- , , 100 Montgomery St. 10th Floor
- Home: (555) 432-1000
- Cell:
- resumesample@example.com
Enthusiastic individual with superior skills in working in both team-based and independent capacities. Bringing strong work ethic and excellent organizational skills to any setting. Excited to begin new challenge with successful team.
- Healthcare billing proficiency
- Revenue collection report preparation
- Preparing payroll
- Healthcare management
- Customer care experience
- Medical billing and collections
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- Maintaining detailed records
- Account verification and reconciliation
- Organization
- Customer service
- Balancing daily deposits
- Adjustments and research functions
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Revenue Cycle Specialist, 08/2020 to Current
Virta Health Corp – Portland, OR,
- Identified and corrected payment problems involving patients or third-party payers.
- Produced accounting reports and provided targeted recommendations for improving revenue standing.
- Completed account reconciliations.
- Detailed key revenue cycle information into thorough presentations to deliver to executives and management team.
- Boosted job efficiency by working closely with other analysts so that tasks and processes could be streamlined and duplication was avoided.
- Participated in revenue cycle processes, coordinating work of team members focused on maximizing profitability and increasing revenue.
- Monitored revenue status and created detailed reports for senior management.
- Managed billing and collection processes as part of five-member team.
- Delivered details on revenue cycles in layman's terms, enabling audiences to absorb information.
- Managed financial and statistical data analysis for annual revenue-producing business to provide detail on KPIs.
- Presented regular status updates, including workflow recommendations to senior management.
- Created in-depth spreadsheets, which detailed trends and forecasts for revenue, profitability and expenses.
- Handled all electronic and manual payments and adjustments, ensuring that data was accurately posted.
- Posted payments and sent reviews and denials.
- Downloaded, printed and batched electronic funds transfers and remits.
- Received payments from insurance providers, including Medicare, and completed immediate processing.
- Reviewed overpayments and processed refunds to be sent to patients and insurance companies.
- Reviewed refund requests and forwarded information to analyst.
A/R Billing Supervisor , 09/2008 to 04/2020
Center For Oral & Maxillofacial Surgery At St Luke – City, STATE,
- Improved operations by working with team members and customers to find workable solutions.
- Maintained updated knowledge with ICD-10, CPT, and CDT.
- Completed contracy negotiations resulting in higher revenu.
- Improved profit margins by streamlining operations and workflow and negotiating competitive vendor contracts.
- Created agendas and communication materials for team meetings.
- Performed site evaluations, customer surveys and team audits.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Handled all delegated tasks, including A/R and Audits.
- Oversaw all facets of staff and client training objectives to install knowledge of federal, state and local regulations and requirements.
- Evaluated staff performance at multiple facilities and made recommendations for training improvement.
- Liaised between employees and senior leadership to address inquiries, complete contract processing and foster problem resolution.
- Worked with HR management to devise and update policies based on changing industry and social trends.
- Automated office operations, including record tracking and data communications.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Maximized efficiency, reduced delinquency and increased accuracy of billing department by developing and implementing system and process improvements.
- Evaluated accuracy and compliance of all documentation and reports.
- Resolved variances in accounts and reconciled with bank statements.
- Processed and sent invoices, adjustments and credit memos to customers.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Established, enforced and optimized billing procedures to streamline operations and minimize aging balances.
- Calculated discounts, percentage allocations and credits.
- Liaised with patients, insurance companies and billing personnel to create and post bills, obtain payments and update system.
- Contacted vendors to follow up on late invoices.
- Scheduled patients and updated insurance, payment history and personal information.
- Resolved account variances and reconciled bank statement histories.
- Reviewed and analyzed contracts to resolve billing issues with vendors and carriers.
- Revised orders, finalized invoices and created billing logs.
- Generated invoices, processed payments and prepared deposits and part of financial operations oversight.
- Reviewed and submitted workers' compensation claims.
- Posted surgical charges for providers across facilities.
Assistant Office Manager Billing and Insurance , 10/1999 to 09/2008
Lehigh Oral & Maxillofacial Surgery – City, STATE,
- Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
- Recognized by management for providing exceptional customer service.
- Maintained updated knowledge with CPT, ICD-10, and CDT coding and policies.
- Improved profit margins by streamlining operations and workflow and negotiating competitive vendor contracts.
- Reduced financial discrepancies by accurately resolving billing issues while processing applications and cancellations.
- Engaged customers and provided high level of service by carefully explaining details about documents.
- Skillfully and patiently explained coverage options to potential policyholders, answering any questions or concerns.
- Improved operations by working with team members and customers to find workable solutions.
- Collaborated with carriers to resolve discrepancies in insurance payments.
- Resolved routine and complex issues by performing detailed research.
- Managed denials, late payments, extensions and other special circumstances by following up with relevant parties.
- Coached and counseled employees to enhance performance and eliminate process lags.
- Evaluated and identified ineffective workflow processes, implements solutions to improve productivity and personnel performance.
- Elevated productivity initiatives and managed presidential calendar, including coordinating itinerary and scheduling appointments.
- Automated office operations, managing client correspondence, record tracking and data communications in database and case management software.
- Maintained clean and presentable front office for maximum appeal to customers and potential clients.
- Enforced company policies and procedures to strengthen operational standards across departments.
- Set up and maintained physical and electronic filing systems to maintain organizational efficiency.
- Created agendas, meeting notes and other documents to enhance collaborative process.
- Managed and controlled office supply inventory to secure timely ordering or requisition of depleted or low-level stock.
- Coordinated office activities and operations to secure efficiency and compliance with company policies.
- Maximized and balanced office schedule for optimal productivity and financial returns.
Bank Representative, 04/1996 to 07/1998
Town And Country Bank – City, STATE,
- Researched and resolved customer issues on personal savings, checking and lines of credit accounts.
- Offered every customer exceptional service levels by remaining friendly and professional during every transaction.
- Fulfilled diverse duties to provide customer service, operate money counters, balance and replenish ATMs, maintain accounts and open new accounts.
- Adhered to strict guidelines regarding financial and customer data to avoid breaches and information misuse.
- Completed comprehensive tasks by implementing customer service initiatives, audit and restock ATMs and keep records on accounts.
- Promoted facility security by monitoring customer behaviors and following established protocols to protect individuals and assets.
- Verified amounts and integrity of every check or funds transfer.
- Helped customers open and close accounts, apply for loans and make sound financial decisions.
Associate of Science: Accounting And Finance, Expected in 05/1995
University of Southern California - Los Angeles, CA
GPA:
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