MELISSA LARSEN

• Oversaw the revenue cycle management team, reducing claim denials by 30% through strategic improvements in billing procedures
• Perform continuous assessments to help identify strengths, weaknesses, opportunities, and threats to revenue cycle functions
• Managed a team of 15 staff members, fostering a culture of continuous improvement and professional development
• Collaborated with the leadership team to oversee and optimize productivity and quality, while also implementing technology to improve efficiency and achieve industry-leading performance
• Directed workflow optimization initiatives, improving patient collection rates by over 30% annually
• Collaborated with Utilization Management to verify correct admission status in accordance with medical necessity criteria

• Managed and optimized the scheduling system to accommodate a 20% increase in monthly patient appointments without increasing wait times
• Facilitated cross-departmental collaborations that reduced data entry errors by 30% and streamlined the billing process
• Analyzed financial reports to identify trends and made recommendations that altered policies, achieving a 15% reduction in operational costs annually
• Create efficient processes and workflows to optimize staff hours while simultaneously driving revenue growth
• Implemented complete departmental restructures for better efficiencies and workflows

• Revenue Cycle Management- Responsible for overseeing the outsourced billing company. Duties include monitoring accounts receivables, denials, credentialing requirements, trending issues, as well as revenue analysis to improve cash flow
• Ensure compliance with all requirements of the government and regulatory entities; to include all Imaging machine certifications compliant with state and federal regulations
• Supervised employees hiring and screening in line with company policy and regulatory compliance requirements
• Support strategic direction for the physician owned group developing and implementing strategies for improved efficiency, effectiveness, and growth

• Manage and maintain daily operations of 35 insurance billers/collectors/customer service representatives
• Provide on-going performance feedback applying corrective actions ensuring goals are achieved
• Ensure staff understanding of company policies and procedures
• Weekly reporting on team effectiveness ensuring quality and production standards are met
• Revenue cycle management- Increased overall Revenue collected by 15-20% on average
• Insurance/patient conflict management
• Problem solves contracting issue/Price negotiations
• Maintain healthcare compliance laws/healthcare regulations
• Management of reimbursement and collections ensuring maximum collection from payers as well as special contracts
• Maintain open and positive communications within company departments as well as clients
• Maintain healthcare provider relationships with referring offices, hospitals, and insurance companies
• Monthly reporting and reconciliation of cash receipts, refunds, charges
• Reduced and maintained overall A/R balance to less than 10% over 120 days