KIRANDEEP Kaur
RTR Financial Services
Atwater,CA
19
years of professional experience
Revenue cycle management professional prepared to leverage robust experience in optimizing financial operations and enhancing revenue streams. Known for strong team collaboration and results-driven approach, ensuring adaptable solutions to evolving challenges. Possesses key skills in healthcare finance, process improvement, and leadership, valued by employers for reliability and flexibility.
Work History
Revenue Cycle Manager
5 Years 11 Months- Led revenue cycle management initiatives to enhance operational efficiency and compliance.
- Monitor KPI's to achieve goals of 29% and below for HB and PB billing
- Monitored key performance indicators, driving accountability through regular reporting and analysis of results.
- Implemented strategic process improvements resulting in reduced claim denials and expedited collections.
- Developed training programs for staff, fostering knowledge in revenue cycle best practices and regulatory changes.
- Analyzed financial data to identify trends, ensuring accurate forecasting and budgeting for revenue streams.
- Collaborated with cross-functional teams to streamline workflows, optimizing performance across the revenue cycle.
- Oversaw vendor relationships, negotiating contracts that supported organizational goals and cost-saving measures.
- Monitored and guided revenue cycle operations.
- Managed cross-functional teams to improve overall revenue cycle operations.
- Established strong relationships with payers, improving communication and resolving disputes more effectively.
- Created financial dashboards to provide insights into key performance indicators. Demonstrated ability to analyze complex data, identify underlying issues, and develop effective, data-driven solutions independently.
- Proven ability to manage multiple priorities simultaneously, organize workflows efficiently, and adapt to changing business needs in fast-paced environments.
- Strong analytical and critical thinking skills with exceptional attention to detail, sound judgment, and a commitment to thorough follow-through; experienced in interpreting complex contracts and payer policies.
Brand Associate
2 Years 6 Months- Enhanced company image by delivering exceptional customer service experiences.
- Executed branding initiatives and maintained product displays in line with corporate standards.
- Promoted positive company image through superior customer service experiences.
- Provided feedback and suggestions to management, contributing to process improvements.
Business Office Supervisor
1 Year 2 Months- Specializing in billing and collections procedures for Family care, Behavioral Health, Pediatric, Optical, Chiropractic,
- Acupuncture, Dental, Laboratory and Radiology for Medicare part A and B, State Medical, Managed Care plans and
- Commercial insurances
- Responsible for management of the day-to-day operations of the Accounts receivables including hiring and supervision of personnel, which included work allocation, training, and problem resolution; evaluated performance and made recommendations for personnel actions, including termination
- Assisted CFO with development and implementation of policies and procedures to ensure efficient and safe operations of the department and to meet established goals and time lines
- Handled complaints and quality requirements relating to billing department function from insurance carriers and other 3rd party payers and decide upon resolution strategies for these complaints
- Ensured that all billing and collection activates met and adhered to Medicare, Medical and other insurance regulations, rules and laws
- Verified and updated health care changes against established rates for diagnosis, treatment and supplies, maintained patient accounts via an automated billing system using standard industry codes to facilitate reimbursement from governmental and commercial insurance, establish prorate responsibility to permit prompt collection of patient share.
Lead Billing Specialist
10 Months- Analyze financial activities and establishments or departments and provide input into budget planning and preparation processes
- Make recommendations to management concerning such issues as staffing decisions or procedural changes
- Resolve customer complaints or answer custom Dr's questions regarding policies and procedures
- Perform bookkeeping duties, such as credits or collections, preparing and sending financial statements or bills, and keeping financial records
- Transmit claims for payment or further investigation
- Transmit claims for payment or further investigation
- Review insurance policy to determine coverage
- Managed credentialing and contract processes for healthcare providers.
- Maintained knowledge of Medicare, medical, and commercial insurance policies.
- Workers comp policies.
- Verified accuracy of accounts payable payments, resulting in 90% reduction in payment errors and check reissues.
Administrative Billing Supervisor
10 Years 4 Months- Enter charges received from Dr's office on a daily basis, complete insurance and other claim forms for Professional, Facility and Hospital charges
- Ensured accuracy in coding to facilitate proper billing and insurance reimbursement.
- Knowledge of correct CPT coding and ICD 10 coding
- Performed clerical and administrative functions, including ordering and maintaining inventory of supplies to ensure operational efficiency
- Perform various clerical and administrative functions, such as ordering and maintaining an inventory of supplies
- Transmit correspondence or medical records by mail, email or fax
- Verified insurance and obtained authorizations for services to facilitate timely patient care
- Managed credentialing processes for healthcare providers to ensure compliance with regulations..
Education
Diploma
Associate
Skills
Claims management
Denial resolution
Revenue performance
Billing cycle expertise
Cash flow management
Revenue forecasting
Charging methodologies
Data analytics
Reimbursement strategies
Healthcare industry
Accomplishments
- Trained and mentored new team members on billing procedures, payer guidelines, and denial management best practices.
- Managed high-volume work queues while consistently meeting or exceeding departmental productivity standards.
- Conducted root-cause analysis of recurring denials, leading to process improvements that increased reimbursement.
- Reduced aging accounts over 90 days by implementing systematic follow-up and escalation procedures.
Timeline
Brand Associate
Old Navy, Gap
10.2020 - 04.2023Read More
Revenue Cycle Manager
RTR Financial Services
09.2020 - CurrentRead More
Business Office Supervisor
Castle Family Health Centers
07.2018 - 09.2019Read More
Lead Billing Specialist
CENTRAL VALLEY PAIN MANAGEMENT
09.2017 - 07.2018Read More
Administrative Billing Supervisor
Advanced Endoscopy Center
03.2007 - 07.2017Read More
Sandwell College
Associate
Read More
Andon College
Diploma
Read More