Victoria Bailey

Revenue Cycle Analyst

IU Health Hospitals

Indianapolis, IN

09.2020 - 01.2024

Inpatient or Outpatient services for billing
Maintain professionalism while providing great customer service
Insurance verification process for patients
Billing and Coding Review: Ensure accurate coding and billing practices in accordance with healthcare regulations and standards
Claim Management: Monitor and manage claims, including identifying and resolving claim denials and discrepancies
Payment Processing: Oversee the processing of payments, including insurance payments and patient payments
Revenue Analysis: Analyze revenue data to identify trends, discrepancies, and areas for improvement
Insurance Verification: Verify patients' insurance coverage and eligibility for services
Patient Billing: Generate and send patient bills, answer billing inquiries, and set up payment plans as needed
Compliance: Ensure compliance with healthcare regulations, such as HIPAA and CMS guidelines
Reporting: Generate and analyze financial reports related to revenue cycle performance
Data Entry and Documentation: Accurately enter and maintain patient and financial data in electronic health record (EHR) systems
Process Improvement: Identify and implement process improvements to enhance the efficiency and effectiveness of revenue cycle operations
Training and Education: Provide training and education to staff members on revenue cycle best practices and compliance
Denial Management: Investigate and resolve claim denials and work with payors to appeal denials when necessary
Patient Communication: Communicate with patients regarding billing inquiries, payment options, and financial assistance programs
Reconciliation: Reconcile financial records and accounts to ensure accuracy
Audit Support: Assist with internal and external audits related to revenue cycle processes
Technology Utilization: Utilize healthcare revenue cycle management software and tools effectively
Financial Counseling: Provide financial counseling to patients, explaining their financial responsibilities and assisting with financial assistance applications
Budgeting and Forecasting: Assist in budgeting and financial forecasting for revenue cycle operations
Maintain a high level of customer service when dealing with patients and external stakeholders
Continuous Learning: Stay updated on changes in healthcare regulations, billing codes, and industry best practices.