LLC
08.1998 - 12.2022
  • 24 years of experience managing all aspects of the revenue cycle for multiple specialty clients
  • Maximized reimbursements through accurate coding and timely claim submissions. Resolved complex billing issues, ensuring client satisfaction and financial stability.
  • Meticulously reviewed and processed medical claims, maintaining compliance with insurance regulations. Conducted thorough audits to prevent discrepancies.
  • Liaised effectively between healthcare providers and insurance companies to resolve disputes. Fostered strong relationships, enhancing communication and efficiency.
  • Provided support and services as organizations are audited or have backlog of unprocessed medical billings
  • Managed 10-15 employees to support fluctuating demands or special projects
  • Provided recommendations to organization to improve cash flows by redesigning billing processes
  • Trained and assisted in training on new billing software, processes, ethical and compliant billing, and policies and procedures

Practice Management, Consultant

Comprehensive Healthcare Advisors, LLC
06.2007 - 02.2019
  • Vast experience providing medical billing consulting services for private practice/hospital organizations that are seeking assistance due growth, process inefficiencies and organizational dysfunction
  • Optimized revenue cycles through targeted interventions, significantly increasing collections. Implemented performance metrics, driving continuous improvement in practice efficiency.
  • Fostered interdepartmental cooperation, aligning diverse teams towards common goals. Facilitated smooth transitions during organizational changes, maintaining high staff morale and productivity.
  • Anticipated industry trends, positioning practices for future success. Spearheaded long-term strategic planning, ensuring sustainable growth and adaptability in a rapidly evolving healthcare landscape.
  • Streamlined revenue cycles through targeted interventions, boosting collections. Implemented data-driven performance metrics to enhance practice efficiency.

Education

Bachelor's Degree - Marketing

Ohio State University
Columbus, Ohio
06.1988

Skills

  • RCM reporting, research and data analysis
  • Process Improvement
  • Month End Processing and Balancing
  • Development of Policies and Procedures
  • Cash Flow Analysis & Management
  • Team Leadership
  • Advanced Excel skills
  • Excellent attention to detail
  • Flexible team player
  • Interdepartmental coordination

Timeline

EHR Financial Analyst

The Buckeye Ranch
07.2023 - Current

Client Manager

Advocate RCM
09.2021 - 03.2023

Practice Management, Consultant

Comprehensive Healthcare Advisors, LLC
06.2007 - 02.2019

Medical Billing Specialist - Subcontractor

Advocate RCM/MedComm Billing Consultants, LLC
08.1998 - 12.2022

Bachelor's Degree - Marketing

Ohio State University

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KIMBERLY HALL