Revenue Cycle Manager resume example with 9+ years of experience
JessicaClaire
, , 609 Johnson Ave., 49204, Tulsa, OK100 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 Associates – Scottsdale, 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 Augmedix – San 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 Services – Phoenix, 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:
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