revenue cycle manager resume example with 7 years of experience
JessicaClaire
Montgomery Street, San Francisco, CA94105609 Johnson Ave., 49204, Tulsa, OK
H: (555) 432-1000
C:
resumesample@example.com
Date of Birth:
India:
:
single:
:
Professional Summary
An energetic, results-focused, quality-driven professional with over ten years of fulfilling various administrative functions, practices exemplary planning and organizational skills, client inquires and concerns, experience in handling insurance claims management within the medical industry with expertise in identifying and resolving billing issues. Analytical with in-depth knowledge of handling billing functions front end and back end, including accounts receivable management, cash and payment reconciliations, as well as administrative processes, and account management, demonstrating strong multi-tasking and service skills, and consistent achievement of objectives. Dependable with acknowledged reputation for integrity, sound business judgment and versatility in adapting to new roles, tasks, applications, and environment.
Skills
Microsoft Office (Word, Excel and PowerPoint), Calendar, QuickBooks, Availity, Emdeon, Chart maker, Practice manager, PCC, E Solutions, Medical Billing, Pre-Authorization, Super bill, CPT, Filing, ICD-10, Insurance logging, Credit and Collections, Account Payable/Receivable, Medical Terminology.
Accounting, Organizational skills
Accounts payable, Payables
Accounts Receivable, Payroll
Accounts receivables, Phlebotomy
Administrative support, Processes
AR, Quality assurance
Billing, Quality control
Bookkeeping, QuickBooks
Budget Preparation, Reconciling
Budget, Research
Contracts, Sales
CPT, Scheduling
Creativity, Sound
Credit, Technician
Client Relations, Time management
Customer Service, Transportation
Data Analysis, Travel arrangements
Data Entry, Trend
Dictation, Workflow
Documentation, Written
Email
Filing
Financial
Frame
HR
Insurance
Inventory
Leadership
Director
Medical Billing
Medical Terminology
Meetings
Excel
Microsoft Office
Office
PowerPoint
Word
Nursing
Office Administration
Work History
Revenue Cycle Manager, 05/2020 - Current Accenture – Milwaukee, WI,
Promote revenue cycle improvements throughout the organization, including working with appropriate program front desk staff, medical records, billing, denial management, collections, insurance verifications, authorizations, and customer service (internal and external) etc., to aid in the resolution of identified revenue cycle issues.
Perform ongoing trend analysis on third party payer payments to ensure timely reimbursements in accordance with allowable amounts stated in agreements and contracts.
Supervise the Billing team, including Billing Specialists & Insurance Management Specialist.
Develop relationships with major payors to assist in the resolution of outstanding accounts receivables (AR), evaluation and resolution of various compliance matters involving insurers like Medicare, Medicaid, Commercial payers.
Monitor and make decisions regarding the value and collectability of AR.
Prepare monthly analysis reports pertaining to AR.
Implement and monitor collection procedures, minimizing contractual and bad debt write offs, and maximizing revenue and cash collections.
Set goals, communicate expectations to staff, and follow-up with Director of Revenue Cycle and Billing Director as needed.
Provide support and participate with executive leadership in the implementation of systems, processes, and procedures to ensure regulatory compliance, and maintaining.
Supervisor, 07/2017 - 03/2020 Zimmerman Associates, Inc – New York, NY,
Responsible for the day to day operations of the Accounts Receivable/Billing Department.
Bill and follow up on all Managed Care and Managed Medicaid claims billed out for the month to ensure 100% payment rate.
Manage and coordinate workflow for the corporate billing department.
Follow up on outstanding claims for skilled nursing faculty patients.
Research insurance payments with managed care and managed Medicaid insurance companies to verify accurate payment or resolve any billing issues.
Communicate with and handle all billing concerns from the faculties via conference calls or email.
Provide training to all new billing specialists.
Ensuring that they understand the system and the workflow.
Educate team on contract changes and contract issues with insurance companies.
Responsible for providing administrative support and serve as point of contact for the CEO and sales team
•Manage and maintain the CEO's calendar including scheduling appointments, requests for meetings, events, etc.
Schedule domestic and international travel arrangements including flights, ground transportation, hotel accommodations, etc.
And provide detailed travel agendas.
Ensure smooth transition between appointments and that the CEO is fully prepared
•Coordinate internal and external meetings, conference calls and events including
welcoming visitors, room setup.
Ensure urgent and priority matters and correspondence are communicated to the CEO in a timely and effective manner.
Performed bookkeeping/light accounting duties including posting account receivables, preparing checks for payables, reconciling bank accounts on QuickBooks.
Entered accounts payable receipts and invoices into company system for payment.
Communicated both verbally and in writing with customers, vendors and other third parties.
Entered employee's time for payroll; help him/her with any HR questions/concerns.
Education
Bachelor of Science: Healthcare Management, Expected in 2020 - University of Phoenix - , GPA: Status -
/ AZ: , Expected in 2019 - University of Phoenix - , GPA: Status -
Associate of Arts: Healthcare Administration, Expected in 2014 - - , GPA: Status -
/ AZ: , Expected in 2000 - University of Phoenix - , GPA: Status -
Harrison Career Institute / NJ: , Expected in - - , GPA: Status -
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