Manager, Revenue Cycle Resume Sample

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Candido Gutmann
35765 Wilderman Overpass,  San Francisco,  CA
+1 (555) 482 3730

Work Experience


Manager, Revenue Cycle
04/2016 - PRESENT
Boston, MA
  • Job performed in a well lighted, modern office setting
  • Occasional lifting/carrying (10 pounds or less)
  • Prolonged hours of work
  • Prolonged sitting; and
  • Prolonged work in a computer/PC
  • Operations and / or consulting for pre - bill clean claim requirements, billing, collections, payment management
  • Government (e.g. Medicaid, Medicare), commercial and self - pay payers
Manager Revenue Cycle
10/2010 - 01/2016
San Francisco, CA
  • Identifies problem areas and develops plan of action to ensure benchmark standards are obtained and maintained
  • Establishes service goals to be achieved and manages work quality; monitors compliance
  • Directly oversees staff members, and is responsible for ensuring their work output is satisfactory and their concerns are resolved. Is responsible for all hiring and related personnel decisions, completing routine performance review evaluations, leading employee engagement initiatives, training, scheduling, staff meetings and the like
  • Maintains current understanding of regulatory requirements to ensure processes and outcomes are compliant with internal and external policies
  • Meets regularly with Supervisors to ensure productivity and accuracy and to ensure consistency in quality and quantity while meeting departmental goals. Reports any discrepancies or issues to Director
  • Adjusts goals as needed to help increase staff performance and maintain quality
  • Oversees the distribution of work assignments among staff and assists in determining work priorities
  • Encourages employee participation in process improvement by listing and giving feedback with respect to departmental needs
  • Monitors all billing and coding Trends for issues. Works with internal departments and medical offices to offer solutions and assist in meeting revenue benchmarks
Project Manager, Revenue Cycle
08/2007 - 08/2010
Houston, TX
  • Assists in the development of new procedures that focus on improvement in quality and quantity of work performed
  • Maintains strict confidentiality in regard to patient’s personal, medical and financial information
  • Acts as a role model for professionalism through appropriate conduct and demeanor at all times
  • Acts as a liaison between the Central Billing Office, physicians and staff. Effectively communicates issues relative to claims processing difficulties and/or patient complaints
  • Offers and implements suggestions to increase work flow as appropriate
  • Manages operating expenses and FTE budget to meet department goals
  • Updates and creates new policies as needed in conjunction with Director
  • Maintains communication between Central Billing Office and Billing Services to resolve issues with provider numbers,
  • Review monthly receivable reports for identification of trends and areas of concern

Education


George Mason University - Prince William Campus
2002 - 2006
Bachelor's Degree in Business

Professional Skills


  • Proven project and time management skills with a demonstrated ability to prioritize among projects, successfully complete tasks assigned, and meet deadlines
  • Demonstrated organizational skills, including judgment/decision making, and the ability to work effectively with others at all levels
  • Demonstrates decision making and analytical/problem solving skills to perform a variety of complicated tasks
  • Strong leadership and relationship-building skills
  • Demonstrate written and verbal communication skills. Ability to plan and carry out responsibilities with minor supervision
  • Strong interpersonal skills, high level of professionalism and collaborative management style
  • Analytical and high level problem solving skills, focusing on quality and accuracy of work

How to write Manager, Revenue Cycle Resume

Manager, Revenue Cycle role is responsible for training, software, finance, credit, security, reporting, design, insurance, travel, organizational.
To write great resume for manager, revenue cycle job, your resume must include:

  • Your contact information
  • Work experience
  • Education
  • Skill listing

Contact Information For Manager, Revenue Cycle Resume

The section contact information is important in your manager, revenue cycle resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:

  • First and last name
  • Email
  • Telephone number

Work Experience in Your Manager, Revenue Cycle Resume

The section work experience is an essential part of your manager, revenue cycle resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous manager, revenue cycle responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular manager, revenue cycle position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions.

