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Skills

  • Denial overturn strategies
  • Documentation and control
  • Cash Flow Forecasting
  • Claim submission accuracy
  • Billing process streamlining
  • Denial management
  • Accounts receivable follow-up automation
  • Payroll and budgeting
  • Training program development
  • Aging receivables reduction

Work Experiences

  • Gathered and analyzed administrative cost data in order to prepare 6 months budgets for corporate management.
  • Hired, managed, developed, and trained employees, as well as set and monitor goals, conduct performance reviews, and pay employees.
  • Assessed and updated departmental policies to comply with state and regulatory changes, resulting in reduced compliance risks.
  • Supervised and guided new employees, and I responded quickly to questions, which improved understanding of job responsibilities on workflow optimization and client relations.
  • Led a team of 10 people through training, evaluation, and challenges.
  • Was in charge of the office inventory, which included ordering and requisitions, stocking, and receiving shipments.
  • Evaluated employee performance and implemented incentives and team-building events to boost morale.
  • Achieved within one year.
  • Audited billing practices.
  • Tracked and recorded expenses and reconciled accounts to keep accurate, current, and compliant financial records.

Summaries

  • In-depth knowledge of applicable laws, managed care practices, and Medicare regulations.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the method business.
  • Revenue Cycle Supervisor is a multi-talented Revenue Cycle Supervisor who is consistently rewarded for planning and operational improvements.
  • These abilities, as well as a strong work ethic, are available.
  • Healthcare billing practices, insurance requirements, and coding standards are all familiar to an experienced revenue management professional.
  • Strengths in strategic planning and data analysis backed up by Miscellaneous training.
  • Commended for consistently driving team success through strict adherence to company procedures and effective employee training.
  • Revenue Cycle Supervisor who is self-motivated and has demonstrated leadership, organizational, and customer service skills.
  • Observant, hardworking, and results-oriented.
  • 2 years of experience streamlining processes, managing talented team members, and performing performance reporting by an educated professional.

Accomplishments

  • Resolved 17 of high-complexity accounts with balances over 9, reducing outstanding receivables within the past year.
  • Coordinated a system-wide refresher training on insurance billing for 3 staff members, leading to a 11% productivity boost.
  • Successfully managed a high-volume payer mix, improving claims resolution times by 48%.
  • Reduced overall days in A/R by 75% through redefined payer follow-up protocols and enhanced staff productivity measures.
  • Saved the organization 5 over one year by renegotiating third-party vendor contracts for outsourced billing services.
  • Recovered over 8 in lost revenue by conducting an in-depth accounts reconciliation audit covering several months.
  • Revised collection programs based on past performance, cutting bad debt rates by 23% in three years.
  • Increased cash collections by 5 within the past year through strategic payer relationship management and improved collections processes.
  • Reduced rework on claims submissions by 59% through the implementation of electronic claim editing software and staff retraining.
  • Streamlined the charge capture process, resulting in a 34% increase in revenue acquisition timeliness.

Affiliations

  • Certified Revenue Cycle Professional (CRCP) by HFMA
  • Member of Council of Strategic Revenue Operations Leaders
  • American College of Healthcare Executives (ACHE)
  • American Society of Safety Professionals
  • Medical Group Management Association (MGMA)
  • American Medical Informatics Association
  • National Association of Healthcare Revenue Integrity (NAHRI)
  • Accounts Receivable Benchmarking Study by HFMA
  • American Marketing Association
  • Certification in Healthcare Revenue Integrity (CHRI) by Summit Group

Certifications

  • Electronic Health Records Specialist Certification - Northwind, 2016
  • Certified Health Data Analyst (CHDA) - Cedar Works, 2021
  • Cisco Certified Internetwork Expert (CCIE)
  • SHRM Certified Professional (SHRM-CP)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Professional in Healthcare Quality (CPHQ) - Meridian 2017
  • Certified Healthcare Access Manager (CHAM) - Vantage, 2015
  • Certified Medical Reimbursement Specialist (CMRS) - Brightline, 2023
  • Certified Public Accountant
  • Denials Management Specialist Certification - Summit Group, 2018

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