Revenue Cycle Director Resume
Objective : To work in a team environment where the goal is to be better than the best. Revenue Cycle Director position where strengths are utilized to reach high levels of success in the challenging field of healthcare. Proven strengths consist of successful system implementations, process improvement, leadership development, and workflow efficiency.
Skills : Microsoft Office, Revenue Cycle, Medical Office, Medical Billing, And Coding, Management, Medical Office.
Description :
- Set up Process Improvement Teams addressing various problematic issues which directly affected cash flow.
- Set an all-time low Net Days in AR of 36 Ran departments consistently under budget Decreased the amount of managed care authorization denials.
- Managed all accounts receivables and Surpassed cash goal by $18.4 million over the past three years.
- Oversaw financial hardship approvals, patient portion write-offs, and 3rd party collection efforts.
- Managed payor websites and payer bulletins to stay abreast of policy changes that relate to Collections and Billing.
- Oversaw all billing errors/edits related to claims processing to ensure the timely release of claims.
- Analyzed data to identify opportunities for revenue growth or cost reduction.
Experience
2-5 Years
Level
Junior
Education
BBA
Revenue Cycle Director Resume
Summary : An experienced Revenue Cycle Director Professional with 13 years of experience, specializing in Accounts Receivable, Coding, Billing, Patient Support, and Process Improvement. Strong business qualifications with a track record of teamwork and hands-on experience. Built strong relationships with multiple levels of leadership, as well as attending physicians.
Skills : Microsoft Office, QuickBooks.
Description :
- Directed daily operations of Orthopedic Business Office for 28 Orthopedic physicians, midlevel practitioners, on-site Xray/MRI, PT/OT, DME, and orthotics.
- Successfully reduced net A/R days to 34 days.
- Increased first-year cash collections by half a million dollars and total charges entered exceeded the prior year by over two million dollars.
- Created KPIs, Revenue Cycle work plan, and staff incentives in order to achieve positive results.
- Managed functions including coding, charge entry, audit, billing, contract/denial management, cashiering, fee schedule maintenance, and financial counseling.
- Directed staffing and personnel functions of the Revenue Cycle department.
- Effectively managed and monitored multi-million dollar A/R, bad debts, and payer regulations for orthopedics, PT/OT, MRI, and DME/Orthotics.
Experience
7-10 Years
Level
Management
Education
BBA
Revenue Cycle Director Resume
Summary : As a Revenue Cycle Director, responsible for managing the daily activities of the Revenue Cycle functions including but not limited to billing, collections, and account receivables, and developing a cohesive team that works together to solve issues within the various areas of responsibility.
Skills : Proficient In Microsoft Excel, Electronic Health Records Experienced, and Encoder Software Experienced.
Description :
- Responsible for developing, planning organizing, and implementing strategies and processes to improve the overall revenue cycle of the facility.
- Gathered data and reported monthly to the governing board.
- Facilitied administrative team and was director over three rural health clinics, medical records, and admissions.
- Played a key role in the oversight of the facilities billing department.
- Assisted the administrator in creating and implementing point-of-service collection processes for our admissions staff.
- Used The Revenue Cycle Director position was a position created for me as a result of my billing, coding, and facility-wide knowledge of the entire revenue cycle process from initial admission through reimbursement.
- Utilized organizational and prioritization skills to follow the facility's revenue cycle process and change kinks and problems within to improve our overall reimbursement time.
Experience
7-10 Years
Level
Management
Education
BBA
Revenue Cycle Director Resume
Headline : As a Revenue Cycle Director, supervised the Posting, Reimbursement, Customer Service, Provider Enrollment, and Billing departments and maintained responsibility for the overall direction, coordination, and evaluation of these units.
Skills : Excel, Problem Solving, PowerPoint.
Description :
- Implemented new practice management software and Developed extensive training/coaching plan for existing staff and new hires.
- Maintained monthly collection goals and Negotiated contracts with insurance carriers and vendors.
- Actively engaged in developing and mentoring staff through Lean Sigma process improvement projects.
- Kept C-suite engaged and informed of the progress and success of the projects.
- Managed relationships with insurance companies regarding claims payment issues.
- Created and updated patient records using medical terminology and coding systems.
- Worked with medical staff to resolve billing issues or complaints from patients.
Experience
5-7 Years
Level
Executive
Education
BBA
Revenue Cycle Director Resume
Summary : As a Revenue Cycle Director, managed all functions of the organization's billing and revenue cycle to maximize cash flow while maintaining and improving internal and external customer relations. Coordinated and supervised all billing functions. Determined work procedures, prepares work schedules, and expedites workflow. Assigned duties and examine work for exactness, neatness, and conformance to policies and procedures.
Skills : Skills Used Practice Management, Time Management, Excel, Microsoft Word, Microsoft Office, Power Point, Share Point, Amkai PM software, NextGen PM software, and problem solving.
Description :
- Planned, organized, directed, and coordinated the revenue cycle operations, including front-end data functions, claim generation, statement submissions, A/R follow-up, and application/reporting enhancements.
- Managed the hiring, training, evaluation, and day-to-day direction of staff.
- Reviewed Key Performance Indicators on a daily and weekly basis.
- Developed strategies when goals are not met.
- Oversaw the Denial Management process and identify, examine, and analyze patterns of rejection and develop strategies to minimize cash flow impact.
- Reviewed claims and made coverage decisions based on company guidelines.
- Participated in strategic planning meetings to develop goals and objectives for the department.
Experience
7-10 Years
Level
Management
Education
BBA
Revenue Cycle Director Resume
Objective : Highly qualified Revenue Cycle Director with experience in the industry. Oversaw the entire revenue cycle of their organization. Generated new business to collect payments on outstanding invoices. Developed and implemented strategies that will help their company grow over time.
Skills : Healthcare Billing and Coding.
Description :
- Tracked, resulted in 50% overall reduction in holds over 30 days.
- Implemented monthly calls with all regions, reviewing total charges, visits, cash collections, gross collection rates, charge lags, denial categories/percentages, AR Days.
- Claimley monitored detail was distributed and used to work holds by categories.
- Reported were scheduled to run weekly and assigned to responsible personnel.
- Organized Revenue Cycle Department hiring/training personnel, assigning tasks, monitoring productivity, setting goals.
- Managed the charge capture process for accuracy and completeness of procedural and diagnostic codes and medical necessity compliance.
- Monitored unbilled accounts and Verified and reviewed contractual and bad debt write-offs.
Experience
2-5 Years
Level
Executive
Education
BBA
Revenue Cycle Director Resume
Summary : As a Revenue Cycle Director, directed and oversaw the overall policies, objectives, and initiatives of the organization's revenue cycle activities to optimize the patient financial interaction along the care continuum. Collaborated with all members of the healthcare team, strives to create a positive patient-centered culture; and a culture where the staff is encouraged to grow in knowledge and skills to further the quality services provided.
Skills : Communication, Team Management.
Description :
- Directed and oversaw all revenue cycle operations for multiple site outpatient imaging company with 32 centers in 4 states.
- Created and implemented of Centralized Services department supporting all centers from scheduling to authorization processes.
- Implemented and designed ICD10 transition in all applicable systems and Designed and implemented PQRS reporting.
- Interacted with various hospitals and managed care organizations to optimize our contracts and relationships with all vendors.
- Directed supervision of operations management team in analyzing current processes to ensure system tools are being utilized to maximize operational efficiency in all areas from coding to claims filing to A/R follow-up while maintaining impeccable customer service.
- Membered of Internal Compliance Committee and develop policies and procedures.
- Reviewed financial statements and reports from the billing department to ensure accuracy.
Experience
7-10 Years
Level
Management
Education
BBA
Revenue Cycle Director Resume
Summary : As a Revenue Cycle Director, Developed and implemented monitoring mechanisms to track performance benchmarks, productivity, and quality. Communicated to the team on the performance standard and quality expectations to help achieve or exceed performance goals. Identified and provided additional training where needed.
Skills : Microsoft Office, Leadership, Revenue Cycle Management.
Description :
- Managed and conducted audits of the financial organization as well as created a collections plan for all outstanding accounts receivable.
- Engaged in the hiring process of new personnel, and conducted employee reviews and evaluations including the revision of office policies and procedures.
- Coordinated the surgery scheduling, including pre-authorizations, cost estimates,s and payment plans for surgical patients.
- Conducted IT updates including knowledge of computer updates, server, and internet connectivity.
- Conducted a Security Risk Analysis and developed a Risk assessment plan.
- Provided Operational Direction and support to a high-performing Revenue Cycle Team.
- Helped Create new policies and procedures for best practices to ensure revenue is fully captured and billed accurately as well as timely.
Experience
7-10 Years
Level
Management
Education
BBA
Revenue Cycle Director Resume
Objective : As a Revenue Cycle Director, ensured that all billing and collections are in accordance with company policies and procedures, regulatory requirements, and guidelines. Worked closely with R1, Athena, Payer Strategy and Negotiations, and internal billing teams to ensure billing and collections are in accordance with contracted and negotiated agreements.
Skills : Revenue Cycle Management, Medical Billing.
Description :
- Evaluated and restructured the PFS department: Assess and reassign personnel by skill level.
- Assessed and redesigned departmental workflow and departmental responsibilities.
- Continued and augmented staff education.
- Evaluated and restructured HIM/Coding department, assess personnel for proper coding certification, redesigned departmental workflow, and priorities, Hired the coding manager, Hired the operations manager, installed 3M 360 software, developed the ICD-10 training for coders, Doctors, and other clinical personnel, and I-10 overview for all other departments.
- Monitored quality and productivity as well as trends for proper reporting.
- Oversaw all coding and audited projects working closely with compliance and performance improvement teams.
- Maintained payer files for proper claim submission and accurate month-end reporting.
Experience
2-5 Years
Level
Executive
Education
BBA
Revenue Cycle Director Resume
Summary : As a Revenue Cycle Director, responsible for overseeing the revenue cycle and billing department. Worked under minimal supervision and may assist in training, assigning, and auditing the work of lower-level employees.
Skills : Supervising Skills, Financial Skills.
Description :
- Maintained accounts receivable for nine psychiatric hospitals and Supervised a staff of twenty-one.
- Worked with utilization management for resolution of denials due to lack of medical necessity, and no pre-authorizations.
- Reviewed and educated staff on billing and collection policies and Credentialed over 38 doctors with Medicare and commercial carriers Reconciled cash receipts to the bank and A/R to verify all cash received and posted.
- Managed the Business Office, Admissions, Pre-registration, Switchboard operators, ER registration, Cashiers, billers, collectors, and Financial Counselors.
- Responsible for overseeing Billing and Collections of our Physicians Central Billing Office.
- Ensured compliance with federal, state, and local regulations regarding billing practices.
- Oversaw the analysis of data to improve performance and process efficiency.
Experience
10+ Years
Level
Senior
Education
BBA
