Results-driven Revenue Cycle Manager with 14 years of financial reporting expertise and a proven track record in budget monitoring. Skilled in all aspects of billing cycle operations and revenue performance analysis. Strong background in continuous improvement to drive efficiency and maximize profitability. Recognized for focus, organization, and ability to achieve company goals through implementation of increased efficiency initiatives.
Overview
12
12
years of professional experience
Work History
Revenue Cycle Manager
REFRESH MENTAL HEALTH / OPTUM
10.2021 - Current
Provide billing leadership for the company that provides comprehensive quality mental healthcare
Oversee a high-performing team to provide effective client account management and billing cycle management for three practices, 75 providers, and 5.6K patient claims monthly
Lead process improvement efforts, including improving A/R process that lowered receivables turnover ratio to 5% and implemented denial management reduction
Manage timely month-end close for three practices and assist with four centers; maintain appropriate days in A/R and problem solving cases that are 90+ days old
Conduct thorough data analysis and deliver weekly reports, KPIs, and status updates to executives; accountable for policy and process design, development, and execution planning
Serve as Valant Specialist and Trainer for onboarding centers; successfully onboarded five centers and completed revenue cycling training for 15+ team members
Work with Revenue Cycle Business Analytics team to improve Tableau usage; analyzed reports from Valant to Tableau and developed strategic scorecards and data visualizations
Perform Due Diligence on new integrations the pipeline.
Monitored and guided revenue cycle operations.
Implemented process improvements, ensuring accurate charge capture and coding compliance.
Provided staff training on revenue cycle management best practices, increasing productivity across the department.
Streamlined workflows to minimize claim rejections and maximize reimbursement rates from insurance providers.
Maintained a thorough understanding of regulatory requirements, ensuring compliance throughout all aspects of the revenue cycle.
Coordinated with finance team to produce accurate monthly reports on collection metrics and trends.
Increased cash flow through timely resolution of payer denials and underpayments.
Monitored industry trends to anticipate changes that may impact the organization''s revenue cycle performance.
Office Manager
COLUMBIA COUNSELING CENTER / REFRESH MENTAL HEALTH
09.2020 - 10.2021
Ensured office operations and workflow were in alignment with the local center's mission and goals
Managed front office staff and led daily operations to ensure effective care for 1.4K patients monthly, including staff schedules, cross-training, new hire reviews, and annual reviews
Reviewed daily balancing completed by front desk, oversaw inventory, ordered supplies, and processed payroll for 30+ W2 employees and 1099 contractors using ADP payroll
Recognized, responded, and corrected all office or customer service issues; assisted in investigations and reporting of patient disputes or complaints
Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
Donor Relations Coordinator
ANNE ARUNDEL MEDICAL CENTER
11.2019 - 09.2020
Company Overview: reputable healthcare facility
Advanced philanthropy and donor relationships for the reputable healthcare facility
Supported six executives and giving officers with various tasks, including strategic planning, data analysis and reporting; department received $10M+ from donors in 2020 alone
Coordinated and tracked meetings about major donors, corporate partners, community groups and foundations; utilized multiple donor research platforms to ensure accuracy
Aided the foundation team in the execution of cultivation and stewardship events to engage donors; helped raise $1M+ for a COVID-19 community response fund
Reputable healthcare facility
Managed key relationships with donors through regular updates, reports, and timely acknowledgments.
Collaborated with fundraising teams to develop targeted campaigns and solicitations, increasing overall donations.
Senior Administrative Assistant
ANNE ARUNDEL MEDICAL CENTER
07.2018 - 11.2019
Provided support to six executives and surgeons at the Rebecca Fortney Breast Center
Managed and prioritized multiple calendars to coordinate meetings, conferences, patient appointments, surgeries and domestic/international travel for the Medical Director
Liaised between surgeons and other medical center personnel to organize fundraisers and schedule vendor meetings; coordinated and lead six employee wellness seminars in one year
Kept files and records in content management systems such as MS SharePoint, EXCEL and others.
Served as a reliable point of contact for both internal and external stakeholders, demonstrating strong problem-solving skills to address any issues that arose.
Supported program operations by preparing and updating documents, reports and spreadsheets.
Arranged business travel details for company employees per supervisor requirements.
Assistant Office Manager/Billing Specialist
CAPITAL WOMEN'S CARE
09.2016 - 07.2018
Company Overview: reputable OB/GYN office
Employed as a Patient Care Coordinator before three promotions for the reputable OB/GYN office
Collaborated with leadership to smoothly merge Contemporary OB/GYN Associates and Capital Women's Care in Oct 2017; served as lead medical biller in addition to previous duties
Spearheaded staff development programs, coordinated events, negotiated vendor contracts and scheduled OB patients; hired, trained and evaluated 13+ new staff members
Reputable OB/GYN office
Office Manager
WOMEN'S WELLNESS MD
02.2016 - 09.2016
Delivered strategy, support and day-to-day operations of the busy GYN healthcare clinic
Trained and oversaw the front desk, including three staff members and maintained calendars
Increased rate of referrals by creating a patient-centered environment; boosted patient satisfaction by coaching staff on superior service and time management
Medical Billing & Collection Specialist
ACCOUNTS RECEIVABLE CLEARING HOUSE
08.2012 - 02.2016
Coordinated medical billing efforts for multiple health insurance organizations simultaneously
Analyzed 150 claims monthly, verified services and processed 80 reimbursements monthly; recognized for superior customer service reflecting senior promotion in under six months
Co-developed training tools to support implementation of new account management software
Education
Bachelor of Science - Sociology
Frostburg State University
Frostburg
05-2011
Skills
Revenue performance
Denial Resolution
Healthcare Industry Knowledge
Billing cycle expertise
Account Monitoring
Cash Flow Management
Data Analytics
Claims Management
Account resolutions
Medical Billing
Revenue Enhancements
Procedure optimization
Budgetary analysis
Billing cycle performance
Revenue optimization
Teamwork and Collaboration
Customer Service
Team Leadership
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Revenue Cycle Manager
REFRESH MENTAL HEALTH / OPTUM
10.2021 - Current
Office Manager
COLUMBIA COUNSELING CENTER / REFRESH MENTAL HEALTH
09.2020 - 10.2021
Donor Relations Coordinator
ANNE ARUNDEL MEDICAL CENTER
11.2019 - 09.2020
Senior Administrative Assistant
ANNE ARUNDEL MEDICAL CENTER
07.2018 - 11.2019
Assistant Office Manager/Billing Specialist
CAPITAL WOMEN'S CARE
09.2016 - 07.2018
Office Manager
WOMEN'S WELLNESS MD
02.2016 - 09.2016
Medical Billing & Collection Specialist
ACCOUNTS RECEIVABLE CLEARING HOUSE
08.2012 - 02.2016
Bachelor of Science - Sociology
Frostburg State University
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