mgr rcs pt access offsite relations resume example with 18+ years of experience
JessicaClaire
Montgomery Street, San Francisco, CA94105(555) 432-1000, resumesample@example.com
Summary
Diligent Revenue Cycle Manager eager to utilize 23 years of financial analysis and budget monitoring to bring immediate value to a Director role. Highly skilled in managing billing cycle performance and executing financial reporting to inform stakeholders. Eager to offer a passion for process improvement and an unfailing work ethic to a new organization.
Strategic thinker with Revenue Cycle proficiency. Offers proven ability to build effective teams. Committed to identifying and leveraging opportunities for growth.
Skills
Revenue metrics analysis
Budget monitoring
Procedure optimization
Leadership
Microsoft Office skills
Epic Software
Medforce Imaging Software
DMExpert Billing Software
Pacware Billing Software
NextGen Billing Software
Zirmed RCM Portal
OP Behavioral Health,
MH/SA Medical Policies
Administrative Duties, Teambuilding, Storms
Bi, Microsoft Office
Business planning, Office
Change management, Organizational
CMS, Patient care
Staff Development & Training, Processes
Financial, Project Management
Government, Reporting
Imaging, Scheduling
Insurance, Staffing
Experience
03/2013 to CurrentMgr RCS Pt. Access/Offsite RelationsCargomatic | Phoenix, AZ,
Manage the daily operations of team consisting of 22 Patient Access Specialists and 1 Supervisor at a 24/7 facility.
Manage daily activities of OP Physical Therapy Office.
Onsite liaison for two Financial Counselors.
Onsite liaison for Bolder contract employees.
Interim Manager of Cardiac Rehab department consisting of 2 RN's and 1 exercise physiologist for 19 months.
Led employee performance reviews and discussed improvement strategies with each team member.
Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
Collaborated with staff to maximize customer satisfaction, streamline procedures and improve bottom-line profitability.
Collaborated with others to discuss new patient flow opportunities.
Interview, hire, counsel, conduct performance evaluations and discipline assigned staff.
Ensure performance standards are achieved by reinforcing departmental and organizational goals.
Established, enforced and updated policies keeping business agile and responsive to changing market conditions.
Investigate and report issues relating to patient care or conditions that might hinder patient well-being.
Consistently met financial targets with close monitoring of expenses, labor hours and supply use.
Helped drive an upfront cash collections increase of 179% from 2015 to 2019.
Maintain responsibility and reconciliation for facility petty cash.
Preparation of facility daily cash receipts for deposit.
Daily Cash Management entry and reconciliation.
Ordering and reconciliation of department supplies.
Developed and maintain monthly team member report card.
Developed new hire orientation training manual.
Maintain staffing schedule to include 24/7 coverage of all registration areas.
Understand government regulatory directives and maintain compliance with all regulatory guidelines.
Press Ganey Tier 1 Team Engagement Scores rating above national average for 4 years running.
Decreased average patient wait time from 10 minutes to 4.3 minutes.
Productivity consistently above 100%.
Average department overtime consistently averages .4%.
Diversity and Inclusion Facilitator for organization.
Denials Management Taskforce Initiatives Lead.
Brunswick Specific Acute Administrative Duties.
Manager on Call for facility - rotating every six to eight weeks.
Command Center lead/participant during storms or surveys.
Daily and weekly leader rounding on patients.
Person and Family Advisory Oversite Committee Chair - hold monthly meetings and recruit advisors for facility improvement projects.
Brunswick County Chamber of Commerce Women in Business Committee member.
Bi-monthly Compliance Committee meetings.
Brunswick Regulatory Oversite Committee (BROC).
Backup manager to other departments during management PTO.
Participated in the ATMC TV show Health Watch.
Community Events participation at a minimum of seven events each year.
Responsible for managing, directing and monitoring coding, billing and reimbursement activities on all services including securing, maintaining and distributing the most current coding and payer information and implementing changes in a manner that supports timely and accurate filing and reimbursement.
Hire, train and conduct performance evaluations on Billing Staff of 17 employees.
Recommend merit increases, promotions, and disciplinary actions.
Maintain an in depth working knowledge of Practice Management system and Billing Staff processes.
Work closely with Application Analyst on optimization of the Practice Management system for billing efficacy, communication and reporting.
Stay current with changes in reimbursement regulations.
Collaborated with management on company impact and changes needed in Operations.
Lead in Payer Contracting process, which included.
Reviewing contracts with impacted department heads.
Coordinated appropriate marketing activities to gain the most advantageous rates.
Ensure departments took necessary actions to meet new payer rules.
Conducted yearly business planning presented to Leadership with respect to Billing.
Developed new billing policies, procedures, and fee slips.
Provided ongoing training to clinicians and billing department staff.
Reviewed reimbursement from third-party payers to ensure payment through proper use of codes.
Oversaw the resolution of patient charge problems.
Gathered and considered patient reimbursement data, analyzed results, and prepared reports.
Communicate seamlessly with Clinical Department to ensure proper support to clinicians with pertinence to timely billing, response to denials and authorization needs and productivity needs.
08/2002 to 02/2012Office ManagerReimbursement Services Inc | City, STATE,
Manage the smooth and efficient day to day operational aspects of the office, including operational procedures, personnel scheduling and coordination of activities within all departments.
Interviewed, on-boarded,developed and oversaw daily activities of 25 clerical and administrative office personnel
Conducted annual performance evaluations of office staff to monitor progress and productivity and recommend promotions, corrective or disciplinary actions.
Train new employees on multiple medical billing programs and data entry software.
Educate staff on CMS DME Medical policies and Commercial Insurance policy changes.
Arrange and facilitate new client setup, training and on-site visits.
Inform clients of upcoming Medicare, Medicaid and Commercial Insurance policy changes.
Systematically increased office organization by developing a more efficient filing/documenting system and customer database protocols.
Organize and facilitate weekly staff meetings.
Support President and Vice President of company on new business decisions, billing software enhancements and staffing decisions.
Evaluated and identified ineffective workflow processes, implements solutions to improve productivity and personnel performance.
Improved operational efficiencies, managing work requests, new orders, pricing and changes while coordinating logistics to verify delivery dates.
Education and Training
Expected in 11/2020 to to MBA | Organizational LeadershipSouthern New Hampshire University, Hooksett, NHGPA:
Expected in 01/2018 to to Bachelor of Science | Health AdministrationSouthern New Hampshire University, Hooksett, NHGPA:
Expected in 08/2015 to to Associate of Science | Business Administration And ManagementJones College - Jacksonville, Jacksonville, FLGPA:
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