Representative Manager, Revenue Cycle resume experience can include:

  • Understands milestones affecting cash and revenue, and effectively manages to them
  • Demonstrates teamwork and provides assistance with special projects when assigned
  • Willingness to travel 70-80% (valid Driver’s License)
  • Develops and implements monitoring mechanisms to track edit productivity, identifying and providing additional training where needed
  • Develops and implements monitoring mechanisms to track edit productivity and quality, identifying and providing additional training where needed
  • Initiates proactive measures that result in developing policies, making policy changes and policy implementation

Education on a Manager, Revenue Cycle Resume

Make sure to make education a priority on your manager, revenue cycle resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your manager, revenue cycle experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.

Additional details to include:

  • School you graduated from
  • Major/ minor
  • Year of graduation
  • Location of school

These are the four additional pieces of information you should mention when listing your education on your resume.

Professional Skills in Manager, Revenue Cycle Resume

When listing skills on your manager, revenue cycle resume, remember always to be honest about your level of ability. Include the Skills section after experience.

Present the most important skills in your resume, there's a list of typical manager, revenue cycle skills:

  • Effectively communicate with Senior Leadership regarding analytical findings, and make effective recommendations
  • Excellent written and verbal and presentation skills; ability to present to large groups
  • Effectively prioritize and execute tasks in a high-growth, fast paced environment
  • Skill in establishing and maintaining effective working relationships with other employees, patients, organizations and the public
  • Attention to detail, and advanced writing and presentation skills for communicating across a variety of stakeholders
  • Experience within a healthcare consulting firm or large provider, with significant experience in Revenue Cycle and Patient Access

List of Typical Experience For a Manager, Revenue Cycle Resume

1

Experience For Manager Revenue Cycle Resume

  • · Analytical/critical thinking and reasoning skills. Ability to communicate effectively and professionally in written and verbal context
  • Effectively plan, organize and conduct project meetings by coordinating with the project team members to ensure project deliverables are met in a timely manner
  • Experience and knowledge of third party reimbursement and eligibility processes and regulations
  • Develops and implements monitoring mechanisms to track AR claim productivity, identifying and providing additional training where needed
  • Manages assigned practice/department within the established budget, including annual planning, and develops monthly status reports
  • Ensures staff is working receivable in adherence to internal policies and procedures
  • Follows and reports trends in charges, claims/EDT files, denials, payments and all other aspects impacting the revenue cycle
  • Initiates recommendations and actions for resolving patient accounts. Evaluates accounts to determine any adjustments or charge corrections required
2

Experience For Manager, Revenue Cycle Integrity Resume

  • When required, conducts or assists in conducting disciplinary action for employees
  • Help maintain the practice’s revenue cycle standard operating procedures
  • Contact with users of general accounting financial reports is courteous and helpful
  • Serves as key point of contact and project lead for customer(s) during implementation
  • Provide project leadership to internal, cross-functional teams striving to meet project deliverables and timelines
  • Maintains computer master parameters including CPT-4 and ICD-9 code files
  • Works to assure program compliance with all applicable federal and state rules, regulations and laws related to healthcare billing
  • Interacts with staff, manager and other representatives to complete projects and tasks
3

Experience For Project Manager, Revenue Cycle Resume

  • Initiates contact with patients and third payors as necessary
  • Ensures that all necessary documentation and information is correct according to divisional policies and procedures for approval of charge corrections, refund and collections accounts
  • Conducts random work list audits for the purposes of assessing and improving employee performance
  • Respond to all phone calls from other divisions, patients or insurance companies in an efficient and courteous manner
  • Serves as the subject matter expert for revenue cycle systems and implementation. Plans and supports system implementation to include dependencies such as practice workflow, physician workflow, IT workflow, vendor (including McKesson BPS - Business Performance Services) workflow and other revenue cycle initiatives
  • Serves as key point of contact and project lead for customer(s) and other business stakeholders. Manages all revenue cycle system implementation projects in The Network
  • Collaborate with revenue cycle managers, business office managers and customers to identify opportunities to drive and/or accelerate revenue cycle improvements related to system implementations (for example review Televox implementation with Centricity implementations)
  • Directly manage a team of implementation specialist’s and set their project priorities, goals and objectives
4

