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revenue cycle manager resume example with 12+ years of experience

Jessica Claire
Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Professional Summary

Meticulous Revenue Cycle Manager with strong background in continuous improvement and revenue performance analysis. Focused and organized with demonstrated success in achieving company goals through increased efficiency initiatives illustrated over 7 years of Revenue Cycle Management success.

Skills
  • Microsoft Word, Excel, Power-Point, and Access
  • Proficient in EHR System (eClinicalWorks, Epic & Cerner)
  • ICD-9-CM, ICD-10-CM/PCS and CPT-4 procedural's
  • Basic accounting principles
  • Quality improvement
  • Trainer
  • Storage solutions (S3, EFS, EBS)
  • Insurance
  • Team management
  • Medical Billing
  • Account discrepancies
  • Supervision
  • AWS Services, Amazon Light-Sail, EC2, IAM, VPC
Work History
08/2013 to Current
Revenue Cycle Manager Accenture Contractor Jobs Kirkland, WA,
  • Solid knowledge and working experience of coding guidelines, medical terminology, ICD-10-CM, CPT/HCPCS, HCFA 1500, HIPAA, appeal processes, billing and insurance regulations and insurance benefits.
  • Reviewing employees’ performances, hires new employees, direct termination procedures and manage performance improvement activities.
  • Managing activities of billing department to ensure smooth operations and to increase reimbursement by supervising submission of claims to various insurance companies both electronically and paper.
  • Supervising ICD-10-codes assignment to medical claims by using ICD-10-CM code book and encoder software system.
  • Solid knowledge of basic accounting principles and business management to be able to effectively give direction to billing and coding office
  • Strong negotiation skills to be able to effectively deal with customers and secure payment, as well as to be able to discuss finances of patients
  • Manages maintenance of annual updating of charge master and CPT Codes.
  • Monitoring and supervising day to day activities of coding process to ensure that standard coding guidelines are followed.
  • Working with third party healthcare payers to ensure increase in reimbursement and decrease in claim denial.
  • Supervising ICD-10 codes assignment to medical claims by using ICD-10-CM code book and encoder software system.
  • Managing revenue cycle operation from patient access to patient accounting phase, by tracking claims from point of claim submission through payment.
  • Determine root cause of payer rejections or delays in reimbursement.
  • Regular update on HIPAA and all other health information management issues and regulations.
  • Strong ability to communicate effectively with staff, colleagues, patients, physicians, and insurers in person, over telephone, and in writing
  • Process appeal claims by sending letters to insurances’ companies about denial claims.
  • Processing received electronic remittance advice and reviewing rejections or denial claims to determine validity of rejections and taking appropriate actions to resolve problems.
  • Adjusts patients’ balances based on third-party reimbursement guidelines and contracts.
  • Completed financial reporting and analysis for billing revenue cycle.
12/2010 to 08/2013
Slide File Clerk Memorial Sloan-Kettering Cancer Center Commack, NY,
  • Processed microscopic slides request, for patients and pathologies.
  • Used Cerner to process patients’ requests and view pathology results.
  • Filled microscopic slides in numerical orders.
  • Pulled, refilled and delivered microscopic slides to pathologies.
  • Increased customer satisfaction by resolving customer issues.
  • Transported Microscopic slides to pathologies offices in timely manner.
  • Processed correspondence, including post office pick-ups, sorting and distribution to appropriate parties.
  • Handled 50 customer calls per day to address customer inquiries and concerns.
08/2008 to 12/2010
Medical Billing Coder Sheridan Medical Center City, STATE,
  • Handled coding of all diagnosis, procedures and professional services applying accurate and descriptive ICD9-CM, CPT, E&M, and HCPCS code for reimbursement purposes.
  • Assigned codes on Emergency room visits, outpatient and inpatient hospitalizations.
  • Posted payment from Medicare, Medicaid and other third-party insurances to patients’ account through Billing Software.
  • Called Medicare local contractor for claims adjustment.
  • Filled away hard copies of Explanation of Benefit reports.
  • Sent out patients’ statements every month.
  • Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
  • Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Implemented new coding procedures that reduced mistakes by 10% and simplified processes.
Education
Expected in 05/2015 to to
Bachelor of Science: Health Information Management
University of Illinois At Chicago - Chicago, IL
GPA:
Expected in to to
Certificate, Medical Billing and Coding:
Harold Washington College - Chicago, IL
GPA:
Certifications
  • AHIMA-Approved Revenue Cycle Trainer
  • AHIMA-Registered Health Information Administrator (RHIA)

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Resume Overview

School Attended

  • University of Illinois At Chicago
  • Harold Washington College

Job Titles Held:

  • Revenue Cycle Manager
  • Slide File Clerk
  • Medical Billing Coder

Degrees

  • Bachelor of Science
  • Certificate, Medical Billing and Coding

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