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Revenue Cycle Manager resume example with 9+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Summary

Accomplished Revenue Cycle Manager pursuing an opportunity to apply strong knowledge of accounts payable and receivable in a clinical environment. Diligent and structured with a proven history of implementing improvements to increase financial performance and achieve company objectives. Offering over 10 years of experience in Healthcare.

Skills
  • Strategy Development
  • Team Building Leadership
  • Prioritizing and Planning
  • Problem Anticipation and Resolution
  • Willing to Learn
  • Proactive and Focused
  • Relationship Building
  • Microsoft Office
  • Microsoft Outlook and Teams
  • Gmail
  • NPA Works/Central Reach/WebABA/Allscripts
Experience
Revenue Cycle Manager, 11/2020 to Current
Barrow Neurosurgical AssociatesScottsdale, AZ,
  • Evaluated revenue cycle processes and established actionable methods to increase productivity and efficiency.
  • Oversaw complete lifecycle of revenue operations.
  • Analyzed and reported on billing cycle data to inform upper management.
  • Participated in revenue cycle processes, coordinating work of 18+ team members focused on maximizing profitability and increasing revenue.
  • Provided revenue cycle process support to all clinical personnel, including resolving procedure challenges.
  • Monitored revenue and compared to targets to address variances and resolved actual-to-budget variances.
  • Enhanced financial performance metrics by networking to create successful and sustainable relationships.
  • Directed work of team of 18 AR Specialists, Cash Specialists, QA Specialists, Billers, and Patient Responsibility Specialists, handling AR, budgeting collections and all other RCM functions.
  • Held weekly/monthly meetings with staff and department teams to ensure efficiency and productivity.
  • Created new and efficient work flows and Standard Operational Procedures.
  • Work hand and hand across departments to align best practices across teams to produce work efficiency.
  • Effectively communicate direction, commit people to action and convey complex information in easily understood formats to support teams.
  • Trained and lead support team on tasks with solid planning and organizational skills in coordinating all aspects of each project from inception through completion.
Account Manager, 11/2016 to 11/2020
AugmedixSan Francisco, CA,
  • All aspects of Medical Billing, including charge entry, transmission, correction, and resubmission as required, posting of payments including patient/mail and ERA.
  • Generated reports to ensure all account statuses were worked in a timely manner.
  • Maintained and updated all files, including insurance companies, diagnosis, procedure codes, and fee schedules.
  • Resolved billing issues identified by team, insurance companies, or patients.
  • Oversaw multiple accounts and worked diligently to meet and exceed performance goals.
  • Communicated with clients via email, phone, online presentations, screen-share and in-person meetings.
  • Developed productive relationships with business representatives and consulted closely to uncover needs and match available solutions.
  • Cultivated long-term relationships with clients to accurately quote pricing and terms that achieve customer objectives.
  • Managed forecasting and performance for all accounts.
  • Reviewed claim denials and payer inquiries for corrective actions and future prevention.
  • Quickly identified and resolved medical billing coding and insurance discrepancies.
  • Submitted detailed claims/appeals to insurance companies for multiple healthcare practices and practicing providers.
Medical Biller, 02/2014 to 10/2017
Dependable Health ServicesPhoenix, AZ,
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Completed and submitted appeals for denied claims.
  • Reviewed claims for coding accuracy.
  • Coordinated communications between patients, billing personnel and insurance carriers.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Organized information for past-due accounts and transferred to collection agency.
  • Kept accounts current with facility-approved reporting and analysis strategies.
  • Maintained high accuracy rate on daily production of completed reviews.
  • Submitted and accurately processed insurance claims with related medical code verifications and assessments.
  • Handled billing for full complement of practice providers.
  • Used various health record indexes and storage retrieval systems to manage medical billing.
  • Used computer system to record weekly expenditures and balances.
  • Oversaw medical coding, charge entry, claims, and other day-to-day operations of billing department.
Education and Training
: , Expected in 08/2002
Mt San Antonio College - Walnut, CA
GPA:
DIPLOMA: , Expected in 05/2002
Baldwin Park High School - Baldwin Park, CA
GPA:
Languages
Spanish:
Professional
Negotiated:

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Resume Overview

School Attended

  • Mt San Antonio College
  • Baldwin Park High School

Job Titles Held:

  • Revenue Cycle Manager
  • Account Manager
  • Medical Biller

Degrees

  • DIPLOMA

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