Experience For Senior Manager Revenue Cycle Services Resume

  • Develop and manage project work plan to deliver on-time, and within budget. Responsible for developing and communicating project charters and project plan to existing and new customers
  • Manage implementation projects to meet the budget and timeline requirements as defined and approved by the management team
  • Assign and track project activities and report to the management and customers on project outcomes. Proactively identify and alert management and customers on potential risk to the timeline and/or project deliverables. Manage expectations of the key stakeholders involved
  • Formally close out projects with appropriate hand off’s and transition plan at completion of the project
  • Creates maximum short and long term financial value for the client, Professional Services, and Allscripts
  • Manages Allscripts profitability (includes revenue and expenses) and cash
  • Drives revenue recognition (accelerates whenever possible)
  • Sells value to the client
  • Articulates and drives toward clear financial and other project goals
5

Experience For Anesthesia Practice Manager, Revenue Cycle Resume

  • Rejects propositions that reduce value for Allscripts or the client and develops constructive alternatives
  • Proactively identifies incremental opportunities and engages sales as appropriate
  • Proactively documents scope changes and contractual sign off to ensure profitability for Allscripts
  • To include but not limited to $0 scope changes that impact project without financial implication
  • Understands Accounts Receivables; engages as needed with the client
  • Understands all financial elements of the contract, including fees, payment terms and any commitments which impact project financials. This includes all contract elements (e.g. hardware, software, services, etc.)
  • Maintains clear visibility to contracted vs. actual hours + estimate to complete. Clear management to the contracted hours. Clear understanding of non-billable hours incurred; and effective management to eliminate any non-billable hours and impact to revenue and cost forecasts
  • 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
6

Experience For Senior Manager Revenue Cycle Connect Care Resume

  • Responsible for monitoring, supporting and identifying possible solutions to meet or exceed operational goals and objectives pertaining to LPTN’s physician practices revenue cycle
  • Prepares monthly revenue and receivable reporting for financial statements
  • Recommends new approaches, policies, and procedures to influence continuous improvements in department’s efficiency and services
  • Supervises the daily cash receipts controls for all hospital receipts
  • Coordinates and reviews the budget and preparation of quarterly/annual reports for various State and City contracts
7

Experience For Manager, Revenue Cycle Applications Resume

  • Prepares various statistical reports for various outside agencies
  • Reviews year-end Hospital Audit Schedules
  • Acts independently to address and resolve problems and issues that arise in areas under his/her responsibility
  • Directs problems and issues not under his/her responsibility to the appropriate person in an effort to assist in the eventual resolution of the problem
  • Solves difficult payment and associated Mount Sinai practices or network problems (whether Hospital or FPA-based). Functions as problem-solver for patients with billing challenges. Audits problem accounts and takes appropriate action to represent both patient and the Medical Center to achieve amicable outcome
  • Develop curricula, research documents, teaching plans, meeting agendas, and other support materials
  • Assign and track project tasks/activities and report to the management and/or customers on project outcomes. Proactively identify and alert management and/or customers on potential risk to the timeline and/or project deliverables. Manage expectations of the key stakeholders involved
  • Represent the project at meetings and manage relationships with project stakeholders, including internal and external customers and vendors
  • Evaluate and analyze actual project performance against established goals and plan objectives and reviews with team and management. Manage agreed upon adjustments consistent with project objectives
8

Experience For Manager, Revenue Cycle Process Resume

  • Assists with pre - onsite planning and logistics (e.g. flight, hotel, and rental car logistics)
  • Participates with leadership in developing budget, salary administration, equipment purchases and establishment of annual goals and objectives
  • Ensures compliance with all federal, state, and local regulations governing rendered patient services and reimbursement
  • Manage conflict resolution among project team members to ensure successful outcomes
  • Provides management supervision and operational direction for assigned Revenue Cycle Management department(s)
9

Experience For Manager, Revenue Cycle Operations Resume

  • Leads relevant software applications
  • Communicates Cleveland Clinic performance expectations of Patients First and supports corporate goals for revenue cycle management
  • Ensures consistent implementation of Cleveland Clinic corporate financial and Revenue Cycle Management policies and procedures
  • Participates in oversight of operations and system upgrades, integrity, and/or conversion
  • Ensures required communication to various CCHS and hospital leadership, clinical practices, Administrators and Divisional Chairs
  • Recruits, hires and supervises front office staff in addition to developing and attaining performance goals and objectives. Evaluates performance and recommends merit increases, promotions, and disciplinary actions
  • Oversees the preparation of daily charge tickets; works with physicians on charge procedures, including consistent use of procedure codes; coordinates revisions as needed to obtain fair reimbursement; identifies and resolves discrepancies
  • Ensures that daily, weekly, and monthly billing functions are performed and accurate
  • Demonstrates thorough understanding of and oversees all aspects of coding functions, to include monitoring and interpreting insurance reimbursements and implementing procedures that ensure optimum reimbursement and compliance with regulations
10

