Critical thinking professional with talents in validating workflows, maintaining a knowledge of policy changes to insurance plans and sharing best practices with management. A reliable Revenue Cycle Analyst known for successfully handling various tasks in deadline-driven environments.
Overview
8
8
years of professional experience
Work History
Revenue Cycle Analyst
Bright Spring Health Inc.
01.2021 - 06.2023
Analyzed financial and statistical data related to revenue cycle, creating in-depth reports to show KPIs.
Communicated revenue cycle information to non-technical audiences in easily-understood terms.
Tracked and reported variances between revenue plans and actuals.
Collaborated with other business analysts to streamline tasks and duties in effort to improve overall efficiency.
Created well-researched presentations on revenue cycle data to deliver to upper management and executives.
Used MS Office and MS Excel to identify financial trends.
Generated receivables reports and offered improvement recommendations.
Data Entry on over 200 accounts daily.
Properly utilized medical coding procedures in prevention of duplicate billing and claim denials.
Successfully followed policies and regulations of HIPAA.
Improved collection rate by 75% by creating automated communication cycles for late payments.
Payroll /Billing Specialist
Gloria Home Care Agency and Support Staffing, Inc.
06.2019 - 07.2020
Researched and resolved billing discrepancies to enable accurate billing.
Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
Provided excellent customer service, developing and maintaining client relationships.
Monitored customer accounts to identify and rectify billing issues.
Processed and verified invoices to secure accuracy of billing information.
Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Worked with multiple departments to check proper billing information.
Prepared and submitted monthly billing reports to management for financial overview.
Used data entry skills to accurately document and input statements.
Audited and corrected billing and posting documents for accuracy.
Successfully and carefully followed rules and regulations of HIPAA.
Revenue Cycle Specialist–Team Lead
American HomePatient Lincare
04.2015 - 12.2018
Responsible for leading a team of 17 Revenue Cycle Analyst.
Identified and resolved payment issues between patients and providers.
Reached out to insurance companies to verify coverage.
Contacted responsible parties for past due debts.
Balanced and reconciled accounts.
Generated receivables reports and offered improvement recommendations.
Created financial strategies to optimize portfolio performance and reduce risk.
Created and maintained precise and accurate models, charts and reports.
Generated comprehensive reports on portfolio performance and risk assessment.
Insurance eligibility and verification.
Experienced in PARs and Recertification.
Very knowledgeable with multiple insurance carriers stipulations and policies, including Medicaid, Medicare, and Commercial Insurance Carriers, including CareCentrix and Workers Comp.
Responsible for reassuring staff adheres to HIPAA policies and regulations at all times.
Professionally resolved customer complaints expeditiously and effectively.
Completed detailed Medical and Billing documentations on approximately 90-200 accounts daily.
Updated patient insurance information as required.
Discussed and submitted financial hardship applications for qualifying patients.
Trained new hires to ensure and promote high standards of customer service and billing techniques.
Education
Certified Medical Assistant -
North Technical Educational Center
High School -
Suncoast Community High School
AA Degree - Health Information Technology
University of Phoenix-Online Campus
Phoenix, AZ
07.2014
Skills
Verbal and Written Communication
Revenue Cycle Analysis and Solutions
Account and Revenue Tracking
Account Reconciliation
Insurance Verification
Insurance Billing
ICD-10 /HCBCS/CPT Coding
Account Planning and Management
Written and Interpersonal Communication
Proficient in Microsoft Word, Excel, PowerPoint, Nuance, OutLook
Personal Information
Willing To Relocate: Anywhere
Timeline
Revenue Cycle Analyst
Bright Spring Health Inc.
01.2021 - 06.2023
Payroll /Billing Specialist
Gloria Home Care Agency and Support Staffing, Inc.
06.2019 - 07.2020
Revenue Cycle Specialist–Team Lead
American HomePatient Lincare
04.2015 - 12.2018
Certified Medical Assistant -
North Technical Educational Center
High School -
Suncoast Community High School
AA Degree - Health Information Technology
University of Phoenix-Online Campus
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