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Revenue Cycle Supervisor Resume Example

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Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Professional Summary

Self- motivated high-energy Individual with 30+ years' experience within the health care industry. I would like to share my knowledge and talents as well as improving patient satisfaction, and improving Patient Care experiences. I am eager to achieve Company goals as well as self goals.

Skills
  • Microsoft Office, Word, Power point, Excel, regulations
  • Implementing Policies and Procedures
  • Workflow planning
  • Staff development , Supervision, and management
  • Payroll and staff budgeting
  • Accounts payable and receivable
  • Analyze and determine denial trends
  • Reviewing accounts for appropriate adjustmentd
  • Experience with all Medical Billing Insurance payers
  • Insurance Eligibility/benefits & Authorizations
  • Quality and Productivity assessment
  • Developing goals and objectives
  • Excellent Customer Service
  • Problem resolution skills
  • Knowledge of HIPPA statues and regulations
Work History
Manager Training/Quality Analyst, 07/2021 to Current
Behavior Health NetworkOrange, MA,

Oversee Training Team for busy scheduling Call Center for St Joseph Heritage/Providence. Facilitate Training programs, Team training material, Transitioning plan for all New hired employees. Recruit and interview new hire candidates to join the call center team.

Oversee Quality Analyst Team to ensure they are auditing calls timely and ensuring call center reps are meeting standards of performance. I Provide reports on call center performance for the operations team and call center operations managers.