Experience For Engagement Manager, Revenue Cycle Solutions Resume

  • Negotiates managed care, PPO, and indemnity plan contracts
  • Schedules month-end cutoffs; ensures that all areas meet cutoff and generates monthly management reports from medical accounts and receivable system
  • Monitors aged balances of all accounts; sees that delinquent accounts are followed up
  • Provides follow-up on contract accounts; acts as liaison with managed care plans and insurers
  • Acts as liaison between physicians, administration and business departments
  • Implements AOR Reimbursement Policies and Procedures to maximize efficiency. Ensures compliance with appropriate industry regulations

List of Typical Skills For a Manager, Revenue Cycle Resume

1

Skills For Manager Revenue Cycle Resume

  • Experience leading work teams and managing multiple entry-level and experienced employees
  • Assist in the development of training programs/initiatives to enhance skills, knowledge and productivity of existing employees
  • Proven system implementation and training experience
  • 10 key, P.C skills
  • Prior management experience in revenue cycle operations
  • PC experience. Supervisory experience required
2

Skills For Manager, Revenue Cycle Integrity Resume

  • Utilize key accounts receivable and reporting experience and knowledge to ensure timely and accurate recording and reporting of accounts receivable activity
  • Revenue Operations experience, including Patient Access, Registration, Scheduling and Charge Capture
  • At least seven years progressive experience supporting and/or managing physician practice(s) specific to revenue cycle operations
  • Experience utilizing and/or managing multiple practice management systems required; ability to learn new systems as needed
  • Solid understanding of practice management software and information systems (i.e.- EDI, Interfaces)
  • At least three years’ experience working in a corporate healthcare environment
  • Experience and working knowledge of health system administrative and clinical applications
3

Skills For Project Manager, Revenue Cycle Resume

  • Strong knowledge of procedure and diagnosis coding
  • Five or more years of recent CPT coding experience
  • Create and implement department strategy related to the patient experience, team performance and quality
  • Review and analyze business data to identify trends and provide recommendations to improve the patient experience
  • Proven ability to train end users and educate on all aspects of revenue cycle operations
4

Skills For Senior Manager Revenue Cycle Services Resume

  • Advanced Excel experience is required
  • Demonstrated ability to manage, coach, and motivate staff
  • Experience in project management
  • Experience in project management or business process
  • Healthcare revenue cycle experience, with emphasis on regulatory compliance
  • At least three (2) years’ experience with Revenue Cycle Operational processes
  • At least three (3) years’ experience with Revenue Cycle Operational processes
  • Work in tandem with sales team and product managers to ensure client expectations and experience of purchased products are met during sale to install
  • Working knowledge of Physician Practice billing
5

Skills For Anesthesia Practice Manager, Revenue Cycle Resume

  • Working knowledge of CPT-4, HCPCS, revenue codes and ICD-9 coding
  • Working knowledge of CPT-4, HCPCS, revenue codes and ICD-10 coding
  • Builds trust and partnership amongst the team by enhancing engagement, addressing performance results and providing coaching and mentoring
  • Supports managing and streamlining operations for the Billing department, responsible for processing 1.2M professional and hospital claims worth $800M annually
  • Knowledge of business management and basic accounting principles to direct billing activity
6

Skills For Senior Manager Revenue Cycle Connect Care Resume

  • Lead and direct the work of others including the development, motivation and rewarding of staff
  • Work closely with EDI Department to ensure timely and accurately receipt of incoming ERA files for posting
  • Confirm staff are consistently performing performance-monitoring processes
  • Manage a portfolio of training materials and work with Compliance department as needed to ensure that new regulations are incorporated into training materials
  • Responsible for complying with and meeting all regulatory requirements assigned to their team
  • Deep understanding of drivers of financial performance for health care providers
  • Takes an active role in ensuring revenue has been maximized
  • Responsible for assisting with the definition and maintenance of the compliance program
  • Expertise with Microsoft products required
7

