Rebecca Smith
Kyle,TX
Summary
Results-oriented Revenue Cycle Manager with demonstrated expertise in denial management, insurance claims processing, and medical coding compliance.
Overview
18
18
years of professional experience
Work History
Revenue Cycle Manager
Medical Management Professionals
Austin, Texas
04.2016 - 11.2025
- Managed revenue cycle processes to ensure efficient billing and collections.
- Oversaw denial management strategies, enhancing revenue recovery efforts.
- Trained staff on coding best practices and compliance standards.
- Participated in revenue cycle activities to maximize profitability and increase revenue.
- Implemented policies to streamline workflow processes within the revenue cycle department.
- Generated reports detailing key metrics, including days in accounts receivable and denial rate.
- Collaborated with physicians, clinical staff, payers, and stakeholders to resolve medical billing issues.
Medical Coding and Billing Specialist
South Austin Surgery Center
Austin, Texas
08.2013 - 07.2016
- Reviewed medical records for accurate coding and compliance with regulations.
- Processed insurance claims using industry-standard coding software to enhance efficiency.
- Conducted audits of coded data and medical records to uphold accuracy standards.
- Assigned appropriate codes using ICD-10-CM, CPT, and HCPCS based on payer requirements.
- Researched denied claims to identify errors and implemented necessary corrections.
- Monitored regulatory updates from Medicare, Medicaid, and private insurers to ensure compliance.
- Provided customer service support for billing inquiries via phone and email.
- Maintained detailed accounts receivable aging reports to facilitate timely payments.
Medical Billing Collections Manager
T R Billing
Austin, Texas
07.2007 - 07.2013
- Trained and mentored staff on effective collection strategies and customer communication.
- Analyzed account data to identify trends and implement corrective actions.
- Prepared detailed reports on collection activities for management review.
- Collaborated with other departments to resolve billing discrepancies efficiently.
- Identified potential areas of improvement in collections process and implemented changes accordingly.
- Provided guidance to junior staff members on how to handle difficult customer situations.
- Negotiated payment plans with customers in arrears or at risk of defaulting on payments.
- Responded to customer inquiries about billing issues, account status, and payment options.
Education
Medical Coding
AAPC
Skills
- Revenue cycle management
- Denial management
- Medical coding and billing
- Insurance claims processing
- Data analysis
- Customer relationship management
Timeline
Revenue Cycle Manager
Medical Management Professionals
04.2016 - 11.2025
Medical Coding and Billing Specialist
South Austin Surgery Center
08.2013 - 07.2016
Medical Billing Collections Manager
T R Billing
07.2007 - 07.2013
Medical Coding
AAPC