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supervisor revenue cycle management resume example with 18+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
  • :
Summary

Revenue Cycle Supervisor highly motivated, organized, and competent with 10 years of experience managing medical claims, handling disputes, and dealing with Medicaid and Commerical insurance companies. Experienced supervising and training staff to ensure appropriate billing, follow up, payment posting and collections procedures are followed in order to maximize reimbursement, minimize AR, bad debt and ensure positive financial experiences.

Skills

Ø In depth knowledge of medical terminology, billing procedures and fundamentals of general accounting.

Ø Knowledge of EPIC, Receivable Edge, Eagle, SSI, Invision, Kronos systems.

Ø Time management, training, and organizational skills

Ø AAPC Certified CRC

Experience
Supervisor, Revenue Cycle Management, 05/2019 - Current
Northwell Health City, STATE,
  • Revenue Cycle Management (Medicaid Follow Up)
  • Develops, monitors, coaches and supervises team of sixteen for the Back End Medicaid follow up team.
  • Assign cases, monitor productivity and run reports for weekly metric meetings through Huron (Aeos).
  • Assists government AR staff with any day to day issues and escalating issues when necessary to the Revenue Cycle Manager
  • Oversees the day-to-day operations to ensure proper flow of back end, billing and follow up activities.
  • Acts as resource person for resolution of complex back end billing/ follow up situations.
  • Maintain staff schedules, approve PTO request and timecards through MyExperience/Kronos.
  • Evaluates and delivers staff monthly performance.
  • Monitors employee productivity.
  • Provided ongoing training to staff when needed.
  • Established and enforced clear goals to keep employees working collaboratively.
  • Maintain operating schedules to provide effective coverage.
  • Identified and corrected performance and personnel issues to reduce impact to business operations.
Supervisor, Revenue Cycle Payment Posting, 11/2013 - 05/2019
Weill Cornell Medicine City, STATE,
  • Oversees, supervise the day-to-day operations of the Payment Posting Lockbox department.
  • Apply manual (Lockbox) payments and auto (EFT) payments to accounts for payor types of Medicare, Medicaid and Commercial Insurances.
  • Assign denial correspondence and EOB's from commerical and government payors to be posted into EPIC system.
  • Monitoring and evaluating Intake and Reimbursement employee productivity and performance to goal.
  • Supervises and evaluates the performance of staff.
  • Handles staff payroll, and time off requests.
  • Assists with training new Revenue Cycle employees on EPIC, Receivable Edge, and lock box.
  • Assists payment posting staff with any day to day issues and escalating issues when necessary to the Revenue Cycle Manager.
  • Investigate the source of unidentified payment to ensure they are applied to appropriate.
Biller, Revenue Cycle Specialist (Supervisor), 01/2008 - 11/2013
Pro Health City, STATE,
  • Prepares and submits clean claims to various insurance companies either electronically or by paper via
  • Answers questions from patients, clerical staff and insurance companies
  • Identifies and resolves patient billing complaints
  • Prepares reviews and sends patient statements
  • Evaluates patient’s financial status and establishes budget payment plans
  • Follows and reports status of delinquent accounts
  • Reviews accounts for possible assignment and makes recommendations to the Billing staff.
  • Contacts appropriate organizations to identify and resolve account collection problems for maximum collection results
  • Initiates payments plans with responsible parties or refers to collection’s agency
  • Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
Insurance Verifier/Billing, 01/2005 - 11/2007
SewdassMednax City, STATE,
  • Reviews the insurance verification form submitted by the hospital associate, to ensure payer coded correctly
  • Resubmits corrected claim to the carrier
  • Maintains a log of registration errors identified and submit to the Hospital Associate Manager as constructive feedback
  • Update accounts in EPIC with information obtained through correspondence and telephone, authorization, baby's name, etc
  • Completes appropriate account maintenance by ensuring that the correct statement groups, financial class, and payer codes are current and timely
  • Assists on various special projects as determined by the manager
  • Medifax payers to verify insurance coverage
  • Contact parents to obtain accurate insurance information
  • Send appropriate letters.
Education and Training
2018 CRC (Certified Risk Adjustment): , Expected in 02/2028
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Weill Cornell Medicine - New York, NY
GPA:
Status -

Completed in depth Billing and Coding courses while employed with the company

Bachelor of Science: Health Care Administration, Expected in 02/2024
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SNHU - ,
GPA:
Status -
High School Diploma: , Expected in
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Martin Van Buren High School - ,
GPA:
Status -

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Resume Overview

School Attended

  • Weill Cornell Medicine
  • SNHU
  • Martin Van Buren High School

Job Titles Held:

  • Supervisor, Revenue Cycle Management
  • Supervisor, Revenue Cycle Payment Posting
  • Biller, Revenue Cycle Specialist (Supervisor)
  • Insurance Verifier/Billing

Degrees

  • 2018 CRC (Certified Risk Adjustment)
  • Bachelor of Science
  • High School Diploma

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