Skills For Manager, Revenue Cycle Applications Resume

  • Work successfully with a range of team members, from entry level to executive level employees
  • The position supports operational management of claims in PB and HB space
  • Experience with on-line practice management system; Knowledge of PC based software applications (i.e. Word for Windows, Excel, etc.) is required. Type 35+wpm required
  • Develop and implement methods and procedures to meet and exceed productivity, efficiency, financial and quality goals
  • Provide daily leadership and guidance, direction, and motivation to team
  • Competency in HIPAA Security and SOX regulations or ability to learn
  • General Revenue Cycle knowledge across Patient Access, Health Information Management / Revenue Integrity / Coding / Clinical Documentation Improvement
  • Heavy emphasis on Patient Business Office
8

Skills For Manager, Revenue Cycle Process Resume

  • Manage and analyze large amounts of patient claims and operational data
  • Experience across the revenue cycle continuum, including but not limited to: patient access management, payer remittance, denial management, patient collections, patient remittance posting, claim submission, contract management, and appeals
  • Provides focus and direction of project and implementation activities of the revenue cycle in providing analysis, monitoring operations and/or developing and maintain the systems utilized in revenue cycle operations; develop policies, procedures and workflows related to revenue cycle functions
  • Uses analytical approach to problem solving using quantified data and measurable results to reach sound conclusions
  • Interacts with the various departments that are impacted by the operations of revenue cycle management
  • Works collaboratively with all departments to ensure operational functions are aligned with strategic goals of the organization
  • Software/Hardware: Intermediate or Advanced knowledge of MS Excel & MS Word required
9

Skills For Manager, Revenue Cycle Operations Resume

  • Software/Hardware: Intermediate or Advanced knowledge of MS Excel & MS Word required. MediTech and nThrive (Xclaim)
  • Intermediate proficiency level with Microsoft Office
  • Proficient with Revenue Cycle Management software –
  • Help direct reports overcome any organizational obstacles encountered
  • Know, understand, implement, follow, and communicate to teammates all DaVita employment policies and procedures, awards, and other opportunities within company; develop and foster a positive, fulfilling work environment; enable teammates to excel in their assigned roles
  • Ensure all DaVita employment processes are completed timely and in compliance with DaVita policy and any applicable laws
10

Skills For Engagement Manager, Revenue Cycle Solutions Resume

  • Facilitate teammate development (PDRs, 1:1 meetings, coaching, mentoring, DaVita training, outside training); collaborate with direct reports to create professional development goals
  • Maintain familiarity with and communicate to teammates DaVita programs impacting teammates (including but not limited to: Triple Crown, We Are Here, Tuition Reimbursement, Foundations, etc.)
  • Know and understand basic wage and hour laws, federal, state and local laws and regulations, Medicare, and legislation affecting employment
  • Propose and provide creative and compliant solutions to daily workflow and temporary labor shortages
  • Develop and conduct educational programs to keep teammates up-to-date on DaVita policies, new laws and regulations impacting work, and other information necessary to maintain teammates' knowledge of department processes and goals
  • Directs the daily operation of the state business office to ensure accuracy and timeliness in all areas of responsibility including the handling of monies
  • Monitors and assigns daily workload to the billing team to optimize load-balancing and staff acuity
  • Acts as the main point of contact for all revenue cycle vendors and is responsible for monitoring these vendors’ performance

List of Typical Responsibilities For a Manager, Revenue Cycle Resume

1

Responsibilities For Manager Revenue Cycle Resume

  • Thorough working knowledge of all Microsoft Office programs
  • Reviews payer profiles and forwards to Regional & Corporate offices
  • Strives to achieve and maintain company DSO standard. Directly supervises regional business office personnel
  • Design and implement policies, protocols and systems to improve productivity, efficiency and customer service, as well as, enhance revenue acquisition
  • Designs, establishes and maintains an organizational structure and staffing model to accomplish the organization's goals and objectives in an effective manner; recruits, trains, coaches and evaluates Billing staff members
  • Maintain knowledge of payer rules, regulations and guidelines to ensure ethical and compliant standards and provide continued education for staff as appropriate
  • Monitors daily workload of the follow up team to optimize load-balancing and staff acuity
2

