Epic Operating System
Vanessa Simmons
Montgomery,IL
Summary
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. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
18
18
years of professional experience
Work History
Revenue Cycle Manager
Optum360 ( Duly Health And Care)
Downers Grove, IL
03.2020 - Current
- Monitored and guided revenue cycle operations.
- Implemented process improvements.
- Analyzed complex data sets to derive actionable insights for improving internal processes related to revenue cycle management.
- Improved revenue cycle efficiency by streamlining processes and implementing best practices.
- Conducted regular audits to identify areas for improvement in the revenue cycle process.
- Increased cash flow through timely resolution of payer denials and underpayments.
- Established strong relationships with payers, improving communication and resolving disputes more effectively.
- Supported clinical team members with revenue cycle procedures and addressed issues.
- Complied with established internal controls and policies.
- Provided staff training on revenue cycle management best practices, increasing productivity across the department.
- Completed financial reporting and analysis for billing revenue cycle.
- Create daily, weekly, and monthly reports for production and outstanding AR.
- Conducted complex issue resolution, ensuring a high-level customer service.
- Reduced accounts receivable days outstanding, optimizing billing and collections efforts.
- Collaborated with clinical departments to optimize charge capture, documentation, and billing processes.
Revenue Cycle Supervisor
Duly Health And Care
Downers Grove, IL
08.2018 - 03.2020
- Optimized payment posting processes to improve cash flow and minimize delays in revenue recognition.
- Reviewed contracts with third-party payers to ensure optimal reimbursement rates were negotiated effectively.
- Established strong relationships with insurance carriers, improving communication channels for efficient claim processing and dispute resolution.
- Reduced accounts receivable days outstanding by streamlining collection efforts and collaborating closely with customers for prompt payments.
- Monitored department KPIs and employee performance and adjusted plans to meet daily and monthly goals.
- Improved overall cash flow by identifying underperforming areas within the billing process, addressing issues proactively.
- Conducted audits of registrations, insurance verifications, and insurance denials.
- Conducted regular staff meetings to review performance metrics, address challenges, and foster an environment of continuous improvement within the team.
- Served as a subject matter expert on reimbursement regulations, maintaining up-to-date knowledge of industry best practices and compliance requirements.
- Trained, evaluated, and challenged team of 18+ personnel.
- Performed root cause analysis to identify issues affecting revenue cycle performance, implementing corrective actions to drive improvement.
- Managed accounts receivable aging, ensuring timely follow-up on outstanding balances and prompt resolution of discrepancies.
- Provided exceptional customer service by addressing billing questions and concerns in a timely, professional manner.
- Coached and mentored team members for professional growth, resulting in enhanced job performance and higher employee satisfaction.
- Strengthened team relationships and effectiveness with hands-on and motivational approach.
- Implemented robust denial management strategies that significantly reduced lost revenue due to denied claims or appeals processes failures.
- Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
- Completed bi-weekly payroll for 18+ employees.
- Completed monthly training for 18+ employees for claim denials and best practices .
Revenue Cycle Supervisor
ATI Physcial Therapy
Bolingbrook, IL
04.2010 - 01.2018
- Optimized payment posting processes to improve cash flow and minimize delays in revenue recognition.
- Reviewed contracts with third-party payers to ensure optimal reimbursement rates were negotiated effectively.
- Established strong relationships with insurance carriers, improving communication channels for efficient claim processing and dispute resolution.
- Reduced accounts receivable days outstanding by streamlining collection efforts and collaborating closely with customers for prompt payments.
- Monitored department KPIs and employee performance and adjusted plans to meet daily and monthly goals.
- Improved overall cash flow by identifying underperforming areas within the billing process, addressing issues proactively.
- Conducted audits of registrations, insurance verifications, and insurance denials.
- Conducted regular staff meetings to review performance metrics, address challenges, and foster an environment of continuous improvement within the team.
- Maintained strict adherence to regulatory guidelines through diligent monitoring of policy changes impacting the revenue cycle.
- Analyzed financial data for trends and opportunities, providing valuable insights for management decision making.
- Trained, evaluated, and challenged team of 15+ personnel.
- Performed root cause analysis to identify issues affecting revenue cycle performance, implementing corrective actions to drive improvement.
- Managed accounts receivable aging, ensuring timely follow-up on outstanding balances and prompt resolution of discrepancies.
- Provided exceptional customer service by addressing billing questions and concerns in a timely, professional manner.
- Coached and mentored team members for professional growth, resulting in enhanced job performance and higher employee satisfaction.
- Strengthened team relationships and effectiveness with hands-on and motivational approach.
- Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
Medical Office Manager
Bester Foot And Ankle Care
Aurora, IL
01.2006 - 04.2010
- Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
- Managed daily administrative tasks to ensure smooth operations within the medical office environment.
- Maintained strict confidentiality of sensitive patient information, adhering to HIPAA guidelines and safeguarding against potential data breaches.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
- Assisted physicians with clinical documentation to ensure complete and accurate records for each patient visit.
- Addressed and remedied all patient or team member issues.
- Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
- Enhanced patient care by establishing strong relationships with medical professionals, including physicians, nurses, and technicians.
- Increased revenue by optimizing billing processes and ensuring timely collection of payments from both patients and insurance companies.
- Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.
- Assisted with regulatory issues such as compliance.
- Implemented new processes for managing patient flow, minimizing wait times while maintaining high-quality care standards throughout the practice.
- Oversaw appointment scheduling and itinerary coordination for both clients and personnel.
- Negotiated and executed contracts on behalf of department.
Education
High School Diploma -
United Township
Moline, IL06.1986
Skills
- Team Leadership
- Time Management
- Verbal and written communication
- Complex Problem-Solving
- Staff Training and Development
- Staff Management
- Strategic Planning
- Cross-Functional Teamwork
- Staff Development
- Key Performance Indicators
- Teamwork and Collaboration
- Customer Service
- Work Planning and Prioritization
- Hiring and Training
- Managing Operations and Efficiency
- Task Delegation
- Training and Development
- Employee Coaching and Mentoring
- Onboarding and Orientation
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeLocation Preference
RemoteImportant To Me
Company CultureWork-life balanceWork from home option401k matchCareer advancementHealthcare benefitsPaid sick leaveFlexible work hoursSoftware
Microsoft Word
Presentations
Spreadsheets
Teams
Communication and collaboration
Timeline
Revenue Cycle Manager
Optum360 ( Duly Health And Care)
03.2020 - Current
Revenue Cycle Supervisor
Duly Health And Care
08.2018 - 03.2020
Revenue Cycle Supervisor
ATI Physcial Therapy
04.2010 - 01.2018
Medical Office Manager
Bester Foot And Ankle Care
01.2006 - 04.2010
High School Diploma -
United Township