Deadline-driven Revenue Cycle Analyst promoting over 15 years of expertise delivering technical information to audiences in easily-understood terms. Highly communicative individual with superior problem solving and troubleshooting skills. Offering expert knowledge in strategizing new ways of assessing data.
Skills
Revenue cycle solutions
Troubleshooting
Reports for senior management
Account Reconciliation
Risk identification
Verbal and written communication
Financial data analysis
Revenue forecasting
Proficient in Excel, SQL, PowerPoint
Financial recordkeeping
Education
U.S. Army Cyber Center of ExcellenceFort Gordon, GA, Expected in 04/1995 ā āAssociate of Applied Science:Computer And Information Sciences - GPA:
W.W. SamuellDallas, TX, Expected in 06/1988 ā āHigh school diploma:Business Administration - GPA:
Work History
Community Health System - Revenue Cycle Business Analyst Rochester, IN, 10/2018 - 05/2020
Provides actionable insights for project managers, C-Suites, and decision makes to reduce denials, increase cash flow, and streamline revenue cycle operations.
Duties include process implementation for timely and accurate recording of hospital revenue; collaborating with peers and managers throughout the CBO to provide a better understanding on the course of actions needed to resolve reimbursement issues.
Perform root cause analysis when determining areas of opportunity to improve performance excellence.
Provides New line business reports for C-Suites and Project managers that gives a visualization of ongoing trends, predictive analytics, performance metrics, and recommendations on improving process.
Identified and resolved payment issues between patients and providers.
Created well-researched presentations on revenue cycle data to deliver to upper management and executives.
Analyzed financial and statistical data related to revenue cycle, creating in-depth reports to show KPIs.
Prime Healthcare - Revenue Cycle Billing Supervisor City, STATE, 09/2015 - 07/2017
Supervise Accounts Receivable functions ensuring appropriate internal control timeliness, and accuracy for Commercial Payers.
Provide AR analysis of AR aging over 90 day's problem accounts.
Review and evaluate job process and measurements to improve collection performance.
Analyze process and procedures as well as the impact to new or existing policies and procedures.
Actively developed recruiting, training, and retention strategies to keep an engaged and productive work force.
Supervised and directs Sir Pars and PARS providing training and support as needed and ensured the department goals and objectives were met.
Monitored team follow-up activities as needed.
Identified insurance change issues, balance transfers, unpaid, overpaid and under paid claims to ensure all outstanding debts were properly worked and resolved.
Created and distributed the DNFB Report daily to C-Suites and all departments responsible for resolving unbilled accounts.
Downloaded cash batches, posted insurance, credit card, and patient payments.
Strengthened team relationships and effectiveness with hands-on and motivational approach.
Helped employees with day-to-day work and complex problems by applying motivational and analytical strategies.
Established efficient workflow processes, monitored daily productivity and implemented modifications to improve overall effectiveness of personnel and activities.
UT SOUTHWESTERN UNIV HOSPS - Insurance Billing Spec/Quality Assurance Analyst City, STATE, 07/2001 - 07/2014
Maintains general knowledge of all admitting/patient financial processes and data elements.
Performs admitting/patient financial services audits and complete/appropriate data elements on patient accounts to ensure "clean claim".
Identify issues/trends, analyze data, propose solutions, keep statistics and report to management for performance improvement opportunities.
Communicates educational information as needed upon third party payer changes which impact billing and/ or reimbursement.
Participate in educating department staff of billing changes pertinent to the success of the department.
Acts as Xactimed trainer and EPIC Super user.
Met and exceeded financial goals and objectives of the department.
Monitored quality and quantity of work, performed Quality Reviews (QAs) and productivity.
Provided feedback and training to the staff in an effort to continue success by evaluating and documenting employee performance and provided counseling and training as needed, as well as recognizing satisfactory and superior performance.
Utilized system tools and department resources to achieve production and quality targets for resolution of patient accounts.
Responsible for editing and billing all electronic and paper claims for commercial, managed care, Medicare and Medicaid claims.
Maintained electronic billing system, including importing, exporting, and balancing claims from the billing system.
Compiled and produced production and balancing reports for the billing functions according to departmental procedures.
Worked with account specialists and managed care specialists identifying payer contracting reimbursement issues.
Assisted in performing analysis to determine root causes (payer or hospital) for payment variance issues and resolution.
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
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