Revenue Cycle Manager Resume Samples

Description :

1. Managed daily operations of the revenue cycle, ensuring compliance with regulations and policies.
2. Led a team in resolving unpaid and denied claims, improving overall collection efficiency.
3. Implemented new billing processes that reduced patient responsibility accounts receivable by 25%.
4. Monitored claim payment timelines, minimizing bad debt and enhancing cash flow.
5. Identified and addressed issues affecting claim payments, ensuring timely resolutions.
6. Developed and analyzed reports to track productivity and performance metrics.
7. Trained staff on billing procedures and best practices, fostering a culture of continuous improvement.

Experience

2-5 Years

Level

Junior

Education

BSHA

Description :

1. Oversee revenue cycle operations for a diverse team of healthcare providers, ensuring optimal billing and collections.
2. Develop and implement effective processes and IT solutions to enhance patient access and financial performance.
3. Train and mentor staff to improve communication and accuracy in billing and reimbursement.
4. Negotiate managed care contracts to maximize reimbursement rates for services rendered.
5. Ensure compliance with state and federal regulations, providing guidance on performance metrics.
6. Identify and recommend strategies to enhance revenue and eliminate operational barriers.
7. Manage CMS programs for Meaningful Use and quality reporting to optimize reimbursement.

Experience

10+ Years

Level

Consultant

Education

MBA

Description :

1. Lead and mentor a team of revenue cycle professionals to enhance billing accuracy and efficiency.
2. Analyze and interpret medical documentation to ensure proper coding and compliance with regulations.
3. Ensure adherence to CMS guidelines for accurate medical coding and billing practices.
4. Collaborate with healthcare providers to address billing inquiries and improve documentation processes.
5. Conduct audits to identify discrepancies and implement corrective actions to minimize revenue loss.
6. Maintain confidentiality of patient and financial information while ensuring compliance with HIPAA regulations.
7. Support the retrieval and review of medical records for audits and payer requirements.

Experience

7-10 Years

Level

Senior

Education

MBA

Description :

1. Recruited and trained a revenue cycle team of 12 specialists, enhancing billing operations and patient access processes.
2. Set annual revenue goals and developed strategies to achieve them, reviewing and reconciling accounts monthly.
3. Ensured compliance with revenue cycle processes, leveraging extensive knowledge of Managed Care and Government Programs.
4. Conducted provider training to address billing issues, improving claim accuracy and reducing rejections.
5. Managed teams responsible for pre-authorization, utilization management, and collections, optimizing workflow efficiency.
6. Achieved a collection rate of 85% of billed revenue within 60 days during the first year in the role.
7. Led the implementation of a new Electronic Medical Records (EMR) system, training staff for seamless integration.

Experience

10+ Years

Level

Management

Education

MBA

Description :

1. Developed and implemented management controls and quality assurance processes to enhance claims accuracy and efficiency.
2. Leveraged extensive knowledge of Managed Care, Medicare, and Medicaid to navigate healthcare reforms effectively.
3. Facilitated the implementation of a Practice Management system for 30 providers across 7 states, improving operational efficiency.
4. Monitored productivity metrics and collaborated with the VP of Finance on audits and training initiatives.
5. Provided ongoing training to Billing Department staff on billing regulations and software applications.
6. Managed physician fee schedules, ensuring compliance with payer reimbursement levels.
7. Oversaw credentialing applications for insurance payers, ensuring timely approvals through CAQH.

Experience

5-7 Years

Level

Executive

Education

BSHA

Description :

1. Directed the revenue cycle operations for a healthcare facility, overseeing billing, collections, and patient account management. Ensured compliance with regulations and optimized financial performance.
2. Managed credentialing, client contracts, and billing department activities, enhancing operational efficiency.
3. Collaborated with sales and client representatives to drive client acquisition and retention strategies.
4. Oversaw collections, aging reports, and claim denial management, establishing standards for write-offs and follow-ups.
5. Analyzed process effectiveness, recommending and implementing policy changes to improve operations and team performance.
6. Streamlined billing cycle processes, reducing turnaround time by 40% through automation and improved workflows.
7. Enhanced productivity and reduced backlog by 25% within three months by developing and refining operational procedures.

Experience

5-7 Years

Level

Executive

Education

BSHA

Description :

1. Enhanced client relationships by understanding their needs and aligning revenue cycle strategies accordingly.
2. Oversaw all business office functions, including registration, insurance verification, and cash collections.
3. Managed Patient Access, Patient Accounting, and Medical Records departments to ensure operational efficiency.
4. Generated weekly revenue reports to track departmental performance and identify areas for improvement.
5. Conducted audits on unbilled and billed accounts receivable to ensure accuracy and compliance.
6. Facilitated weekly meetings with key stakeholders to address revenue cycle challenges and implement solutions.
7. Provided coaching and support to Patient Access and Accounting teams to enhance performance and service delivery.

Experience

0-2 Years

Level

Entry Level

Education

BSHA

Description :

1. Designed and implemented revenue cycle workflows, enhancing patient access and cash collection processes.
2. Developed policies to maximize cash flow and ensure compliance with healthcare regulations.
3. Supervised daily operations, ensuring adherence to federal and state mandates.
4. Managed the loading of Managed Care contracts for accurate net revenue estimation.
5. Trained and mentored a team of 6, improving overall department performance.
6. Reduced payment delays by 2 months by optimizing billing profiles.
7. Automated Medicare cost report processes, cutting submission time from 2 weeks to 2 days.

Experience

5-7 Years

Level

Executive

Education

MHA

Description :

1. Conducted comprehensive audits of revenue cycle processes to identify inefficiencies and implement corrective actions.
2. Developed and maintained key performance indicators (KPIs) to monitor revenue cycle performance and drive improvements.
3. Collaborated with cross-functional teams to enhance billing accuracy and reduce claim denials.
4. Led training sessions for staff on best practices in revenue cycle management and compliance.
5. Managed the resolution of complex billing issues, ensuring timely and accurate payments.
6. Created and analyzed monthly financial reports to inform strategic decision-making.
7. Supervised a team of six, fostering a culture of accountability and continuous improvement.

Experience

2-5 Years

Level

Junior

Education

BSHA

Description :

1. Managed the revenue cycle for multiple specialty departments, ensuring compliance and efficiency.
2. Analyzed financial data to provide actionable insights for senior management, enhancing revenue generation.
3. Trained and mentored staff to improve productivity and adherence to best practices.
4. Monitored key performance indicators, comparing them to industry benchmarks to identify areas for improvement.
5. Oversaw accounts receivable for various billing sites, ensuring timely collections and accurate billing.
6. Developed billing protocols for diverse payors, optimizing revenue streams.
7. Initiated a missing charge program, significantly reducing discrepancies and increasing revenue.

Experience

10+ Years

Level

Management

Education

MBA

Description :

1. Oversee month-end closing processes, ensuring accurate journal entries and reconciliations to enhance financial reporting.
2. Document and maintain billing processes, cash collections, and accounts receivable to optimize revenue cycle efficiency.
3. Develop and manage quarterly budgets, aligning financial goals with operational strategies.
4. Monitor insurance receivables and manage bank accounts, ensuring compliance with financial regulations.
5. Generate comprehensive financial reports and statements to support strategic decision-making.
6. Conduct bank reconciliations and resolve discrepancies to maintain financial integrity.
7. Prepare and distribute monthly aged receivables reports to enhance collections management.

Experience

7-10 Years

Level

Senior

Education

MBA