Billing and Accounts Receivable Analyst Resume Example

Management of revenue stream functions as it relates to all State of Pennsylvania Moss rehabilitation patients. Oversees patient access management, claim submission, and claim adjudication. Direct the decision point planning to increase revenue and streamline denial management functions. Evaluates daily A/R activity to create benchmark standards and develop quality assurance mechanisms to increase revenues.

Accredited Contributions:

• Effectively oversees the revenue cycle linkage with annual revenues of $500,000+
• Created quality assurance monitoring tool to decrease claim submission error rate
• Developed streamline workflow design to insure charity care program access management
• 15% reduction in charity care access management rates
• Developed pilot program to insure COB and OPL claims finalization
• Program decreased A/R management from 75 to 30 day average

Administrate daily emergency room patient access operations. Directed, planned, and implemented staffing, team leadership, and workflow design. Responsible for 24 hour patient access management staffing coverage and determining staffing needs as it related to budget guidelines and unit requirements. Maintained PA State, CMS, and JACHO regulator requirements as it related to patient access management. Developed and maintained policies and procedures for emergency room access management team members. Monitored quality assurance measures to insure front end revenue cycle functions were met. Departmental lesion for Information Technology. Directed department operations in collaboration with senior level management.

Accredited Contributions:

• Turnkey project lead for internally developed patient access management information system
• Change control management for system go-live event
• System implementation decrease patient registration time elements for an average of 23.5 minutes per patient to 16.8 minutes per patient
• Increase patient satisfaction scores by 20%
• Increase nursing staff productivity and patient care satisfaction by 5%
• Onsite educator for all staff members
• Developed staff quality measure to reduce staffing turnover rates
• Maintain productivity trending to improve staffing requirements and maintain budgetary constraints

Served as an advisor to management in A/R collections management and staff training recommendations. Responsible for accounts receivable management of $3.2 million to $5.8 million 180 day+ aged open balance accounts for all Philadelphia and Massachusetts Tenet Healthcare facilities. Team lead for new hire training development measures. Assistant to the legal department as it related to bankruptcy account management.

Accredited Contributions:

• Developed training module for new hire team
• Implement strategic collections monitoring tool for bankruptcy legal team
• increase revenue collections by 2.5%
• Worked on special project teams to reduce A/R management days