Rebecca Blumenfeld
Ypsilanti,MI
Summary
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.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Revenue Cycle Manager
Cascade Hemophilia Consortium
12.2020 - Current
- Identified operational process inefficiencies and developed and implemented operational standards, policies, and procedures to resolve unfavorable trends, resulting in an 80% decrease in aged claims and streamlining workflow across departments.
- Initiated and executed arbitration to recover over $2 million in unpaid A/R greater than 365 days.
- Spearheaded the department's implementation of CareTend (EHR) and maintained the database administration.
- Developed training modules and documentation to train staff, encouraging confidence and helping individuals adapt faster to job roles.
- Utilized data analysis tools such as Excel spreadsheets to identify areas requiring improvement and special projects involving cross-functional teams.
- Demonstrated leadership in managing teams of up to 30 employees, utilizing effective problem-solving techniques and interpersonal skills.
- Successfully completed complex projects on time while maintaining high-quality standards, showcasing strong project management abilities.
- Maintained accurate records of financial transactions while adhering to all accounting regulations, reflecting attention to detail.
- Performed internal billing audits to ensure coding compliance, charge capture, and reimbursement consistent with payer regulations and guidelines.
- Completed medical record requests from on-site paper charts for third-party payers, Medicare, and Medicaid.
- Completed credentialing and re-credentialing applications to process files and applications.
Revenue Cycle Management Consultant
Karl Wellness Center & Chiropractic Clinic
07.2021 - 01.2023
- Implemented strategies to improve performance, accuracy, and quality by 50%.
- Identified common RARC/CARC denials, eligibility discrepancies, and billing errors and educated providers on proper billing guidelines.
- Demonstrated expertise in ICD-10 and CPT coding systems and HCPCS Level II codes.
- Adhered to HIPAA regulations when handling confidential patient information.
- Resolved rejected or denied claims by contacting insurance companies, including Medicare, Medicaid, and third-party insurance, to correct errors or obtain additional information.
Clinical Intake Specialist and Billing Support
Prognify Urgent Care
06.2020 - 11.2020
- Demonstrated excellent customer service skills while managing a high call volume for a COVID testing facility with a patient volume of 50-75 per day.
- Scheduled and confirmed patient diagnostic appointments and medical consultations.
- Greeted visitors, ascertained the purpose of the visit, and directed them to the appropriate staff.
- Performed accurate data entry and comprehensive reviews of patient files before completing the intake process to determine eligibility and documentation completeness.
- Collaborated closely with doctors, nurses, and other staff to ensure smooth operations.
- Measured vital signs and documented medical histories.
- Balanced cash box and investigated discrepancies.
Revenue Cycle and Medical Billing Specialist
Karl Wellness Center and Chiropractic Clinic
01.2017 - 04.2020
- Increased revenue collection from third-party payers and Personal Injury cases by 30%.
- Implemented new office policies and programs, including automatic payments and a discount medical plan organization, which resulted in overall office collections increase of 47%.
- Increased per-service payment for x-rays by nearly 20% and established an external partner for out-of-network referrals.
- Effectively reduced monthly credit card processing fees by more than 50% and integrated payment software for automatic posting to patient accounts.
- Resolved rejected or denied claims by contacting insurance companies to correct errors or obtain additional information.
- Completed and verified the accuracy of claims before submission to payers for reimbursement.
Education
MBA - Business Administration
Franklin University
Columbus, OH06-2026
Bachelor of Science - Health Administration
Franklin University
Columbus, OH05-2025
Associate of Science - Health Program Preparation (Pre-Nursing)
Washtenaw Community College
Ann Arbor, MI12-2023
Certificate - Business Enterprise Basics
Washtenaw Community College
Ann Arbor, MI05-2023
Certificate - HR Essentials
Washtenaw Community College
Ann Arbor, MI05-2023
Certificate - Healthcare Foundations
Washtenaw Community College
Ann Arbor, MI05-2023
Associate of Applied Science - Management
Washtenaw Community College
Ann Arbor, MI12-2022
Associate of Applied Science - Business Office Administration
Washtenaw Community College
Ann Arbor, MI12-2022
Certificate - Administrative Assistant
Washtenaw Community College
Ann Arbor, MI12-2020
Skills
- Revenue performance
- Denial resolution
- Account monitoring
- Billing cycle expertise
- Teamwork and collaboration
- Problem-solving
- Time management
- Relationship building and management
Certification
- CPC - Certified Professional Coder
Affiliations
- Healthcare Financial Management Association (HFMA)
- American Association of Professional Coders (AAPC)
Timeline
Revenue Cycle Management Consultant
Karl Wellness Center & Chiropractic Clinic
07.2021 - 01.2023
Revenue Cycle Manager
Cascade Hemophilia Consortium
12.2020 - Current
Clinical Intake Specialist and Billing Support
Prognify Urgent Care
06.2020 - 11.2020
Revenue Cycle and Medical Billing Specialist
Karl Wellness Center and Chiropractic Clinic
01.2017 - 04.2020
MBA - Business Administration
Franklin University
Bachelor of Science - Health Administration
Franklin University
Associate of Science - Health Program Preparation (Pre-Nursing)
Washtenaw Community College
Certificate - Business Enterprise Basics
Washtenaw Community College
Certificate - HR Essentials
Washtenaw Community College
Certificate - Healthcare Foundations
Washtenaw Community College
Associate of Applied Science - Management
Washtenaw Community College
Associate of Applied Science - Business Office Administration
Washtenaw Community College
Certificate - Administrative Assistant
Washtenaw Community College
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