Well-versed quality focused revenue cycle leader with more than 10 years' experience in the healthcare industry. My leadership skills has helped bring about positive improvements to client's Key Performance Indicators through trending performances. I bring to the table lots of positive energy, a calm demeanor, and great contributions in a team setting. I pride myself on being an expert relationship builder who promotes open communication with clients to build trust and credibility.
Revenue Manager client facing leader of 5 employees with multiple client markets to establish a liaison approach while managing relationships between client physician practices and Ensemble billing office. Mentor and develop team to be high quality individuals by focusing on client KPI's, and physician practice billing workflows. Initiate large projects to promote cash collection and KPI improvements ensuring that the health of the client is meeting high quality standards. Produce monthly and quarterly KPI reports for each client market outlining month over month performances. Assist physician practices during Go-Lives to ensure all office revenue cycle functions have been addressed and are supported. Report identified negative denial trends discovered from the Power BI tool to report areas of opportunity to clients. Travel to client physician practices located in various markets to educate on revenue cycle best practices as needed. Motivate and encourage team members to communicate more openly and constructively with each other. Ensure process improvements are implemented within identified deadlines and controlled by weekly monitoring.
Trained Mercy Health central billing office new hires on Epic (EHR)system functionality from a resolution standpoint. Built a trusted partner relationship with all CBO departments from: Cash Applications, Clearing House, AR/Follow-up, Reconciliation, Pre-Services, and Customer Service to ensure proficient team development. Developed customized lessons with real life illustrations of training materials to promote engagement and create open dialogue. Provided leadership, insight and mentoring to newly hired employees to supply knowledge of departmental productivity expectations.
Medical Practice Manager of two primary care physician practices with 5 providers and 11 staff. Onboarded new staff and developed office training system to ensure all would be well educated on compliance expectations, EHR systems trainings, registration competencies, and excellent customer service. Conducted monthly office projects to address KPI metrics identified by revenue cycle as goal not met.
Processed high volumes of medical claims efficiently while working in fast-paced environment as a subject matter expert. Managed complex claims and made decisions based on company standard operating procedures. Modified, updated and processed erroneous claims to companies standards.
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