Manager, Revenue Cycle Resume Samples

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D Doyle

Dora

Doyle

13874 Delfina Hollow

Detroit

+1 (555) 405 7275

13874 Delfina Hollow

Detroit

Phone

p +1 (555) 405 7275

Experience Experience

Boston, MA

Manager Revenue Cycle

Boston, MA

Barrows-Leuschke

Boston, MA

Manager Revenue Cycle

Supervises directly a Senior Accountant and indirectly a Junior Accountant
Coordinates month-end closing of the General Ledger with Data Center and Finance Department
Assists in the preparation of monthly and audited financial statements
Interacts with various departments to answer questions and obtain information necessary for monthly General Ledger closings
Review journal entries and account analyses for accuracy and compliance with established accounting policies and procedures
Consults with Payroll, Human Resources, Purchasing and other department to solve accounting related problems
Prepares monthly statistical data of patient revenue for financial statements

New York, NY

Manager, Revenue Cycle

New York, NY

Emard and Sons

New York, NY

Manager, Revenue Cycle

Conducts root cause analyses to identify areas where the process may not be working effectively or efficiently. Working with the Revenue Cycle Director, facilitates and manages process improvement efforts in the entities to drive improvement in the overall revenue cycle process
Develops work standards, monitors quality and quantity of work processed, and ensures that policies are communicated and administered consistently. Works closely with site personnel and operations managers to monitor compliance to policies and procedures as they relate to the revenue cycle
Oversees the management of select revenue cycle personnel. Trains, orients and evaluates performance of assigned personnel, recommends merit increases, promotions and disciplinary actions
Oversight and knowledge of insurance transactions, specifically adjudication rejections, insurance verification, therapeutic interchanges, credit card processing and prior authorization requests
Assist in the development and implementation of Standard Operating Procedures (SOPs) for all insurance department functions
Create and maintain positive relationships with the DaVita Rx Pharmacy operational Directors, Managers and Chief Pharmacists
Evaluate Revenue Cycle department processes and procedures; suggest and implement methods to minimize labor costs and to improve operations, efficiency, and service to internal and external customers

present

Dallas, TX

Senior Manager Revenue Cycle

Dallas, TX

Friesen, Sawayn and Weber

present

Dallas, TX

Senior Manager Revenue Cycle

present

Works with the Vice President, Revenue Performance Management to prioritize initiatives and performance improvement opportunities for the DFCCC revenue cycle
Works closely with the Manager of Contracting to track and manage payor performance
Works collaboratively with Financial Clearance and Billing Managers on continuous improvement of revenue cycle processes
Keeps Vice President, Revenue Performance Management abreast of DFCCC revenue cycle performance and initiatives
Conducts on-going assessment of operations and leads projects to improve the performance of the DFCCC Revenue Cycle
Supervises the operations of financial clearance, documentation/coding, billing, and A/R management functions at DFCCC
Performs other duties as assigned

Education Education

Bachelor’s Degree in Business

Drexel University

Bachelor’s Degree in Business

Skills Skills

Knowledgeable in Excel, Word, Power Point and other Office products
Excellent presentation skills Excellent computer skills
Ability to adapt to various billing computer systems in a fast paced, dynamic environment
Knowledge of accounting and/or general math skills
Ability to effectively communicate with all levels of staff and management
2+ years management level experience in a Supervisory or similar position
3+ year's experience in all aspects of billing revenue cycle
Experience working with Lean methodology or other daily engagement/process improvement systems

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Manager, Revenue Cycle Assessments Resume Examples & Samples

Drive project work for end to end assessment and full due diligence processes at a single potential client site
Identify opportunity areas and develop benefit estimates and financial models for potential clients
Manage timelines and project plans for the completion of the assessment and full due diligence process
Serve as the key contact for a potential client
Demonstrate ability to support and drive work across multiple clients
Collaborate with other functional units (optimization, finance, human capital, technology and compliance) to ensure timely reviews and contributions of final documents
Drive pre-onsite project planning and work plan development
Prepare initial benefits analysis based on the high level assessment and full due diligence efforts
Lead Revenue Cycle Solution Design methodology development and other functional assignments
Display ability to effectively communicate to Optum360 executive leadership and potential client leadership
Provide operational subject matter expertise in the development of sales materials in preparation for initial and ongoing client conversations
Support innovation execution for strategic organization initiatives
Attend industry conferences and act as a subject matter expert for Optum360
Present to small/ moderate sized groups well and adjust message to audience (CFO, CEO or VP of Revenue Cycle)
Provide leadership and management to senior analyst and associate roles
Exemplify Optum360 values of integrity, respect, collaboration, innovation, and excellence across all activities
Enable achievement of Optum360 goals for growth, execution, customers, and people
3+ years in Revenue Cycle operations or healthcare consulting experience
3+ years of experience in Data analysis
Strong demonstrated presentation skills
5+ years in Revenue Cycle operations for any combination of the following areas: Patient Business Office, Patient Access, Health Information Management, Revenue Integrity, Coding, and/or Clinical Documentation Improvement OR or 5+ years in healthcare consulting
HFMA/ACHE certification

Manager, Revenue Cycle Resume Examples & Samples

Bachelor’s degree in business, accounting, finance or related or six additional years of direct experience
Four years of professional, supervisory and/or management experience
Prior Epic HB and PB claim adjudication experience
Prior supervision of a Revenue Cycle department that utilized Epic

Project Manager, Revenue Cycle Resume Examples & Samples

Facilitates concurrent projects from conception through final implementation that are targeted toward specific revenue cycle improvements
Develops & maintains detailed work plans, schedules, project estimates, resource plans & status reports
Proactively identifies & recommends opportunities for revenue improvement & optimization through monitoring of revenue cycle performance metrics & communication with departmental leaders
Assists in the development, & implementation, of tools to measure the effectiveness of the revenue cycle within the region
Directs analytical resources to provide the necessary data & reporting within the agreed upon time frames, including providing data for executive decisions
Analyzes systems strategy alignment to operational processes to ensure that resources within the business unit, KP-IT & the KP HealthConnect realize departmental/organizational goals as anticipated
Designs & creates appropriate business case cost estimates & ROI to support Revenue Cycle initiatives
Identifies project risks & takes appropriate actions to mitigate them
Responsible for reporting & escalating material findings to the Revenue Cycle Director. Facilitates the development & implementation of action plans required to achieve the desired targets
Proactively recommends opportunities for revenue improvement & optimization through monitoring of revenue cycle performance metrics & communication with departmental leaders
At least five (5) years in the healthcare industry (preferably with a revenue cycle, HIMS or financial focus)
Five (5) to seven (7) years of project management experience managing large and complex projects with a financial focus
Three (3) to five (5) years of prior internal and external client support experience required
Demonstrated experience leading process improvement initiatives and refining work flows to drive improved operational performance required
Experience using project support tools such as MS Project and Visio required
Master's degree in healthcare administration, accounting, finance or business related field preferred
Certification in an accredited Performance Improvement / Project Management program preferred (e.g., Six Sigma, Lean Thinking, etc.)
Prefer credentials related to Revenue Cycle or HIMS areas, such as RHIT, RHIA, CBCS, etc
Familiarity with health insurance laws and regulations preferred
Familiarity with Sarbanes-Oxley controls and regulations preferred

Senior Product Manager, Revenue Cycle Resume Examples & Samples

Systems Implementation Support
Product and Vendor Management
Leadership and Communication
Experience in revenue cycle management and systems
Vendor management and contracting experience
Experience, coaching, developing and managing staff
Extensive experience in GE-Centricity Business or other similar platforms, charge interfaces and IT systems
Knowledge and experience with project management, change management, and lean six sigma tools

Manager, Revenue Cycle Resume Examples & Samples

Bachelor’s degree in business, accounting, finance or related or 6 additional years of minimum experience
PC systems literate including Windows, and Microsoft Outlook, Excel and Word programs
Working knowledge of CPT/HCPC codes and billing compliance
Epic Grand Central (ADT & Prelude) software experience
Knowledge of bad debt collections
Experience with Epic HB charges and claims

Senior Manager Revenue Cycle Resume Examples & Samples

Supervises the operations of financial clearance, documentation/coding, billing, and A/R management functions at DFCCC
Coordinates with DFCCC Office Managers regarding the successful operations of patient access (scheduling & registration)
Sets, monitors, and enforces revenue cycle staff effectiveness, efficiency, quality, and productivity
Manages process for all external medical record requests (clinical, audit, legal, insurance, etc.)
Runs reports, tracks operational and financial Revenue Cycle metrics (staff productivity, quality, etc.), Key Performance Indicators (Appointment no show rates, charge lag, net collections, net days in receivables, denials as a % of revenue, bad debt, cost to collect, etc.), and patient-level data (e.g., types of patients, diagnosis, etc)
Prepares and maintains daily, weekly, monthly, and annual reports (including provider dashboards)
Conducts on-going assessment of operations and leads projects to improve the performance of the DFCCC Revenue Cycle
Keeps Vice President, Revenue Performance Management abreast of DFCCC revenue cycle performance and initiatives
Works with the Vice President, Revenue Performance Management to prioritize initiatives and performance improvement opportunities for the DFCCC revenue cycle
Performs audits to ensure best practice and HIPAA compliance
Oversees compliance activities
Evaluates revenue cycle vendors and implements technology to optimize workflows and financial outcomes
Acts as the main point of contact for all revenue cycle vendors and is responsible for monitoring these vendors’ performance
Collaborates with Financial Clearance and Billing Managers to audit samples of patient accounts on a monthly basis to ensure accuracy of financial clearance, charge entry, payment posting, and denial management follow-up procedures; presents findings from monthly patient account audit to Executive Medical Director and Vice President, Revenue Performance Management
Resolves escalated financial clearance and billing issues
Maintains and enforces policies and procedures in adherence with DFCCC/DFCI protocols
Fulfills all billing compliance responsibilities related to the position
Covers Financial Clearance and Billing Manager duties in event of their absence
Works closely with the Manager of Contracting to track and manage payor performance
Monitors reconciliation process and ensures audit procedures are followed
Responsible for accurate monthly closing of billing and AR records
Works collaboratively with Financial Clearance and Billing Managers on continuous improvement of revenue cycle processes
Collaborates with DFCI Access Management and Patient Accounting staff on a regular basis; attends meetings on DFCI Longwood campus as needed
Direct oversight of Financial Clearance and Billing departments
Indirect oversight of beginning to end physician office revenue cycle operations
Complete annual reviews and determine merit
Responsible for organizing work, setting priorities time lines, and determining and obtaining the resources required to meet those priorities
Hold direct staff accountable for success and timely execution of all job functions
Approve weekly time for direct staff
Analytical ability to review and interpret information/reports and revise procedures as needed
Ability to lead and manage multiple projects with overlapping timelines
Detailed knowledge of revenue cycle systems (IT, reporting, process flows). Experience with the athenaCollector Practice Management System a plus
Exceptional planning, implementation, facilitation, and organizational skills, with the demonstrated ability to drive multiple concurrent projects to completion in a complex, deadline-driven environment
High level of self-direction and self-starter
Knowledge of insurance company operating procedures and requirements for billing. Familiarity with medical procedures, HCPCS codes, and ICD-10 coding preferred
The ability to maintain confidentiality of patient information and office information
Has the ability to supervise and train employees, to include organizing, prioritizing, and scheduling work assignments
Has the ability to use independent judgment and to manage and impart confidential information
Has the ability to communicate effectively with practicing physicians, clinical management, and clinical technical staff
Knowledge of organization structure, workflow, and operating procedures within a medical environment
High level proficiency in the use of Microsoft Suite (Excel, PowerPoint, Word) to perform data analytics and prepare reports/presentations
Knowledge of Federal, State, and payer regulations regarding medical compliance

Manager, Revenue Cycle Resume Examples & Samples

Oversight and knowledge of insurance transactions, specifically adjudication rejections, insurance verification, therapeutic interchanges, credit card processing and prior authorization requests
Provide consistent, visible, timely, and effective communication to team on team goals and objectives and progress toward those goals
Oversee patient information and records to ensure that all documentation is created and maintained in accordance with HIPAA regulations, and to ensure accurate service is provided
Participate in requirements gathering and implementation of new IT applications; ensure appropriate relevance of applications or tools for insurance department purpose and teammates
Participate in all daily, weekly and periodic work/management meetings with peers and senior operations leadership
Review performance metrics with senior operations and DaVita Rx leadership on an as-needed basis
Stay current with developing payor coverage and administrative policy changes that could have an impact on payor cash collections; develop appropriate responses and plans to mitigate these risks
Ability to research, review and interpret plan medical policies requirement

Project Manager, Revenue Cycle Resume Examples & Samples

Advanced knowledge of revenue cycle operations and related business processes
Demonstrated experience managing complex healthcare revenue cycle projects
Experience interacting and working with physicians
Ability to interact with individuals at all levels of the organization
Proficiency with Microsoft Office products (ie. Word, Excel and PowerPoint)
Bachelor's degree or equivalent amount of education and experience, Master's degree in Healthcare or Business Administration preferred, but not required
At least 5+ years of healthcare experience

Project Manager Revenue Cycle Systems Resume Examples & Samples

Assist Quadax Account Executives with their account management activities
Manage various projects associated with revenue cycle systems, including client setup customization, application support, and client interfaces
Manage task list for existing clients and new implementations
Conduct research for client questions and requests
Communicate resolutions/project status to internal and client stakeholders
Participate in client meetings
Assist/train users on application functionality
Select and analyze management reports
Four-year or advanced college degree in Information Technology or related field
Experience in customer service and/or software support
Knowledge of medical billing and experience with medical billing software preferred
Experience leading cross-functional project teams
Detail-oriented with strong organizational and multi-tasking skills
Ability to establish priorities, work independently, and proceed with objectives with minimal supervision
Professional with excellent communication, analytical, and time management skills
Occasional domestic travel

Senior Manager Revenue Cycle Services Resume Examples & Samples

Direct the overall operations of the revenue department/section including achieving customer and contract SLAs, developing policies and procedures, managing staff and assigning responsibilities
Manage daily operations of a central business office spanning Patient Access, Insurance Verification, Authorization Acquisition, Clinical Coding, Claims Submission, Denials Management, and Cash Collections
Provide support to clients through the development of new programs reflecting best global and regional practices, including consultative services to the facility's leadership and employees on all revenue related matters and utilizing participative management principles in planning and coordinating complex patient services
Manage all billing processes to ensure accurate, complete, and timely submissions, review and reconciliation of bank deposits and remittances with customer Finance Department(s), and follow-up processes on claims not fully paid for timely resolution
Create and manage a system-wide program to identify Revenue Integrity opportunities and trends while working directly with both clinical and administrative areas to implement any required changes to optimize revenue integrity
Interpret and implement billing regulatory standards, maintaining current knowledge of all charging and billing regulatory requirements, and provide education to clinical and financial department leads as required to ensure compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers, while developing and maintaining relationships with insurance carriers to keep the department up to date with all billing and processing requirements from outside payers
Plan and execute compliance and delegation audits, collecting and verifying audit evidence, composing findings and conclusions, assisting with preparation of audit reports, basing all audit upon regulatory, contractual, and internal requirements
Bachelor's Degree in Nursing, Medicine, Accounting or Finance; appropriate technical or clinical experience may be considered in lieu of education
Five years Revenue Cycle or Health Information Management healthcare related experience required, with supervisory experience over diverse teams
Fluency in Arabic preferred; Fluency in English required
Organized, able to set priorities and work effectively under pressure with minimum supervision
Minimum three (3) years’ experience with hospital charge description master, follow-up, denials, audit and/or payment variance, with supervisory experience preferred in these roles
Excellent knowledge of medical terminology and coding, including common diseases, conditions and treatments
Licensure requirements to include one of the following: MD, MBBS, Coding certification (e.g. CCS, CA, CPC, RHIA, RHIT) or applicable experience may be considered in lieu of preceding requirements
Demonstrated leadership ability including previous management or supervisory experience, ability to work in a team, build consensus, problem-solve, influence others outside a direct reporting relationship, and handle conflicts with tact
Excellent knowledge of healthcare revenue cycle including familiarity with reimbursement methodologies, coding, CDM, charge capture, and billing processes. Prior experience with various technologies, hospital information systems, and other tools used in patient financial services. EPIC experience a plus
Prior experience with auditing and internal controls review in a healthcare revenue cycle strongly preferred as well as a strong understanding of compliance issues, their importance and consequences
Strong quantitative, analytic, and problem solving skills to evaluate all aspects of a problem or opportunity and draw valid conclusions to make or facilitate appropriate and timely decisions
Possess in-depth knowledge of local health care rules and regulations, insurance company laws and regulations, including billing, coding and documentation requirements. DHA and GCC health insurance knowledge is a plus

Manager Revenue Cycle Resume Examples & Samples

Accountable for an integrated member advocacy strategy, working in partnership w/ Member Services, to enhance the member experience. Coordinates w/ Utilization Review/Utilization Management, Social Services, Patient Care Services & Discharge Planning to facilitate appropriate financial sponsorship, authorization, reporting, & discharge process compliant w/ payer & government regulations. Insures timely & accurate coverage assessment (financial rounding) of all inpatient hospital patients. Ensures adequate Patient Financial Advisor coverage for at risk hospital admissions, emergency room visits & high dollar hospital outpatient services. Works in partnership w/ Regional Charity Care (MFA), Community Benefits teams & Community based organizations. Works w/ patients/members as needed, resolving difficult issues. Accountable for external vendor performance & relationship for services supporting eligibility or linkages to other coverage or payer sources
Monitors performance results through observations, audits, statistical data analysis & operational reports, to achieve & sustain target operational metrics & address deficiencies by developing & implementing action plans, process improvement & employee development
Provides consultation & recommend solutions to difficult eligibility & admission problems. Evaluates & improves the delivery of service by initiating & promoting best practice models. Engages clinicians (for example, RN, MD, CNS, or PT), managers & staff in problem solving coverage or financial sponsorship opportunities. Provides education & direction to direct reports & medical center constituents. Identifies opportunities & provides support to assist w/ the implementation of revenue cycle performance improvement actions. Participates in Labor/Management initiatives. Works in partnership w/ registration leaders on data quality improvement opportunities. Monitors the efficiency of the workload & process improvement
Five (5) years of relevant, progressive experience in a management role

Project Manager, Revenue Cycle Resume Examples & Samples

Bachelor’s Degree in related field or equivalent related experience and Project Management Certification (Prince2 or PMP) required
Typically requires 3 or more years of application software implementation experience, along with 3 or more years of industry experience
2+ years’ experience as a project manager
Prior experience as part of a management team (lead role with plan, resource and issue/change responsibilities) that successfully managed a full life cycle implementation
Experience in supporting business development opportunities through proposal creation, review and presentation

Manager, Revenue Cycle Resume Examples & Samples

Knowledge of CPT/HCPCS codes, medical terminology, insurances, claims processing preferred
Knowledgeable in Excel, Word, Power Point and other Office products
Excellent presentation skills Excellent computer skills
Ability to adapt to various billing computer systems in a fast paced, dynamic environment
Knowledge of accounting and/or general math skills a plus
Ability to effectively communicate with all levels of staff and management a plus
Minimum certifications/educational level
High school diploma plus some college preferred
2+ years management level experience in a Supervisory or similar position
3+ year's experience in all aspects of billing revenue cycle a plus
3+ year's experience in a clinical laboratory preferred, especially genetic billing

Manager, Revenue Cycle Resume Examples & Samples

Bachelor’s degree in business administration, finance, healthcare administration, OR Equivalent combination of college coursework and at least five years related leadership experience in patient accounting and billing and collections
5 years of recent experience working in a healthcare business office setting, performing directly transferable work in the areas of managing accounts receivable
5 years of leadership experience providing direct oversight to staff
Excellent knowledge of billing requirements is necessary to accurately and efficiently collect from accounts
Experience working with Lean methodology or other daily engagement/process improvement systems

Manager, Revenue Cycle Applications Resume Examples & Samples

Conducts and maintains billing training relating to Revenue Cycle functions throughout Physician Services
Help maintain the practice’s revenue cycle standard operating procedures
Works in conjunction with Health Information Technology & Services team (HITS), to implement and deploy system enhancements of LPNT’s EMR systems and/or other selected technology platforms within our CBO’s and affiliated practices
Manages EMR system enhancements and customizations as they relate to Revenue Cycle and the practice management system
Manages overall responsibility of process improvement and continuing implementation of newly created/existing processes throughout the organization
Responsible for monitoring, supporting and identifying possible solutions to meet or exceed operational goals and objectives pertaining to LPTN’s physician practices revenue cycle
Responsible for working with others to develop and implement system usage standards
Responsible for assisting others in the testing/QA of new system enhancements/releases prior to field implementation
Responsible for developing and maintaining operational documentation related to system use
Responsible for providing and maintaining reimbursement programs, policies and strategies to ensure cost controls are met or exceeded
Monitors aged accounts and verifies appropriate collection procedures are being followed
Manages Revenue Cycle projects at the practice level
Work with internal Revenue Cycle team to establish internal goals and identify benchmarks
Resolves escalated reimbursement issues with/for practices for optimal management of accounts receivable
Responsible for supporting practices and trouble- shooting issues within the practice management system as it relates to revenue cycle
Responsible for consistent communication with assigned practices regarding improvements and/or deficiencies around revenue cycle performance. Will work with billing staff through resolution of issues
Performs practice assessments for front office and revenue cycle operations when assigned
Assists with other projects to meet the goals of the team as required

Manager, Revenue Cycle Resume Examples & Samples

Responsible for the day-to-day operations of a team of Admitting & Patient Financial Advisors support staff. Hires, coaches, develops, & disciplines staff as necessary. Works w/ direct reports to develop tactical & strategic solutions to meet the goals of this position. Helps to foster an environment & culture w/in the Revenue Cycle that is built upon open communication, trust & honesty, & collegiality which complements the Kaiser culture & ensures future success. Recruits, develops, & maintains competent & productive team. Responsible for submission of payroll (TIME) for staff
Collaborates various hospital operations, medical centers & regional leads & staff members, as well as external groups to ensure that departmental activities are in compliance w/ internal policies & external laws, standards, as well as confidentiality, information security, safety, environmental/infection control, financial accountability & related hospital operations requirements
Responsible for the on-going management of the departmental budget to meet fiscal goals for capital, payroll & non-payroll expenses
Three (3) years of concurrent experience in a revenue cycle capacity in an acute hospital environment
Prior experience managing staff in a 24-hour/7-day a week department
Certified Health care Financial Professional (CHFP) through the Health care Financial Management Association (HFMA) preferred
Working knowledge of revenue cycle including: Insurance coverage, benefits and authorization requirements; Payer specific requirements (e.g. workers' compensation, managed care, commercial insurance, third party liability, Medicare, Medi-Cal, and other government programs)
Eligibility requirements for special circumstance coverage (e.g. Charity Care, Victims of Crimes, California Children Services)
Comprehensive knowledge of laws, rules, regulations, procedures and departmental policies relating to admissions and eligibility for reimbursement from Medi-Cal, Medicare and other public and private medical/financial assistance programs including Title 22 of California Administrative Code; basic principles of hospital administration

Account Manager, Revenue Cycle Solutions Resume Examples & Samples

Associates’ or Bachelor’s degree and 5 years’ experience in healthcare/client services
Strong interface technical skills
Strong communication skills (written and verbal)
Working knowledge of PC-based Internet and Windows applications
Knowledge of healthcare revenue cycle, as well as, product specific, sales cycle
Proficiency in salesforce.com or similar product

Manager, Revenue Cycle Operations Resume Examples & Samples

Manage Revenue Cycle Department; oversight of assignments, training, and service issue resolution; ensure metrics and service standards are met
Manage Revenue Cycle Customer Inbound and Outbound Call teams, maintaining key performance indicators including but not limited to SLA, ACH, ACW, calls holding, teammate adherence and training in support of an optimal customer experience
Prior experience with an electronic medical record system. Strong working knowledge of CPT and ICD9/ICD10 codes, HCFA 1500, HIPAA, billing and insurance regulations, medical terminology, insurance benefits and appeal processes
Experience managing remote teams in multiple locations
Identify, create, monitor, and maintain key performance indicators including but not limited to teammate productivity, quality audits for both queue and calls, and departmental service level agreements
Evaluate Revenue Cycle department processes and procedures; suggest and implement methods to minimize labor costs and to improve operations, efficiency, and service to internal and external customers
Assist in the development and implementation of Standard Operating Procedures (SOPs) for all insurance department functions
Extensive knowledge of government regulations and applicable reimbursement laws and regulations required
Manage P&L for areas of responsibility
Maintain absolute compliance with Medicare, Medicaid, and Pharmacy to all applicable regulations via a thorough practice of documentation and organizational skills
Assist the Patient Accounts department in resolving claim rejection and denial issues that result from pharmacy billing errors
Create and maintain positive relationships with the DaVita Rx Pharmacy operational Directors, Managers and Chief Pharmacists
Provides all necessary documentation required to expedite payments. This includes demographic, authorization/referrals, National Provider Identification (NPI) number, and referring physicians
Travel required: up to 30%, varying by month based on business needs

Anesthesia Practice Manager, Revenue Cycle Resume Examples & Samples

Develops and maintains positive client relations and coordinates with various functions within HCFS to ensure client requests are handled timely and appropriately
Regularly conducts client meetings to review accounts receivable performance, payer issues and trends, and client's business strategies related to revenue cycle
Prepares, analyzes and presents client management reports. Reviews operational reports and identifies disparities, issues, efficiencies, and additional reporting needs
Works closely with VP of Anesthesia Practice Management to support M&A activities
Participates in NAPC review, revenue recognition and projections
Works with Billing Centers, HCFS Applications, and Programming in development of reporting needs and analytical tools
Provides analysis of revenue cycle operations to include billing, collections, denials, AR and other statistics
Monitors escalated issues to ensure appropriate resolution
Work closely with Managed Care, Contract Management and Billing Center on issue resolution for over and under allowed payments
Interface with Anesthesia CSVPs regarding client satisfaction and patient complaints
Performs other related duties and works on special projects as requested by senior management
Bachelor's Degree in Business, or related field, preferred
Three (3) plus years of healthcare experience
Strong reporting and analysis experience
Multi-site and multi-state anesthesia experience preferred
Excellent computer skills with strong proficiency in spreadsheet applications
Excellent communication skills (verbal and written) and proven ability to work with physicians and executives
Excellent problem-solving skills

Manager Revenue Cycle System Resume Examples & Samples

Ability to travel to regional locations, as needed
At least 5 years Healthcare Administration/Revenue Cycle Management
Working knowledge of full scope revenue cycle management process; Patient registration, billing, payment posting, denial tracking/resolution, accounts receivable, local/state/federal regulations, Fair Debt and Collection Practice Act, medical terminology, and payer contract familiarity
Extensive experience with implementing and maintaining billing systems
Strong coding knowledge and understanding of ICD-10; certified coder

Manager, Revenue Cycle Resume Examples & Samples

Recommends new approaches, policies, and procedures to influence continuous improvements in department’s efficiency and services
Maintains effective, consistent communication with Revenue Cycle team. Identifies and facilitates the resolution of issues that arise and impact entity
Conducts root cause analyses to identify areas where the process may not be working effectively or efficiently. Working with the Revenue Cycle Director, facilitates and manages process improvement efforts in the entities to drive improvement in the overall revenue cycle process
Identifies issues and risks and communicates to the appropriate parties. In conjunction with the other specialty managers, manages ongoing issues and priority lists for Entities. Works with the other specialty managers to implement and manage action plans
Assists and participates in creation and approval of training manuals, policies and procedures, and job aids for Revenue Cycle areas
Develops work standards, monitors quality and quantity of work processed, and ensures that policies are communicated and administered consistently. Works closely with site personnel and operations managers to monitor compliance to policies and procedures as they relate to the revenue cycle
Oversees the management of select revenue cycle personnel. Trains, orients and evaluates performance of assigned personnel, recommends merit increases, promotions and disciplinary actions
Manages and, where appropriate, participates in revenue cycle projects

Manager, Revenue Cycle Process Resume Examples & Samples

Provides focus and direction to process improvement in revenue cycle management
Establishes standards and processes to ensure continuous improvement in the revenue cycle
Identifies best practices within and outside CHRISTUS Physician Group and facilitates the knowledge transfer to CHRISTUS Physician Group's operation
Develops and implements training processes to improve cash collection, reduction of denials, and customer service excellence in all CHRISTUS Physician Group regions
Establishes and facilitates Revenue Cycle meetings with Practice Managers/Administrators
Oversees all aspects of medical record storage and retrieval for CHRISTUS Physician Group
Responsible for maintaining/updating current Business Policies for CHRISTUS Physician Group as well as creating new Business Policies as they relate to the revenue cycle process
Represent CHRISTUS Physician Group as the point person for the Recovery Audit Contractor ("RAC) program
Will work in conjunction with the Implementation and Process Improvement team to ensure that Associates are properly trained on Athena Collector as well as our existing Business Policies
Analyzes and make recommendations for collection agency services and monitors effectiveness of selected vendors
Follows the CHRISTUS Physician Group guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)
Maintains strict confidentiality
Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission
Maintains established CHRISTUS Physician Group policies, procedures, objectives, quality assurance, safety, environmental and infection control
Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Physician Group's cultural diversity objectives
Supports and adheres to CPG Service Guarantee
Performs other related work as required

Manager, Revenue Cycle Integrity Resume Examples & Samples

Monitor regulatory changes and payer alerts/manuals for impact to revenue cycle
Review hospital & payer contracts for impact to revenue cycle
Maintain an awareness of industry/market trends and relays relevant information
Develop an understanding of the operations, system processes and procedures used in the revenue cycle
Create and maintain database of rules/regulations, research, history of actions taken
Communicate and educate staff on any actions required to comply with rules/ regulations/contracts
Work with appropriate team manager to develop strategies, action plans and training for compliance
Analyze reports and EOBs to verify compliance
Work with Compliance/Ethics Team to investigate allegations/incidents, collaborating on and implementing course of action & solutions
Understand the regulatory regulations in each state company does business
Ability to research primary sources (CMS, federal register, payer websites and manuals)
Ability to interpret/digest legal and industry documentation to discern application to the revenue cycle
Demonstrated critical thinking, data analysis and problem solving skills
Knowledge of Medicare, Medicaid, Managed Care, and Third Party reimbursement and the regulatory environment thereof
Experience with a variety of revenue cycle software solutions
Knowledge of physician coding
Exceptional communication, persuasion, and facilitation skills
Highly independent with very strong initiative
Highly detailed and organized
Exceptional skill in use of computer applications, with an emphasis on spreadsheet, database, and presentation software
Bachelor’s degree in Healthcare, Business or related field
3-5 years’ healthcare revenue cycle experience, with emphasis on regulatory compliance
Coding experience preferred

Manager Revenue Cycle Resume Examples & Samples

Management oversight of all business related functions of the patient visit from point of entry to accurate adjudication of the patients’ accounts. Specific areas of responsibility include Revenue Cycle Training, Credentialing, Registration, Claims Management, Billing, Collections, Patient Insurance, Data Processing, Integrity of Patient Accounts, Accounts Receivable Management, Practice Management System File Maintenance, and Third Party Revenue Cycle Vendors
Monitors aged accounts and verifies appropriate collections procedures are being followed. Manages revenue cycle projects at the Practice level, such as audits and budgets
Regularly provides upper management with revenue cycle status including reports, metrics, and presentations. Develops, monitors, and assesses business metrics in order to refine processes and improve efficiencies. Establishes internal goals and identifies external benchmarks
Resolves escalated reimbursement issues with Payers, Practices, US Oncology and systems for optimal management of accounts receivable. Challenges the status quo and champions new initiatives; acts as a catalyst of change and stimulates others to change; paves the way for needed changes; manages implementation effectively. Steps forward to address difficult issues; puts self on the line to deal with important problems; takes ownership
Identifies goals and vision for team; guides individuals and teams toward priorities; clarifies roles and responsibilities of others; coordinates resources and arranges organizational systems to meet objectives. Develops and implements progressive short term goals that align with the company’s vision and business goals. Cascades goals down to staffs’ annual objectives

Manager Revenue Cycle Resume Examples & Samples

May meet with new patients or caregivers in assigned department(s) to orient them to billing processes and expectations
Monitors daily operating activity of assigned department and makes suggestions necessary for improved work flow and efficiency
Initiates and responds to pertinent correspondence. Prepares operational and financial reports and analysis, nothing progress as well as adverse trends. Makes appropriate recommendations or conclusions. Maintains records and files
Maintains knowledge and complies with established policies and procedures including government, insurance and third-party payor regulations
Attends administrative meetings and participates on committees as requested. Conducts special projects and studies, as directed
Maintains confidentiality as regards patient account status
Acts as liaison with all levels of administration and faculty in coordination of operational activities to accomplish directives and to facilitate resolution of problems
Assists in the planning of short and long-range goals for the department, unit or division. Prepares and evaluates proposals to implement new programs and expand existing ones
Other relevant duties as assigned
indicates duty is “essential” as defined by the Americans with Disabilities Act (ADA)
Knowledge of computer accounting programs, spreadsheets and applications
Knowledge of medical terminology, coding and office procedures
Knowledge of third-party and insurance company operating procedures, regulations and billing requirements and government reimbursement programs
Skill in developing, implementing and administering budgets
Ability to process patient and public inquiries and respond with poise and efficiency
Ability to recognize, evaluate, solve problems and correct errors
Ability to conceptualize work flow, develop plans and implement appropriate actions

Engagement Manager, Revenue Cycle Solutions Resume Examples & Samples

Lead and facilitate client discussions and meetings
Coordinate client assignments, monitor client satisfaction, manage continuous improvement process and assure engagement efficiency and quality
Master’s degree or MBA
Ability to create compelling stories validated with data and proven best practice research
Ability to build client relationships that result in new business opportunities
Experience working within health care related data
Personnel management experience

Project Manager, Revenue Cycle Resume Examples & Samples

At least five (5) years solid project management experience required
At least three (1) years process improvement or lean six sigma experiences required
At least three (2) years’ experience with Revenue Cycle Operational processes
Proven track record on project management and process improvement including identification of problems, solution options, influencing operational adoption and implementation resulting in strong positive performance outcomes
Training and change management leadership
Strong problem solving, analytical and decision making skills
Collaborative, customer-focused and able to create visible value
Excellent writing, presentation and influencing skills
Proficient PC skills: Microsoft Office (including Word, Excel, Access, PowerPoint and Visio)

Senior Manager Revenue Cycle Connect Care Resume Examples & Samples

Bachelor's degree from an accredited university or college or equivalent work experience&#96
Self-motivated, ability to work independently
Excellent customer facing skills
Demonstrated experience (at least seven (7) years) working in an environment directly impacting patient billing and related services
Revenue cycle business, technical or operational experience in management of EMR implementation and optimization
Demonstrated proficiency with Enterprise Information Systems technology
Experience as a team lead for multiple implementations and supervised the support function over one or more application teams for at least 3 years
Demonstrated workflow process analysis and design
Demonstrated facilitation/training skills
Strong assertiveness skills, ability to manage conflict in a variety of situations
Effective leadership skills and strong customer service orientation
Superior organizational, delegation, and people management skills
Demonstrated ability to align and motivate key process stakeholders, including nurses, physicians, and other clinical/administrative staff
Demonstrated ability to interact with multidisciplinary teams
Experience with implementing clinical information systems and/or large-scale and complex standardization and implementation of an ERP is highly desirable
Epic certification in one or more revenue cycle applications
Experience with Epic installations
Experience in a matrix management organization

Engagement Manager, Revenue Cycle Solutions Resume Examples & Samples

Develop curricula, research documents, teaching plans, meeting agendas, and other support material
Participate in new product and service conceptualization and planning -Identify cross sell opportunities and support sales processes
Possess 7+ years of professional experience and at least three of the following
Demonstrated ability to manage staff
Electronic Medical Record Experience required (i.e. Athena, Epic, Cerner)
Ability to identify client relationships and cultivate those relationships to result in new business

Senior Program Manager, Revenue Cycle Resume Examples & Samples

5 years solid project management experience required
3+ years process improvement or lean six sigma experiences required
At least three (3) years’ experience with Revenue Cycle Operational processes
Financial acumen - Financial analysis and P&L interpretation skills including ability to calculate cost benefit analysis and ROI, and help identify financial savings
Strong change management, training instruction, and educational leadership skills
Strong working knowledge of Six Sigma tools and methodologies including DMAIC, Lean, Kaizen, Workout, and DFSS
Two (2) years managerial experience a plus
Project Management Professional (PMP) certification strongly preferred
Six Sigma Black Belt certification or progress toward achieving certification preferred