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Skills

  • Supervision
  • Relationship building and management
  • Denial resolution rate improvement
  • Problem resolution
  • Familiar with account coding
  • Accounts Payable (AP) Management
  • Customer service
  • Organization
  • Business Development
  • Appeals process management

Work Experiences

  • Achieved results within 6 months.
  • Compared standard applications to outline specifications in order to approve, reject, or suggest changes to files.
  • Submitted loan applications to the loan underwriter for review and approval.
  • Assisted 76% in obtaining certifications.
  • Met deadlines by proactively managing individual and team tasks and implementing category processes.
  • Cut referral-to-final payment turnaround time by 18 business days.
  • Reviewed and edited loan agreements to improve efficiency and accuracy.
  • Collaborated with compliance on patient access workflow.
  • Coached a team of 16 financial specialists.
  • Analyzed payer contracts for optimization opportunities, resulting in additional revenue generation of $16.

Summaries

  • Versatile Patient Financial Services Manager with background in banking and finance. Consistently meet bank and customer service standards. Ready to tackle new challenges in position within Banking and Financial Services where talents in risk assessment and performance reporting will be valuable.
  • Achieved operational standardization.
  • Accomplished in denial management, improving claim resolution rates by 63% and recovering $2 in outstanding balances within 3 months.
  • Within Banking and Financial Services, senior Patient Financial Services Manager and outstanding performer in client relations and strategic planning.
  • Patient Financial Services Manager who has managed multimillion-dollar business operations for 4 years.
  • Objective Banking and Financial Services leader who has led financial systems and programs to success.
  • Achieved recognition in 2017.
  • Automated manual workflows.
  • Excellent abilities in reporting, record-keeping, and relationship-building.
  • Problem-solving and creative decision-making are skills that a logical Patient Financial Services Manager possesses.

Accomplishments

  • Collaborated with team of 3 in the development of method.
  • Increased insurance claim approval rate by 41% through collaboration with the coding and billing teams and revising documentation processes.
  • Enhanced internal communication platforms, leading to a 41% increase in team efficiency and faster resolution of patient billing inquiries.
  • Managed the appeals process for denied claims resulting in a 43% success rate in overturning denials within 10 days.
  • Led a project to transition manual billing into an automated system, decreasing processing time by 67% and enhancing accuracy.
  • Achieved a 70% reduction in denial rates through implementation of a data-driven denial management system.
  • Developed and executed departmental KPIs and performance metrics that exceeded revenue cycle targets by 70%.
  • Planned and delivered staff training on medical billing software, producing a 19% reduction in manual errors.
  • Partnered with the billing department to implement a comprehensive financial education program for patients, reducing financial complaints by 77%.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.

Affiliations

  • International Council of Nurses
  • Certified Professional in Healthcare Quality (CPHQ) - 2022
  • Lean Six Sigma Green Belt Certification - 2020
  • Jaycees
  • Certified Medical Office Manager (CMOM) - method
  • Advanced ICD-10 Coding Certification - initiative
  • Revenue Cycle Management Association (RCMA)
  • Certified Revenue Cycle Executive (CRCE) - framework
  • Certified Revenue Integrity Professional (CRIP) - framework
  • Society of Human Resource Management

Certifications

  • CompTIA Network+
  • Google Certified Professional Cloud Architect
  • CompTIA A+ Technician
  • Fellow of the Healthcare Financial Management Association (FHFMA)
  • Certified Revenue Integrity Professional (CRIP) by NAHAM
  • Certified Information Systems Auditor (CISA)
  • Healthcare Certification in Compliance, Risk, and Management by Brightline
  • Epic Resolute Certification for Billing & Claims
  • Certified Revenue Cycle Representative (CRCR) by HFMA
  • ServSafe

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