Meticulous Revenue Cycle Manager with strong background in continuous improvement and revenue performance analysis. Focused and organized with demonstrated success in achieving company goals through increased efficiency initiatives illustrated over 25 years of revenue cycle success.
Overview
10
10
years of professional experience
Work History
Revenue Cycle Manager
City Ventures Health
01.2019 - Current
Identify patient reimbursement issues, ensuring that claims, denials and appeals are efficiently processed and resolved
Evaluate staff performance by KPIs and provide regular feedback
Manage the revenue cycle department in various duties to include account and payer management and communications, collections, cash posting, contract analysis and billing
Reduced accounts receivable days outstanding, optimizing billing and collections efforts.
Managed cross-functional teams to improve overall revenue cycle operations.
Increased cash flow through timely resolution of payer denials and underpayments.
Developed targeted strategies for improving patient registration accuracy and reducing errors.
Established strong relationships with payers, improving communication and resolving disputes more effectively.
Provided staff training on revenue cycle management best practices, increasing productivity across the department.
Coordinated with finance team to produce accurate monthly reports on collection metrics and trends.
Maintained a thorough understanding of regulatory requirements, ensuring compliance throughout all aspects of the revenue cycle.
Supported clinical team members with revenue cycle procedures and addressed issues.
Medical Billing Manager
Midwest Medical Billing Service
01.2014 - 01.2019
Knowledge central billing office Revenue Cycle Manager with 25 years of extensive and physician practices
Improved medical billing processes by streamlining workflows and implementing efficient systems.
Reduced denied claims through diligent review, correction, and resubmission of errors.
Worked with customers to develop payment plans and bring accounts current.
Reviewed billing problems, researched issues, and resolved concerns.
Comprehensive experience in improving productivity, employee moral Ensured that procedures were implemented accordingly
Obtained data to interpret the need for revisions to enhance the revenue and the efficiency of the department
Kept current with carrier rule changes and trends
Provider Credentialing
Prepared and analyzed accounts receivable reports for month end financials.
Education
Medical Terminology And ICD/CPT Coding
Metropolitan Community College
Omaha, NE
05.2005
Skills
Revenue Performance
Claims Management
Staff Training
Critical Thinking
Software Proficiency
Performance Metrics
Process Improvement
Prioritizing and Planning
Account Monitoring
Adaptability
Personal Information
Title: Revenue Cycle Manager
References
Available upon request
Timeline
Revenue Cycle Manager
City Ventures Health
01.2019 - Current
Medical Billing Manager
Midwest Medical Billing Service
01.2014 - 01.2019
Medical Terminology And ICD/CPT Coding
Metropolitan Community College
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