LiveCareer-Resume

revenue cycle consultant resume example with 20+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary
Proven hospice revenue cycle professional with demonstrated results in revenue cycle strategy, reorganization,and optimization. Energetic, servant leader with more than 20 years experience dedicated to hospice mission,and driven to develop robust community-facing, consumer-centered revenue cycles with the goal of maximizing reimbursement, minimizing bad debt, and ensuring positive patient financial experiences.
Skills
  • Leadership and Strategy
  • Billing and Cash Flow Optimization
  • Financial Advocacy and Patient Experience
  • Complex claim resolution
  • Revenue Cycle Structural Design
  • Managed Care Contracting
  • Analysis, benchmarking, KPI development
Education and Training
Bachelor of Arts: Medical Anthropology, Expected in 1997
-
UC Santa Barbara - Santa Barbara, CA
GPA:
Status - ​Medical Anthropology Self-designed major concurrent with all Pre-Med requirements. Completed MCAT.
Experience
Revenue Cycle Consultant, 05/2017 - 06/2017
Community Health Network Multiple Counties, IN,
  • Identified key metrics and staffing needs to support current and medium-term department goals.
  • Identified barriers to billing cycle and implemented refined claim follow-up processes.
  • Performed detailed analysis of billing and collection process.
  • Evaluated need for coding staff and coding audit process.
Revenue Cycle Consultant, 01/2017 - 04/2017
Community Health Network Plainfield, IN,
  • Oversaw Revenue Cycle Dept through management change.
  • Established key contacts at State Medicaid agency to resolve multiple denied claims.
  • Reorganized Medicaid denial management system to improve resolution and first time reimbursement.
  • Reduced physician billing a/r by $300k by identifying barrier to timely billing.
Revenue Cycle Consultant, 05/2016 - 2017
Community Health Network Alexandria, IN,
  • Restructured entire Patient Financial Services dept consisting of 11 staff.
  • Successfully acted as Interim Director including staff development, hiring, disciplinary actions.
  • Implemented new Patient Financial Advocate position.
  • Established strategic alliance with company resulting in significant increase in patients with funding.
  • Established Part B (Palliative Care) billing policy and procedures.
  • Renegotiated managed care contracts.
Revenue Cycle Consultant, 01/2016 - 05/2016
Community Health Network Avon, IN,
  • Developed efficient revenue cycle functions after change in management and CBO re-location.
  • Analyzed and collected over $200k in Medicaid accounts receivables.
  • Develop write-off procedure and adjustment process increasing control and transparency.
  • Developed denial management solutions for non-Medicare accounts.
Director, 07/2015 - 2016
Willis Towers Watson Denver, CO,
  • Promoted to oversee $4M in monthly revenue for 10 hospices in three states.
  • Oversaw implementation of hospice payment reform and new methodology.
  • Developed and implemented notice of election and NOTR timely filing adherence best practices.
  • Worked with Organizational Department heads to improve team collaboration, scope, and cohesion.
  • Maximized self-pay collections through "courageous collections" process.
  • Developed complex insurance scenario procedures resulting in improved collections.
  • Maintained less than 1% bad debt write offs on annual basis.
Manager, 02/2012 - 07/2015
Raising Canes Chicken Corona, CA,
  • Developed new hospice billing department after major reorganization.
  • Implemented improved process for R&B billing, claims management, and billing control.
  • Implemented improved web-based billing system to streamline processes and improve cash flow.
  • Initiated Medicaid collection project resulting in high dollar collections.
  • Maintained DSO in 30s.
Hospice Billing Specialist II, 06/2010 - 02/2012
Desert Oasis Healthcare City, STATE,
  • Successfully managed all aspects of hospice billing, payments, and collections.
  • Member of McKesson System Steering Committee.
Hospice Consultant, 2010 - 02/2010
Cardon Healthcare City, STATE,
  • Complex analysis for aging Medicaid accounts to determine collection feasibility.
Accounts Receivables Supervisor, 06/2009 - 11/2010
Odyssey Healthcare City, STATE,
  • Promoted to supervise hospice Medicaid reimbursement department covering 30 states.
Accounts Receivables Trainer, 08/2004 - 06/2009
Odyssey Healthcare City, STATE,
  • Early adopter and super user of McKesson Hospice system.
  • Designed and trained from multiple job aids, manuals, and billing tools.
Admissions/Billing Coordinator, 01/1997 - 08/2004
Odyssey Healthcare Culver City City, STATE,
  • Escalated awareness in hospice benefit through public education campaigns, events, and marketing visits.
  • Met or exceeded referral goals covering large territory in LA County.
  • Managed high volume admissions from referral to admission.
  • Managed upstream revenue cycle during time of fast growth from 19 to 109 patients in 18 months.
  • Part of transition team during Odyssey acquisition.

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

Your data is safe with us

Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.

Resume Overview

School Attended

  • UC Santa Barbara

Job Titles Held:

  • Revenue Cycle Consultant
  • Revenue Cycle Consultant
  • Revenue Cycle Consultant
  • Revenue Cycle Consultant
  • Director
  • Manager
  • Hospice Billing Specialist II
  • Hospice Consultant
  • Accounts Receivables Supervisor
  • Accounts Receivables Trainer
  • Admissions/Billing Coordinator

Degrees

  • Bachelor of Arts

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in:As seen in: