Revenue Cycle Coordinator Resume Samples

Description :

1. Supervised work of Patient Account Representatives and/or Revenue Cycle Representatives.
2. Developed new and current staff through training and mentoring to increase revenue cycle knowledge.
3. Worked with staff to suggest additional options to resolve complex reimbursement issues.
4. Oversaw and reviewed employee's work to determine if appropriate actions have been taken with regard to receipt of correct reimbursement.
5. Performed Quality Assurance (QA) checks and productivity audits.
6. Identified and resolved undesirable trends and reimbursement errors.
7. Prepared analytical reports to assure quality and productivity requirements are being met.

Experience

10+ Years

Level

Senior

Education

High School Diploma

Description :

1. Assisted the Hospital Revenue Cycle Manager with any daily duties.
2. Pulled revenue reports at the request of the biller.
3. Verified employee payroll time cards.
4. Reviewed reports with duplicate registered patient accounts with same date of service and combining claims.
5. Entered late charges into patient accounts.
6. Assisted billers in reducing credit accounts and bring in revenue from Insurance claims.
7. Supervised the electronic payment poster in the department to verify payments are being posted and balanced in a timely manner daily.

Experience

7-10 Years

Level

Management

Education

Diploma

Description :

1. Provided support to Director of Operations for the development and execution of plans to improve policies, procedures and systems throughout all revenue cycle department.
2. Provided frequent status updates and reports summarising to leadership.
3. Conformed to and abides by all regulations, policies, work procedures and instructions.
4. Looked for Payer payment pattern issues, addresses and brings to Director's attention.
5. Worked on problem accounts detected early in payment cycle.
6. Signed up for EFT payments and remittance vouchers with Insurance companies.
7. Developed and monitored employee performance goals to ensure compliance.

Experience

7-10 Years

Level

Management

Education

MS

Description :

1. Coordinated and managed the training for each department within the revenue cycle using GE Centricity Business, which facilitated the development of policies and procedures and structure new positions to handle the department's work flow.
2. Trained all new hires in Patient Services, TES Edits, BAR Correction, BAR Payment Posting, ETM, EDI, and EMR.; as for the current billing department staff, constant development and training was provided to manage denials, claim edits, claim payer edits, and to control their Account Receivable.
3. Worked with upper management to create and structure training programs for account receivable specialists, coding, customer service representatives, refund specialists, coding, charge capture associates, and eligibility representatives.
4. Highly knowledgeable and provided training in the following specialities: Allergy, ASC, Cardiology, Endocrinology, ENT, Gastroenterology, Gynaecology, Infectious Disease, Internal Medicine, Orthopaedic Surgery, Pathology, Paediatrics, Peregrination, Plastic Surgery, Podiatry, Radiology, Urology and Urgent Care.
5. Provided on the floor support working with management and the billing staff to handled claim edits, claim payer edits and electronic denials which allowed me to properly track trends and provide resolutions.
6. Filled in for any work overflow for the billing department so the company can maintain a less than 30 day account receivables.
7. Evaluated monthly account receivable reports with the billing staff to track areas of concern with payers, and healthcare providers Gathered information needed to complete billing process from operational areas.

Experience

2-5 Years

Level

Executive

Education

Associate's

Description :

1. Utilised Health Quest (Memorial Herman Patient Accounting System) to verify patient balances and post cash collections in TCS (Collections Software).
2. Balanced and reconciled cash collections in TCS and enter data into Client Profiles Financial system for invoicing.
3. Reconciled and balanced A/R by comparing system reports to balances.
4. Assisted is preparing reports for cash application and collections.
5. Resolved outstanding A/R aged for longer than 30 days and make adjustments as needed.
6. Communicated with various business units and customers to obtain additional information to ensure accurate posting.
7. Helped patients that are in financial needs collect all documentation Helping our 42 offices with any and billing and collection questions

Experience

2-5 Years

Level

Junior

Education

GED

Description :

1. Developed and implemented training program.
2. Provided additional training as needed.
3. Created Job Aides to use software, payer websites, outline procedures and protocols.
4. Performed quality assessments and provided coaching on areas of improvements.
5. Outlined and mapped access database to provide easy accessibility to payer contact information, authorisation requirements, medical polices, websites.
6. Reviewed and monitored payer medical policies, prior authorisation processes, and authorisation portal changes.
7. Distributed information to team members and advise on necessary access changes that impact the authorisation process.

Experience

5-7 Years

Level

Executive

Education

Bachelor Of Business Administration

Description :

1. Worked closely with clinic managers, clinic staff and physicians to manage and maintain the revenue cycle process.
2. Monitored, researched, analyzed, and reported issues impacting the revenue cycle processes.
3. Worked closely with Clinic Managers to review research and resolve clinic, hospital and physician denials.
4. Worked edits in eRequest and IDX systems.
5. Maintained goals for each system.
6. Worked reports for clinic locations relating to revenue cycle for clinics, hospitals and physicians.
7. Managed and reported monthly edit statistics and missing charge ticket logs.

Experience

10+ Years

Level

Senior

Education

BA In Criminal Justice

Description :

1. Performed account receivables,follow up and investigate resolutions for insurance receivables in a manner that meets or exceeds the key performance indicators.
2. Demonstrated knowledge and understanding of standard bills forms, electric claim submission with filing requirements and claims processing and query systems.
3. Ability to recognise and identified billing problems and pay your trends from EOB's and communicate effectively to leadership team to correct errors and trends in a timely manner.
4. Updated the account record to identify actions taken on the account.
5. Became a leader of the closure team to close accounts.
6. Helped close resolved claims Skills Used Make daily collection calls Conduct account research and analysis Prepare and maintain various reports Maintain an accurate aging report Identify and execute the necessary process adjustments Send statement to outstanding customers Reconcile A/R to the G/L Interact with customers to resolve outstanding issues.
7. Responsible for clinic charge master and clinic charge ticket maintenance and updates.

Experience

10+ Years

Level

Senior

Education

GED

Description :

1. Functioned as onsite liaison during initial 'go-live' for multiple organisations to develop and implement an efficient workflow between RCM team and the client.
2. Responsible for all implementation and training of Rycan, revenue cycle solutions.
3. Identified process breakdowns in hospital billing, collections, and cash posting processes to develop and implement new processes that continually improve project outcomes and to achieve performance targets.
4. Trained client's employees in revenue cycle management solutions, billing and operational 'best practices'.
5. Utilised interpersonal, problem-solving and analytic skills to coordinate directly with hospital administration and management resulting in reducing overall AR while increasing revenue and improving processes related to clinical and financial operations within the organisation.
6. Performed healthcare consulting duties including credentialing, contract management, and charge master review.
7. Responsible for training and management of C-level staffing within the organisation.

Experience

5-7 Years

Level

Executive

Education

Bachelors Of Science

Description :

1. Monitored insurance collection practices to assure levels of aging and accounts receivables are maintained.
2. Collaborated with managers and directors to identify revenue enhancement opportunities as well as claim adjudication obstacles.
3. Analysed and pin-pointed Payment Variance and Contract indifference.
4. Payment posting;, Commercial and Government Insurance Follow up, Patient Accounts.
5. Identified process improvements in the day-to-day functioning of the department and coordinated any offset needed.
6. Conducted monthly and yearly performance evaluations as well as interviewed and hired staff.
7. Reviewed of staff daily production and provided detailed feedback in achieving monthly department goals.

Experience

2-5 Years

Level

Junior

Education

Bachelors