Patricia Darnell
Pacifica
Summary
Efficient Revenue Cycle Manager adept at implementing procedural improvements and executing revenue metrics analysis to dive corporate financial objectives. Eager to apply 28 years of account management to increase revenue and add value to the RadPartners team.
Overview
22
22
years of professional experience
Work History
Revenue Cycle Manager-Professional Billing
El Camino Health Medical Network
Mountain View, HI
11.2020 - 01.2023
- Collaborated with physicians, clinical staff, payers and other stakeholders to resolve issues related to medical billing.
- Ensured adherence to HIPAA guidelines when handling protected health information.
- Oversaw training of staff on changes in insurance regulations and coding updates impacting reimbursement rates.
- Monitored daily cash flow activity, ensuring timely filing of claims and proper reimbursement for services rendered.
- Monitored revenue and compared to targets to address variances and resolved actual-to-budget variances.
- Performed data analysis to identify trends in denials or rejections from payers and develop strategies for resolution.
- Participated in revenue cycle processes, working to maximize profitability and increase revenue.
- Developed strategies to reduce denials, improve accounts receivable, and enhance revenue cycle performance.
- Implemented new policies and procedures for streamlining workflow processes within the revenue cycle department.
- Maintained regular performance appraisals for subordinates through verbal, written and on-going review programs.
- Generated reports detailing key metrics such as days in accounts receivable, denial rate.
- Managed collection efforts by providing guidance on follow-up procedures for unpaid invoices.
Revenue Cycle Manager
Stanford Health Care
Palo Alto, CA
02.2001 - 11.2020
- Developed processes and procedures for improving operational efficiency in order to increase profits.
- Participated in revenue cycle processes, working to maximize profitability and increase revenue.
- Monitored revenue and compared to targets to address variances and resolved actual-to-budget variances.
- Investigated any discrepancies that arise during the billing process and resolved them promptly.
- Managed collection efforts by providing guidance on follow-up procedures for unpaid invoices.
- Ensured adherence to HIPAA guidelines when handling protected health information.
- Evaluated revenue cycle processes and established actionable methods to increase productivity and efficiency.
- Analyzed financial reports on a regular basis to identify areas of improvement in the revenue cycle process.
- Implemented new policies and procedures for streamlining workflow processes within the revenue cycle department.
- Provided revenue cycle process support to all clinical personnel, including resolving procedure challenges.
- Oversaw training of staff on changes in insurance regulations and coding updates impacting reimbursement rates.
Education
High School Diploma -
Saint Paul Highschool
06-1981
Skills
- Procedure Optimization
- Revenue Metrics Analysis
- Billing Cycle Performance
- Staff Recruitment and Hiring
- Relationship Building
- Quality Assurance
- Prioritizing and Planning
- Goal Setting
- Critical Thinking
- Decision-Making
- Staff Training
- Attention to Detail
- Relationship Building and Management
References
References available upon request.
Timeline
Revenue Cycle Manager-Professional Billing
El Camino Health Medical Network
11.2020 - 01.2023
Revenue Cycle Manager
Stanford Health Care
02.2001 - 11.2020
High School Diploma -
Saint Paul Highschool
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