Responsibilities For Manager, Revenue Cycle Integrity Resume

  • Design and implement policies, procedures and systems to improve productivity, efficiency and customer service, as well as, enhance revenue acquisition
  • Designs, establishes and maintains an organizational structure and staffing model to accomplish the organization's goals and objectives in an effective manner; recruits, trains, coaches and evaluates staff members
  • Conduct regular staff meetings to review productivity metrics, reaffirm weekly/monthly goals, provide coaching/training and ensure work is appropriately prioritized
  • Proficient with Revenue Cycle Management software
  • Coaches, disciplines, and otherwise manages the performance evaluations/appraisals for all staff in a timely manner as well as ensures that company/departmental employee policies are followed (e.g. Time Card Management)
  • Develops the productivity and quality benchmarks for the team members to support the Management goals for the department as well as hold the individual contributors accountable
  • Works with the Leads to develop best demonstrated practices for the area including but not limited to work flow process improvements, efficiencies, and effectiveness in dealing with the daily A/R and denial management of the team
3

Responsibilities For Project Manager, Revenue Cycle Resume

  • Manages and monitors the key metrics as established by Management for proactive implementation of solutions (e.g. month over month cash collection, backlog days, A/R Aging buckets, etc.)
  • Maintains and provides a positive work environment and morale for the area by timely communication, written and understandable policies and other ways to incorporate team member involvement in the daily work efforts for the area
  • · Strong management skills. Knowledgeable of hospital operations and patient flow
  • · Knowledgeable in the use of Microsoft Office applications and other hardware and software programs applicable to Revenue Cycle operations
  • Assists with the effort to communicate to new physicians, administrators, and department heads the procedures for incorporating their services into the charge producing process
4

Responsibilities For Senior Manager Revenue Cycle Services Resume

  • Meets with administrators and department heads within Continuum's network to discover opportunities for enhancing revenue and/or diagnosing problems within the department and providing resolutions for the problems
  • Assists with the development and maintenance of the Continuum Health Partners, Inc.'s hospital billing compliance program
  • Ensures the proper and timely processing of payment related inquiries from the A/R and Collections departments
  • Work closely with Accounting Department on cash reconciliation issues
  • Maintains the transaction master at the various Continuum's facilities, in terms of cpt and revenue codes, as well as the descriptions of the services
  • Assists with the creation of new charge codes
5

Responsibilities For Anesthesia Practice Manager, Revenue Cycle Resume

  • Develops reports that highlight trends in revenue production that require attention
  • Addresses the department leadership with concerns and provides resolutions to the issues at hand
  • Documents the improvement made in revenue production
  • Analyzes revenue trends, discovers revenue production problems, documents them on-line, and provides resolutions on the issue for the departments involved
  • Assists when necessary with all aspects of the compliance program
  • Provide regular feedback to the Cash Operations Director and escalates issues when appropriate
  • Perform weekly audits of cash reconciliations prepared by Cash Ops Associates
  • Support, oversee, and manage the performance and productivity of staff performing vendor management and customer service and pre-defined goals/targets, while providing continual feedback and guidance to the team
6

Responsibilities For Senior Manager Revenue Cycle Connect Care Resume

  • Oversee Guarantor refund process is adhered to in compliance with stated policies and procedures
  • Develop, implement, and manage efficient and effective operational policies, procedures, processes and performance monitoring across all customer service functions and Self-pay processes
  • Ensure vendor relationships are generating required return on investment
  • Confirm tracking mechanisms are in place to ensure that patient complaints are addressed timely and correspondence is worked timely and accurately
  • Define, implement, and monitor strategies to improve overall processing efficiency
  • Ensure all staff and vendors comply with established policies, processes and quality assurance programs and implement corrective actions as required
  • Maintain up-to-date knowledge of regulatory and compliance changes impacting area of responsibility and ensure employees are appropriately educated and processes are modified as needed
7

Responsibilities For Manager, Revenue Cycle Applications Resume

  • Proven Strong customer-service orientation
  • