Revenue Cycle Manager Resume Samples

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C Rosenbaum

Cecile

Rosenbaum

5685 Haylee Stravenue

Boston

+1 (555) 514 5514

5685 Haylee Stravenue

Boston

Phone

p +1 (555) 514 5514

Experience Experience

Houston, TX

Revenue Cycle Manager

Houston, TX

Torphy-Stracke

Houston, TX

Revenue Cycle Manager

Manages practice/department within the established budget, including annual planning, and develops monthly status reports
Establishes and recommends credit and collection policies. Makes recommendations for improvement
Communicates revenue performance to the MOH leadership and Finance as well as assists in identifying/implementing improvement opportunities
Develops and implements new procedures to improve the quality and quantity of work processed. Ensure policies are communicated and administered consistently
Monitors daily operating activities of assigned department and makes suggestions necessary for improved workflow and efficiency
Defines/refines better ways in which employees can perform Revenue Cycle work
Monitor work of Registration Representatives to ensure patient records are established timely and accurately and maintained properly

Boston, MA

Hospital Revenue Cycle Manager

Boston, MA

O'Reilly Inc

Boston, MA

Hospital Revenue Cycle Manager

Perform project and data management functions; identify metrics to create transparency into hospital revenue performances
Work with performance teams that influence customer RCM performance activities, and serve as SME to clients to explain solutions
Provide industry insight to teams such as R&D, UX, business development, sales, product marketing, and operations on RSM strategic projects
Deliver Revenue Cycle Management and coding expertise on Product initiatives
Manages all of product service expansions
Use best practices to communicate optimal RCM/project workflows of new products and related services
Contribute to processes to measure quality and timeliness

present

Chicago, IL

Healthcare Revenue Cycle Manager

Chicago, IL

O'Connell and Sons

present

Chicago, IL

Healthcare Revenue Cycle Manager

present

Monitor, track, and evaluate staff productivity and performance and provide summary report to management
Build trust and collaboration amongst the team by enhancing employee engagement, addressing performance results, and providing coaching and mentoring
Overseeing department training and individual development
Implement, monitor, and revise annual goals, objectives, and performance standards including team metrics
Deliver RCM and coding expertise against defined Product initiatives. Provide necessary industry or functional insight to relative teams
Define boundaries in athenahealth’s co-sourcing framework between what work is tied directly to the patient care process (and which the client uniquely positioned to do), and what work should be centralized by athena or its partners. Support an opinion on measures of success in each
Generate monthly A/R reports for submission to management

Education Education

Bachelor’s Degree in Business Administration

Carnegie Mellon University

Bachelor’s Degree in Business Administration

Skills Skills

Strong analytical and PC skills with the ability to define problems, collect and summarize data and draw valid conclusions
Detail oriented with strong analytical and organizational skills
Working knowledge of end-stage renal disease (ESRD) guidelines desirable
Strong working knowledge Generally Accepted Accounting Principles (GAAP) and SOX
Excellent computer skills with advanced proficiency in word processing, spreadsheet, database and email applications
In-depth knowledge of physician professional services coding and billing practices
Ability to work proficiently with Microsoft Excel, Word, Access, PowerPoint
Ability to build effective relationships demonstrating strong interpersonal skills
Ability to be careful and thorough about detail
Strong communication/problem solving skills. Able to motivate others and work under pressure

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15 Revenue Cycle Manager resume templates

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Revenue Cycle Manager Resume Examples & Samples

Assists with the coordination and management of the Billing Departments day-to-day operations
Assists with the preparation of the agency’s budgets
Assists with the agency purchases and expenditures
Coordinates preparation of the agency’s annual Medicare and/or Medicaid cost reports and reviews them with the Administrator
Manages and coordinates preparation of the agency’s financial and operational reports
Assists in preparation of the agency’s annual evaluation and other reports required by government regulatory agencies
Ensures the proper management and maintenance of all agency physical facilities and equipment
Maintains or oversees the proper maintenance of all personnel files
Hires or participates in the hiring of qualified individuals for various staff positions
Serves as a leader, positive role model, mentor and resource for agency personnel
Assists in the proposal preparation for managed care contracts with other health care or insurance organizations
High school diploma or received a Graduation Equivalent Degree (G.E.D.)
Completion of at least two years of college-level education in a business or healthcare field preferred
Minimum of one year management/administrative/supervisory experience in a home health care setting
Working knowledge of Medicare/Medicaid home health care benefits, rules and regulations preferred
Have good management and leadership skills
Have the ability to motivate others in a positive manner
Ability to organize work and schedule effectively
Have a good knowledge of computers and the ability to learn new computer applications and programs quickly
Have a sound foundation in the principles of book-keeping and payroll operations

Revenue Cycle Manager Resume Examples & Samples

Prior Accounts Receivable experience
2-3 years of supervisory experience
Reimbursement experience, specifically with commercial insurance, no-fault and workers compensation

Revenue Cycle Manager Resume Examples & Samples

Previous experience processing payments through payers with an in depth knowledge of Part B
A minimum of 1 year of supervisory experience
Prior experience in the Medical Field
Understanding of EOB
Knowledge of insurance company practices regarding reimbursement and healthcare receivables
Strong communication/problem solving skills. Able to motivate others and work under pressure

Senior Revenue Cycle Manager Resume Examples & Samples

Medical billing experience
Strong understanding of Revenue Cycle Management
Ability to effectively problem solve and manage processes
Strong communication/problem solving, strong process and policy documentation skills
Able to motivate others and work under pressure

Revenue Cycle Manager Resume Examples & Samples

Supervises the A/R, Patient Services or Coding functions to ensure performance and workflow metrics are met
Interacts with Leadership regarding the management of accounts, including process effectiveness and cash flow
Oversees daily operations, including workflow, quality and schedules
Directs and controls activities for a defined functional area with responsibility for workforce planning, implementing process improvement initiatives and staff development
3 + years’ medical claims or coding experience
3 + year supervisory experience in a revenue cycle management environment required
Experience with patient information / claims systems processes
Strong written and verbal communication skills with the ability to write technical reports and respond to common inquiries, client complaints and regulatory agency requests
Strong analytical and PC skills with the ability to define problems, collect and summarize data and draw valid conclusions

Revenue Cycle Manager Resume Examples & Samples

Prepare performance evaluations and action plans to document and communicate individual staff and Team Lead(s) performance
Perform quality assurance checks and monitor team work loads and productivity
Conduct meetings with staff members to deliver results related to productivity and quality; discuss coaching and development needs
Compile consistent reporting statistics to document team performance
Examine reimbursement and denial patterns within assigned AR; recognize trends, suggest and implement innovative solutions
Assess opportunities to improve internal workflows; ensure best methods and tools are utilized
Maintain strong client relationships; address issues/needs delivered by client and provide accurate feedback to both client and Conifer departments
Ensure all team members adhere to internal company policies/procedures

Revenue Cycle Manager Payment Resolutions Resume Examples & Samples

Communication – communicates clearly and concisely verbally and in writing
Customer orientation – establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
Interpersonal skills – able to wok effectively with other employees and external parties
PC skills – demonstrates proficiency in Microsoft Office applications and others as required
Policies and procedures – demonstrates knowledge and understanding of organizational policies, procedures and systems
Basic Skills – able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly and spell correctly
Three years of professional work experience and knowledge of the hospital and clinic revenue cycle, patient access, billing, collections, and accounts receivable management
Knowledge of the Health Plan’s operations, claim and eligibility systems, ICD-10, CPT/HCPCS coding methodologies
Knowledgeable with commercial insurance carriers and contracts
Supervises process of validating payment accuracy from contracted payers

Revenue Cycle Manager Resume Examples & Samples

Make changes to existing tools, policies, and procedures to facilitate achievement of department goals
Review daily, weekly, and monthly key metrics to identify trends or areas of focus. Develop, document, and implement action plans to address issues
Foster strong working relationships between team and partners, encouraging communication and collaboration for the overall benefit of patients
Provide ongoing training, development, coaching, performance management, and opportunities for growth to teammates to enable them to meet or exceed expectations
Address teammate relations issues in a timely manner and escalate to Director and People Services Manager as appropriate
Provide consistent, visible, and timely communication to team on matters including, but not limited to: team goals and objectives, progress toward those goals, information that will keep teammates well informed on issues and activities that impact their ability to carry about their job responsibilities
A "community first, company second" culture based on Core Values that really matter

Revenue Cycle Manager Resume Examples & Samples

Analyzes and reviews billing requirements and automate the billing process
Analyzes financial information and determine financial impact for the organization
Responsible for Denials Management, including reporting, accountability and resolution
Accountable for accuracy and timeliness as work impacts revenues
Responsible for the overall direction, coordination, and evaluation of assigned staff
Ability to be careful and thorough about detail
Ability to multi-task and to meet deadlines
Ability to build effective relationships demonstrating strong interpersonal skills
Ability to work proficiently with Microsoft Excel, Word, Access, PowerPoint

Revenue Cycle Manager Resume Examples & Samples

Experience is Southern California third party payers and working through the complexities of the insurance verification
Positions in this function include those responsible for management and administration of multiple functions, or management of general business operations
May manage the P&L of a business or part of a business unit
Manage daily operations of multiple levels of staff and multiple functions / departments across one or more business units
May include day to day site operations, management leadership internal and external to organization, accountable for financial and non-financial results (budgets and actuals)
Project management and implementation, staff management
Manages and is accountable for professional employees and/or supervisors
Impact of work is most often at the local level
5 to 7 years of experience managing a team
5 to 7 years of experience medical billing experience
Experience developing a team
Prior experience setting goals for obtain reduction of AR Days
Ability to oversee multiple projects
Experience in writing procedures
Hospital Billing Experience

Revenue Cycle Manager, Physician Services Resume Examples & Samples

Interview candidates for open positions within team structure
Prepare performance evaluation and action plans to document and communicate individual staff performance
Monitor team work load and productivity on a monthly basis or as required for individual employee improvement
Conduct monthly staff team meetings to communicate results related to productivity, quality, and client metrics
Examine reimbursement and denial patterns with assigned AR, recognize trends, suggest and implement innovative solutions
Asses opportunities to improve internal workflows; ensure best method and resources are utilized
Maintain strong client relationships; address issues/needs delivered by client and provide accurate feedback to both client and Conifer operational departments
Ensure all team members adhere to internal Conifer and client policies and procedures
3-5 years in healthcare collections and/or healthcare related field (physician collections preferred)
Minimum of 4 years previous personnel management experience
Knowledge of CPT, ICD-10, and HCPCS codes
Understanding of physician enrollment and the effects to reimbursement
Knowledge of CMS1500 paper and electronic formats
Extensive skill with Microsoft Excel
Fluent knowledge of the entire revenue cycle process (physician based)
Sharp intelligence of government payors and other commercial/managed care carrier rules and processes in the physician billing environment
Excellent analytical and decision making skills
Ability to multi-task and recognize trends effectively to work AR
Flexible; able to adapt to change

Revenue Cycle Manager Resume Examples & Samples

Oversee and streamline billing/collections processes and improve the data integrity among all business lines
Month-end closing of the billing group info and special program/billing planning and implementation
Staffing meetings, discussions and planning/interviews; Team building
Assist with the implementation of new billing systems and process flows
Prepare and present reports on Revenue Cycle activities for management
Perform additional duties and projects as requested

Revenue Cycle Manager Resume Examples & Samples

Work on-site at SCA’s centralized revenue cycle office / RCO in Irving, TX within the Dallas / Fort Worth metro area
Responsible for leading team to reach departmental goals and metrics
Manage two direct reports/team leads that oversee a total staff of 25-30 on-site teammates in revenue cycle functions including accounts receivable, accounts payable, cash applications, and insurance verifications
Work closely with department leads to ensure metrics and quality standards are being met
Review, analyzes and interprets financial data to monitor progress toward established goals, identifies deterrents to success and implements improvements as necessary to enhance efficiencies and results
Responsible for revenue cycle activities for multiple sites/clinics in multi-state region that funnel through our regional business office in Carmel, IN
Work closely with and builds relationships various stakeholders including senior level executive management, clinic administrators. Stakeholders may be located on-site or off-site
Present and explain data, numbers, and quantitative information to support process improvements
Communicate business updates frequently with teammates, management , and directors in-person, over the phone, and in writing
Partner with human resources on teammate performance issues, coaching, and/or terminations
Review productivity and accuracy, develop improvement plans and seek support from leadership
Serve as the subject matter expert for clients and teammates
Reports directly to Sr. Revenue Cycle Director
Associates Degree or Bachelors Degree in business, healthcare, or related field
5+ years of experience of management within revenue cycle functions in the healthcare, medical, or ambulatory surgery center industry
Prior experience-specifically revenue cycle activities for ambulatory surgery centers
Prior experience with multiple client sites in different physical locations
Demonstrate strong people management skills
Proven track record of reaching department/organization goals and metrics
Comfortable with oral presentations to various stakeholders including teammates, facility administrations, large groups, and senior level directors
Embrace SCA’ core values: Clinical quality, integrity, service excellence, teamwork, accountability, and continuous improvement
2017-3200 TX

Revenue Cycle Manager Reference Laboratory Resume Examples & Samples

Strong supervisory experience including project management, fiscal, and lead responsibilities
Previous experience in management of healthcare billing and AR
Experience with laboratory testing billing
Experience with working with third party healthcare payers
Demonstrated excellent verbal, written and interpersonal communication skills
Proficiency in Microsoft Office software with UW fiscal and personnel procedures
Demonstrated problem-solving skills and fiscal skills, strong detail orientation and ability to adeptly manage multiple priorities and timelines
Experience with management of operations, including direct supervisory experience of five or more employees
Experience with laboratory information systems, such as Sunquest
Knowledge of HIPAA x12 code sets
In-depth knowledge of federal and state regulations as they pertain to patient, insurance and client billing and Generally Accepted Accounting Principles (GAAP)
Ability to compile statistical, financial, accounting or auditing reports and tables pertaining to such matters as cash receipts, expenditures, and payable and receivables
Experience managing union/represented staff
Proven ability to foster credibility and establish collaborative working relationships
Strong organizational skills, ability to set priorities, and high degree of attention to detail
Ability to manage multiple competing priorities concurrently as evidenced by timely completion of multiple tasks
Ability to work with diverse people with tact, diplomacy, discretion and sensitivity
Previous experience preferably in an academic or healthcare-related setting

Healthcare Back End Revenue Cycle Manager Resume Examples & Samples

5+ years’ experience of consulting, revenue cycle services leadership role
Strong oral and written communication, interpersonal skills, analytical skills
Experience managing multiple projects
High level of productivity
Team oriented and self-motivated,
Strong Microsoft Office (Excel, Word, and PowerPoint) skills
Ability to facilitate and lead work groups
Ability to set program goals and objectives
Experience in leading and executing processes/procedures to ensure preeminent quality of deliverables and complete tasks in a timely manner
Bachelor’s degree required preferably in health related or business field
Master’s degree in health related or business field is a plus
Willingness to travel 50% - 75%
PC proficiency including spreadsheet, word processing, and presentation applications
Experience working with all levels of staff including executive management
Knowledge of revenue cycle with emphasis on credit balance account processes
Experience in working accounts directly in the patient accounting system or related platform with an understanding of the end-to-end process required

Revenue Cycle Manager Resume Examples & Samples

A bachelor’s degree in business, business administration, finance, accounting, or a directly related field from an accredited institution
The position requires extensive, diverse and progressively responsible experience at the management level, including direct responsibility for revenue cycle management in an academic medical environment
Three (3) or more years of financial management experience, including financial reporting and/or revenue cycle in an academic medical or health care facility
Demonstrated experience with University and CU Medicine (formerly UPI) financial systems
Demonstrated experience and knowledge of CPT and ICD-10 coding practices
Experience working with billing systems (GE/CB) and Electronic medical records such as EPIC
Ability to communicate effectively, both in writing and orally
Ability to establish and maintain effective working relationships with employees at all levels throughout the institution
Demonstrated commitment and leadership ability to advance diversity and inclusion
Extensive knowledge of Microsoft Excel
In-depth knowledge of physician professional services coding and billing practices
Demonstrated experience in monitoring AR and working claims denials

Revenue Cycle Manager Resume Examples & Samples

Bachelor’s Degree in Accounting, Healthcare Administration or equivalent and five years of professionally related experience in a physician practice setting; or an equivalent combination of education and experience required
Minimum of one year in a supervisory role with demonstrated ability to provide employee performance and skill development feedback and guidance including performance evaluations, mentoring and performance improvement plans up to and including termination
Proven experience and background in financial analysis and reporting is required
Demonstrated experience with large billing and medical practice management systems, preferably eClinical Works (eCW)
High level of competency with computers, the Internet, and computer software such as MS Office or equivalent is required
Considerable knowledge of medical office operations, professional fee billing, reimbursement and third party payer regulation and medical terminology is required
Working knowledge of regulatory requirements pertaining to health care operations and their impact on practice operations
Ability to work, plan, research and conduct projects with minimal supervision
Ability to organize and prioritize workload to manage multiple tasks and meet deadlines
Superior verbal, written, organizational, and interpersonal skills are required
The ability to work with individuals at all organizational levels, particularly peers, team members, other departments, patients, and the community is required

Revenue Cycle Manager Resume Examples & Samples

Strategic oversight for multiple operational teams responsible for the self pay revenue cycle for one or multiple clients
Establish strategic initiatives to ensure client metrics are met
Interacts with clients regarding the management of their accounts
Direct and control activities of a broad functional area with responsibility for workforce planning, implementing process improvement and staff development
Regular interaction with senior management
Interactions normally involve matters between functional areas, 3rd party vendors, other company divisions or units, or customers and the company
Manage P&L and budget targets
Other duties as required to facilitate client contract compliance and P&L success
5+years of revenue cycle outsourcing or CBO management experience along with strong management experience. Experience with patient information/claims system processes and customer service/call centers
7+ years of operational experience including 4+ years managerial experience
3+ years experience with self pay receivable management and customer service

Fvc-revenue Cycle Manager Resume Examples & Samples

Manage the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing
Oversee the ongoing accounts receivable activities within the assigned function(s) to effectively maintain positive cash flow and maximize reimbursement while minimizing bad debt in compliance with company policies procedures, applicable state, federal and regulatory requirements
Review policies and procedures with a focus on continuous improvement efforts; developing and implementing policies and procedures to maximize the efficacy and efficiency of operations within the assigned function(s)
Facilitate closes processes within the assigned function(s) on a routine basis; ensuring data accuracy and integrity in compliance with company reporting requirements
May drive electronic data interchange (EDI) initiatives to ensure the utilization of all available billing options
May monitor accounts receivable performance and trends; addressing any issues that may have a negative impact on the efficacy and efficiency of operations of the assigned function(s)
May prepare required reports for management review on a routine or ad hoc basis
Serve as a subject matter expert (SME) by maintaining current knowledge of local, state and federal regulations in compliance with Medicaid and Medicare requirements as they affect the assigned function(s)
Establish and maintain strong working relationships with cross-divisional teams, management, vendors and/or consultants to ensure the effective resolution of any issue within the assigned function(s)
Provide leadership, coaching and development plans for all direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters

Revenue Cycle Manager Resume Examples & Samples

Monitor current billing systems and operation processes; focusing on continuous improvement by contributing to the development and implementation of strategies, initiatives and processes which will maximize efficacy and efficiency of the function(s)
5 – 8 years’ related experience; or a Master’s degree with 3 years’ experience; or a PhD without experience
Excellent computer skills with advanced proficiency in word processing, spreadsheet, database and email applications
Experience with business warehouse (BW), billing and financial systems (e.g., BEx, Hyperion, SAP, etc.)
Working knowledge of end-stage renal disease (ESRD) guidelines desirable

Revenue Cycle Manager Resume Examples & Samples

Financial Operation. Oversees financial operations of the department. Responsible to develop, plan, organize and implement strategies to process payments, improve cash flow and manage the overall health of the company's receivables
Work Flow Processes. Enhances and standardizes work-flow processes throughout the revenue cycle to assist in achieving consistency and ensures effectiveness in maximizing the utilization of efforts and resources. Compiles and prepares various status reports for management in order to analyze trends and make recommendations for efficiency improvements. Develops and maintains relationships with outside vendor(s) and clients to better understand their policies in order to better serve their needs
A/R Service Delivery. Directs the successful delivery of A/R audit services to the client by managing the team(s) assigned to the engagement. Develops appropriate policy and standard operating procedures that will complement the collection process and ID cash allocation against original claim ID. Provides leadership and direction and ensuring that the client' needs and expectations are met and exceeded
Audit Productivity. Reviews audit progress against established metrics and direct activities as needed to ensure achievement of business goals and customer expectations. Ensures effective coordination with Business Optimization and other support functions to achieve audit goals. Demonstrates awareness and sensitivity to the needs of the client, the needs of the audit team, and the profitability of the audit engagement
Cost Management. Continually works to improve efficiency, productivity and reduce operational costs while providing 100% compliance with customer contract and company policies
Quality & Continuous Improvement. Supports the continuous development of innovative solutions and with audit team. Works to optimize audit processes and efficiencies
Customer Service. Effectively manages customer problems and conflict, including direct communication with customers to achieve mutually-accepted resolution. Provides assistance and remove barriers as needed to identify opportunities for process improvements. Serves as top escalation point to resolve any customer issues that are roadblocks to customer satisfaction. Leads the implementation of all appropriate actions by other leaders and teams to understand and resolve issues and ensures follow through until closure and complete customer satisfaction
Account Growth. Ensures the audit team is looking at all possible claim categories and claim types and is using all available proprietary software, reports and IT resources to conduct their audits. Collaborates with SAM to achieve in growth opportunities within existing and potential clients
Ensures compliance all HIPAA regulations regarding the safe-guarding of Protected Health Information (PHI) and communicate to all associates involved in the audit engagement
People Management. Consistent with good people management practices and company values. Provides managerial leadership and direct the selection, supervision, evaluation and development of staff. Sets objectives and conducts performance reviews for direct reports and oversees the remaining evaluations indirect team members

Revenue Cycle Manager Resume Examples & Samples

Maintain, create, and analyze QA statistics and reports
Ensure QA on registrations for all areas of Patient Access
Complete bi-weekly and monthly reports for Corporate Director, PFS and RCC
Review the quality of patient registration document
Contribute to meeting and exceeding A/R goals for Patient Registration
Maintain and develop a high degree of expertise in revenue cycle operations, technical process and reports
Analyze and communicate financial and operational data for decision-making and strategic planning
Develop and recommend effective business improvement initiatives
Manage various personnel functions including, but not limited to: hiring, performance appraisals, promotions, transfers and vacation schedules
Monitor to ensure all Patient Access policies are followed
Maintain Patient Access Policies and Procedures
Promptly report any system changes or enhancements to IS and/or Corporate Director, PFS as appropriate
Track, trend, and resolve facility denials
4 Years Management/Supervisory Required
Bachelor’s Degree in Accounting, Business or Equivalent. Rev Cycle Certifications a Plus
Excellent customer service and communication skills, both written and verbal Self-starter with strong team player and demonstrated leadership skills Strong communication, analytical and problem solving skills Outstanding project management and task prioritization abilities; ability to meet pre-determined deadlines Knowledge of managed care policies and medical terminology preferred Knowledge of hospital systems required; Cerner- Millennium / Profit experience preferred

Fvc-revenue Cycle Manager Resume Examples & Samples

3+ years’ supervisory or project/program management experience preferred
Strong working knowledge of general accounting and revenue cycle
Working knowledge of Generally Accepted Accounting Principles (GAAP)
Strong computer skills with demonstrated proficiency in word processing, spreadsheet, database and email applications
Demonstrated proficiency with business warehouse (BW), billing and/or financial systems (e.g., MDP Billing, SAP Business Warehouse, Hyperion, etc.)
Strong time management skills with the ability to multitask concurrent priorities in an organized manner
Proactive management style to effectively lead cohesive and productive teams
Must be able to coach others and further develop their knowledge and skills; prior training experience preferred

Revenue Cycle Manager Resume Examples & Samples

Responsible for provider reimbursement programs, policies, and strategies to ensure unit cost controls meet or exceed corporate objectives for medical cost containment. Analyzes claims, utilization, and medical cost data. Develops strategic, cost effective programs, and makes system or network changes to enhance competitive position
Develops, implements, and maintains the Practices revenue cycle standard operating procedures (SOPs). May develop training materials and facilitate staff training of SOPs, systems, metrics, government regulations, and etc
Responsible for the overall coordination of front office duties to include scheduling, check-in, and co- pay/co-insurance collection
Attracts high caliber people, accurately assesses strengths and development needs of employees; gives timely, specific feedback and helpful coaching; provides challenging assignments and opportunities for development. Responsible for interviewing, recommending hires, assessing performance, recommending salary changes, and progressive discipline. Enforces adherence to the Practices' and US Oncology’s policies

Hospital Revenue Cycle Manager Resume Examples & Samples

Manages all of product service expansions
Deliver Revenue Cycle Management and coding expertise on Product initiatives
Provide industry insight to teams such as R&D, UX, business development, sales, product marketing, and operations on RSM strategic projects
Execute and drive form the Product standpoint, including recruitment of prospects, filling gaps, and collaborating with stakeholders to prioritize needs to support cross-team improvements
Built respected relationships with vendors and Athena BPO’s relative to RCM projects
Serve as SME to Service teams that target RCM experiences for improvement, conveying a POV that contributes weight of appreciation to prioritization and impacts
Contribute to processes to measure quality and timeliness
Contribute to the structural definitions of defining accuracy and correctness of RCM related services
Use best practices to communicate optimal RCM/project workflows of new products and related services
Coordinate RCM needs within the hospital and ambulatory performance pipeline to proactively engage in opportunities for improvement across all product and service zones
Work with performance teams that influence customer RCM performance activities, and serve as SME to clients to explain solutions
Perform project and data management functions; identify metrics to create transparency into hospital revenue performances
Serve as a the SME for RCM to bring credibility and insight to product and services
8-10 years of experience in inpatient coding on a strong management level
Strong leadership skills in medical coding and Health Information management operations
Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) required, with CCS-I preferred
Experience with outsourced or third party vendors preferable
Possess a strong grasp of

Revenue Cycle Manager Resume Examples & Samples

Maintain compliance with state and federal guidelines, including ensuring that charge tickets and charge capture systems (like IMPAC and Iknowmed) are updated
Provide on-going front-office process review and implement process revisions as needed
Coordinate and or provide training for new front office staff, and retraining as needed
Provide a central resource for front office processes, like intake, insurance verification, copay collection and charge entry. Work with offices to ensure compliance with USON and AOA operating procedures
Conduct audits of front office processes
Super User of Practice Management System and interfaced systems
Ensures roll-out of System updates to front-office team
Chairs Revenue Cycle Front Office task teams. Co-chairs C2C Committee

Healthcare Revenue Cycle Manager Resume Examples & Samples

Deliver RCM and coding expertise against defined Product initiatives. Provide necessary industry or functional insight to relative teams
Working with the performance teams, offer root cause solutions that impact customer RCM performance activities, and serve as the voice when required to clients to explain solutions in their language via phone, site visits, demos to ensure communication is delivered in an elegant client experience
Build respected relationships with vendors and athena BPOs relative to project work. Own the day to day management of communication, agendas, and management-level issue resolution
Develop best practice processes, reference material, and tools which prospect or customer facing teams would use to communicate optimal RCM/ project workflows of new products and related services
Train, coach, and guide early adopters of alpha/beta pilot projects tied to owned initiatives both at athena as well as the customer. Expect to own a degree of customer relationships relative to identified projects until they are able to be transitioned to standard operations and services
Support leadership in representing athena as needed on strategic sales and client escalations, by providing a compelling peer-to-peer face-off for hospital RCM roles and management
10+ years revenue cycle management experience, with inpatient coding experience, and a track record of progressive advancement to a supervisory or management role
Possess a grasp of

Revenue Cycle Manager Resume Examples & Samples

Must possess extensive knowledge of revenue cycle systems, functions, policies and procedures, including experience with various revenue cycle operations, from scheduling, pre-registration, admissions to billing and collections of Accounts Receivables
Must be very knowledgeable about Medicare and other governmental regulations, various payer trends, accounts receivable analysis, vendor performance and other industry related processes
Must have a proven record of identifying process improvement opportunities
Demonstrated verbal and written communication skills are required
Demonstrated proficiency with Microsoft word, excel spreadsheets, databases, email and ability to manage large scale projects is required. Must be organized and detail oriented

Revenue Cycle Manager Resume Examples & Samples

Primary responsibility is the management of the cash applications process including payment posting, credit resolution and cash balancing for multiple practices serviced at the CBO
Serves as the liaison with the controllers at the individual practices in regard to cash management and balancing
Attracts high caliber people, accurately assesses strengths and development needs of employees; gives timely, specific feedback and helpful coaching; provides challenging assignments and opportunities for development. Responsible for interviewing, recommending hires, assessing performance, recommending salary changes, and progressive discipline. Enforces adherence to the Practice’s and US Oncology’s policies
Bachelors degree in Finance, Business, or equivalent OR 8 years of revenue cycle management experience required
Previous cash management or bookkeeping experience required
At least four (4) years of medical revenue cycle management experience required with a consistent track record of achieving metrics and at least two (2) years supervisory experience successfully resolving a variety of people issues
Strong knowledge of medical insurance billing and collections with CPT, ICD9, and HCPC coding and medical terminology, as well as an overall understanding of managed care products (HMO, PPO, etc)
The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin

Revenue Cycle Manager Resume Examples & Samples

Certified Professionals Coders (CPC) certificate
Cerner Electronic Medical Record (EMR) experience preferred; knowledge of system maintenance related directly to Patient Financial Services application preferred
Bachelor’s degree in Business or related field and three years of progressive experience supervising/managing the patient billing functions within a healthcare setting. An equivalent combination of education and experience may be considered
Professional level of knowledge acquired through the completion of appropriate training or job technical experience in billing, credit and collection
Analytical and problem-solving skills necessary to integrate and interpret data from diverse sources to address issues of moderate complexity from all payer sources of physician office reimbursement
Excellent leadership skills with a demonstrated ability in performance management, coaching, team building and staff development
Excellent organizational skills and the ability to handle multiple priorities/tasks simultaneously in a fast paced environment
Ability to adapt to change of duties quickly and smoothly
Excellent interpersonal skills and the ability to effectively communicate verbally and in writing providing excellent customer service
Ability to develop strong relationships with suppliers and customers
Computer literacy and proficiency in Microsoft Windows
Intermediate proficiency with MS Office (Outlook, Word, Excel, PowerPoint)
Computer literacy and proficiency with Patient Accounting and Accounts Receivable applications
Must pass pre-employment screening

Revenue Cycle Manager Resume Examples & Samples

Analyze financial data and prepare formal, executive level, reports
Direct the Reports Advisor in the design and completion of more detailed required analyses
Assist in the preparation of the annual revenue budget through analysis of collection rates and expected changes in payor contracts
Manage and track billing operating budget
Assist with the preparation of monthly billing budget to actual variance analysis
Preparation of monthly revenue/billing brief
Maintain and update fee schedules annually
Make formal presentations to the CAA Board of Directors on a bi-monthly basis
Monitor and analyze charge and collection activity throughout the year
Project charges and collections for future periods based on analysis
Identify reimbursement trends and respond accordingly Oversee the daily and monthly reconciliation of revenue between the billing system and bank deposits
Assist with the implementation of ICD 10 and assist with coordination of training and preparation
Assist with team/morale building team events and programs
Approve refunds and account write-offs, as justified with appropriate documentation
Monitor coding and compliance through periodic reviews of physician documentation
Assist with month end closing procedures and coordinate to ensure charges are corrected and time lags are maintained
Five or more years of supervisory experience with progressive increases in responsibility in medical services billing or related healthcare field
Three years supervisory experience
Strong client orientation and previous experience working as part of a cross-functional team
Master’s preferred
Experience in anesthesia billing preferred
Experience with the Epic system preferred

Revenue Cycle Manager Resume Examples & Samples

Plans, organizes, and manages billing activities and revenue cycle staff in insurance credentialing/set-up, coding, data entry, collections, insurance verification, patient billing, correspondence, compliance, refunding/credit balances and A/R follow-up
Maximizes reimbursements
Assists with changes and/or refinements to business office processes, policies, and procedures
Generates reports as needed
Assists with training/education processes as needed
Defines/refines better ways in which employees can perform Revenue Cycle work
Answers questions as a resource for the Business Office personnel
Displays leadership qualities and compliance with company policies
Promotes and maintains exceptional customer service
Maintains a professional approach respecting the dignity and confidentiality of patients and employees
Attends staff/manager meetings as scheduled
Interacts internally with Physicians, CEO, CFO, VP of Revenue Cycle Management, the EMR support team and staff regarding billing matters
Interacts externally with vendors
Performs all other duties, as assigned

Healthcare Revenue Cycle Manager Resume Examples & Samples

Recognize, anticipate, and resolves billing, revenue recognition and cash application issues; make recommendations as applicable
Generate monthly A/R reports for submission to management
Analyze process and business issues to identify best practice solutions
Build trust and collaboration amongst the team by enhancing employee engagement, addressing performance results, and providing coaching and mentoring
Comprehensive knowledge of claims management
Demonstrate leadership qualities and strong capabilities in change management
Strong collaborative skills to form working relationships with clients, other departments, and senior management
Excellent analytical skills, including the ability to analyze quantitative and qualitative information and reach sound conclusions
Ability to perform A/R statistical analysis, identify gaps, develop and deploy solutions necessary for achievement of key metrics (days in A/R, aged receivables, denial rate, bad debt percentages

Revenue Cycle Manager Resume Examples & Samples

Leads all revenue cycle functions related to fee schedule/charge master, billing/coding, insurance follow up, payer statements, payment posting, credit/refund research, review of expenses, etc
Prepares monthly, quarterly, and fiscal billing reports; monitors reimbursement trends; investigate revenue cycle problems and formulate solutions
Generates monthly financial statistical reports for MOH by location for internal and external customers
Provides education as it relates to revenue cycle related transactions; direct and schedule required training activities as needed, oversee the collection of data, data entry, and submission into EMR
Monitors all aspects of collections; compiles and prepares reports for distribution to MOH leadership team; serves as a department representative and attends internal and external meetings in order to stay up-to-date on changes in all aspects of the billing and collections process; updates fee schedules; and manages master profiles
Conducts annual review of fee schedule/charge master and in collaboration with Sales Rep and Sr. leader makes necessary adjustments to ensure fees are competitive and profitable
Ensures adherence to Corporate compliance regulations, payer requirements, regulatory agency standards and HMH finance procedures for revenue cycle functions of MOH
Serves as the project lead for revenue cycle solutions and represents MOH in all system deployment for new offices as well as upgrades, optimization and testing exercises
Reviews, monitors, and assists in the explanation of monthly revenue performance against budget and benchmark criteria, prepares revenue analysis in order to maximize reimbursement and assist in the development of the annual revenue budget
Communicates revenue performance to the MOH leadership and Finance as well as assists in identifying/implementing improvement opportunities
Develops metrics and benchmarks and implements policy and procedures to effectively supervise the billing team and meet collection goals
Conducts weekly/monthly meetings with billing team to review and discuss collection efforts and performances and establishes goals for team members
Ensures billing submissions, follow up, resolutions, payment postings, employer statement generation are performed in timely manner to increase collections and reduce days in AR
Develops and maintains relationships with IT’s HMOH EMR dedicated staff, providers and hosting EMR vendor to coordinate system implementation and ongoing maintenance
Supports Sales Representative with identifying strategies point of contact

Director of Revenue Cycle Manager Resume Examples & Samples

Experience with Durable Medical Equipment (DME) or Respiratory Equipment preferred but not required
Proficient with Excel and reporting
Current knowledge of reimbursement regulations and compliance issues of insurance payers
Strong problem-solving skills, initiative and resourcefulness in problem identification and problem solving
Bachelor's degree preferred but not required
Managerial experience as a Director, Assistant Director or Manager in medical billing and collections 2-3years+

Revenue Cycle Manager Resume Examples & Samples

Plans and directs registration, patient insurance, billing/collections and data processing to ensure accurate patient billing and efficient account collection
Manages practice/department within the established budget, including annual planning, and develops monthly status reports
Reviews current status of patient accounts to identify and resolve billing and processing problems in a timely manner
Establishes and implements a system for the collection of delinquent accounts, ensuring third-party payors are contacted
Establishes and recommends credit and collection policies. Makes recommendations for improvement
Solves difficult payment and associated Mount Sinai practices or network problems (whether Hospital or FPA based). Audits problem accounts and takes appropriate action to achieve amicable outcome between patient and the Medical Center
May meet with new patients and caregivers in assigned department(s) to orient them to billing processes and expectations
Maintains contact with Medical Records and other departments to obtain and analyze additional patient information to document and process billings
Develops and implements new procedures to improve the quality and quantity of work processed. Ensure policies are communicated and administered consistently
Develops and oversees business systems and works with Information Technology to ensure timely and accurate implementation
Initiates and answers pertinent correspondence. Prepares operational and financial reports and analysis, noting progress as well as adverse trends. Makes appropriate recommendations or conclusions. Maintains required records and files
Monitors daily operating activities of assigned department and makes suggestions necessary for improved workflow and efficiency
Maintains knowledge of and complies with established policies and procedures including government, insurance and third-party payor regulations
Attends administrative meetings and participates in committees as requested. Conducts special projects and studies, as directed
Acts as liaison with all levels of administration and faculty in the coordination of operational activities to achieve directives and facilitate problem resolution
Maintains confidentiality as regards to patients accounts status