rcm accounts specialist supervisor resume example with 20+ years of experience
JessicaClaire
, , 609 Johnson Ave., 49204, Tulsa, OK100 Montgomery St. 10th Floor
Home: (555) 432-1000
Cell:
resumesample@example.com
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Summary
My vast experience in the all phases of the RCM and Customer Service process in many specialties, provide the background necessary to be successful in many arenas. I have also owned and successfully operated a medical billing company for over fifteen years.
My extensive experience and leadership skills in my roles as a Customer Service Supervisor, at Abbott Laboratories, Kadiant LLC, Blue Shield of California, and National Medical Enterprises, has proven to be an excellent contribution to a well rounded career.
Skills
Ability to analyze large amounts of data and draw conclusions
Strong attention to detail and understanding of industry best practices related to RCM
Capable of developing and maintaining productive working relationships
Ability to identify and correct revenue leakage opportunities
Means to prioritize and adapt to a fast paced environment and changing of priorities based on organizational growth/need
Able to make decisions and demonstrate business judgment as necessary to leadership team
Manage teams nationally and oversees.
Ability to implement policies vital to maintain a positive A/R, such as a self pay delinquency processes, agency use and contract terms.
Encourages professional development of the team, and helps them achieve their goals through coaching and timely, actionable feedback.
Lead the in house RCM and Provider Enrollment teams as well as our outsourced revenue cycle vendor.
Identify and solve billing and collection issues in a timely manner
Experience
RCM Accounts Specialist Supervisor, 10/2021 to Current Barrow Neurosurgical Associates – Scottsdale, AZ,
Supervising the revenue cycle department in various duties, such as account management, communications with insurance providers, collections, cash posting, contract analysis, and billing.
Managing staff performance by providing regular feedback, performance reviews, and one-on-one meetings.
Ensure production and quality metrics are being met across the team and work with staff on improvement plans.
Develop and implement recommendations and provide feedback on project results and team performance to management.
Coordination of revenue cycle support and analytics day to day operations of RCM customer service team
Prepared scripts for the company Customer Accounts Specialist service team.
Report on denial trends and identify areas of opportunity for prevention and overall claim denial reduction.
Account review for financial hardship applications.
Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
Organized information for past-due accounts and transferred to collection agency.
Handled billing, waivers and claims for private and commercial clients.
Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
Consulted with managers to resolve problems relating to employee performance, office equipment and work schedules.
Issued work schedules, duty assignments and deadlines for office or administrative staff.
Recruited, interviewed and selected employees to fill vacant roles.
Coordinated with other supervisors, combining group efforts to achieve goals.
Accounts Receivable/Medical Billing Supervisor, 10/2018 to 09/2021 Kadiant LLC – City, STATE,
Supervision of RCM staff, conducted staff performance evaluations to monitor progress and individual skills.
Special projects management
Bank reconciliation for month ends close
Implemented staff policy and procedure
Developed administrative staff skills by providing information, training and coaching.
Executed or delegated tasks to team members to fulfill project requirements.
Analyzed operating practices to creates and revise systems and procedures.
Streamlined operations to achieve new efficiencies, improve on-time collections and reduce invoice processing time.
Researched and prepared reports required by management or governmental agencies.
Guided employees in handling difficult or complex problems.
Resolved customer complaints or answered customers' questions.
Business Owner/Medical Billing, 02/2001 to 10/2018 K&K Medical Billing Solutions – City, STATE,
All phases of the RCM process. Hired and trained staff.
Assisted providers with payor contracting
Ensured correct coding and billing medical claims for various specialties
Determined prior authorizations for medication and outpatient procedures
Supervised to ensure accurately posted and processing of all medical claims
Supervised posting and adjustments of payments from insurance companies
Reviewed monthly patient aging report and solicited overdue payments/Collections
Reviewed discrepancies for compliance and reimbursement accuracy
Supervised billing of electronic/paper claims documentation for timely filing
Researched questions and concerns from providers and provided detailed responses
Evaluated patient's financial status and established appropriate payment plans
Revenue Cycle Manager, 09/1994 to 03/2001 Healthlink, Inc. – City, STATE,
Oversaw complete lifecycle of revenue operations.
Analyzed and reported on billing cycle data to inform management.
Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
Checked payroll, vendor payments and other accounting disbursements for accuracy and compliance.
Recommended new financial and accounting software packages. replacing various non-integrated offerings.
Created and updated financial reports on frequent basis to present information to leadership teams.
Coordinated preparation of external audit materials and external financial reporting.
Maintained regular performance appraisals for subordinates through verbal, written and on-going review programs.
Managed relationships with tax authorities, bankers and auditors.
Education and Training
High school diploma or GED: , Expected in to Some college - , GPA:
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