Revenue Cycle Supervisor, 01/2017 to 07/2021
Behavior Health NetworkAgawam, MA,
  • Supervise, Manage and lead a team of 16 Eligibility /Billing Representatives while maintaining a high- energy, fast-paced, and motivational work environment
  • Supervision includes ensuring patients Insurance, Authorization, and demographics are verified and registered accurately into the electronic system for pre-appointments, ensure Insurance edits are worked timely and stays current under 10 days of view age, which includes high dollar charges, claim edits, Claim acknowledgement rejections , rebilling claims and eligibility charge correction tasks.
  • Manage appropriate staffing levels, provide training, coaching and mentoring to ensure consistency in QA/Productivity and to ensure Team goals and objectives are achieved monthly
  • Accountable for overseeing daily operations/work-flows as well as maintaining effective communication with internal employees and external caregiver's throughout the ministries including, patients, insurance companies, and operational management teams throughout all of Heritage Ministries.
  • Strengthened team relationships and effectiveness with hands-on and motivational approach.
  • Conducts monthly Conversation reviews with team members
  • Ensure the Team is following standard work/procedures and policies
  • Collaborate with St Joseph Heritage/Providence contracting dept. in developing, reviewing and maintaining Insurance training materials/Communication for Medirevv billing staff and Caregiver's for Northern/Southern Heritage Ministries
  • Review denial reports, cClairete volume trackers and implement processes to improve overall denial rate
  • Develop and coordinate training material for St Joseph Heritage/Providence Contact center
  • Improved Employee Engagement scores with overall departmental highest score of 95% participation with a 91% favorable rating score
  • CClairete monthly schedules, maintain time records and submit payroll with help of Dayforce
Revenue Cycle Supervisor, 07/2019 to 07/2020
Trustmark InsuranceFort Washington, MD,
  • Expanded my team to 21 employees by Supervising the Self Pay Team while maintaining a high- energy, fast-paced, and motivational work environment
  • Established and oversaw performance targets for our call center Representatives.
  • Assured that escalated call disputes were followed up in a timely manner to improve patient satisfaction by re-billing claims, making appropriate adjustments and resolving billing issues
  • Monitored and ensured patient bad debt accounts were reviewed and or resolved before transitioned to Pre-bad debt status or sent to collections.
  • CClairete volume trackers and implement work flow processes to decClairese patient complaints and improve Customer Service Satisfaction.
  • Monitored and worked closely with our external collection agencies regarding patient accounts
  • Manage appropriate staffing levels, provide training and mentoring to ensure consistency in QA/Productivity performance are met
  • Conducts QA/Productivity reviews monthly with team
  • Determined quality assurance benchmarks and set standards for improvement.
  • Developed quality employees within call center to take over leadership positions.
Eligibility Supervisor, 10/2013 to 10/2017
TeampraxisHonolulu, HI,
  • Supervised, Managed and lead a team of 14 Eligibility Representatives while maintaining a high- energy, fast-paced, and motivational work environment
  • Supervision includes ensuring patients Insurance, Authorizations and demographics are verified and registered accurately into the electronic system for pre-appointments, ensure eligibility Insurance edits are worked timely and stays current under 30 days of view age, which includes high dollar charges, claim edits, Claim acknowledgement rejections and eligibility charge correction tasks.
  • Managed appropriate staffing levels, provided training and mentor to ensure consistency in QA/Productivity performance were met
  • Accountable for overseeing daily operations/work-flows as well as serving as a Role Model for Team in maintaining effective communication with internal employees and external caregiver's throughout the ministries including, patients, insurance companies, and management
  • Conducted QA/Productivity reviews monthly with team
  • Developed quality assurance goals and objectives, standard work and processes needed for the Eligibility Department and implemented policies and procedures to ensure compliance by all staff
  • Collaborated with the RCE team in developing, reviewing and maintaining technical training materials/Communication for staff and Caregiver's for Northern/Southern Heritage Ministries
  • Review denial reports and implement processes to improve overall denial rate
  • Developed and coordinated training for all new hires and temps within the Eligibility Department
  • Assisted with On-boarding process for new clients which included registering caregivers/giving access to Insurance websites
  • Being a Liaison for all new caregivers for all questions and guidance for Eligibility issues
  • Assisted with the implementation of Ecarenext Insurance verification system and helped trained all caregivers and staff with the new component
Medical Billing Supervisor, 07/2012 to 10/2013
North Country HospitalNewport, VT,
  • Supervised a team of 13 associates while maintaining a high-energy, fast-paced, and motivational work environment
  • Accountable for overseeing daily operations/work-flows as well as serving as a Role Model for Team in maintaining effective communication with internal/external employees throughout the hospital including, patients, insurance companies, and management
  • Responsibilities included: Diligently monitoring the QA/Productivity program to improve performance and maintain high standards for higher productivity and consistent QA measures which include the correct patient demographics, eligibility, and authorizations
  • Regularly evaluated associate performance, provided feedback and assisted, coached and disciplined staff as needed
Patient Account Coordinator, 09/2007 to 07/2012
Choc Children's Hospital Of Orange CountyCity, STATE,
  • Responsibilities include timely collection, quality assessment and batch submittal of all Pediatric Subspecialty Faculty Inpatient charge tickets to the charge entry department for timely and clean billing process
  • Verification of Patient eligibility, Patient Demographics, obtaining authorization for services rendered, identifying tickets that require specific coding for particular procedures, requesting and obtaining medical records as needed
  • Other responsibilities include accessing off-site facility computer systems to generate face sheets, authorization numbers, patient and insurance demographics and medical records.
Education
State Certified Pharmacy Technician: Pharmacy, Expected in 1989
Pharmacy Technician Board - Los Angeles, CA,
GPA:
: Business, Expected in 1982
Rio Hondo Community College - Whittier, CA,
GPA:
High School Diploma: , Expected in 1980
Montebello High School - Montebello, CA,
GPA:

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Resume Strength

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Resume Overview

School Attended
  • Pharmacy Technician Board
  • Rio Hondo Community College
  • Montebello High School
Job Titles Held:
  • Manager Training/Quality Analyst
  • Revenue Cycle Supervisor
  • Revenue Cycle Supervisor
  • Eligibility Supervisor
  • Medical Billing Supervisor
  • Patient Account Coordinator
Degrees
  • State Certified Pharmacy Technician
  • High School Diploma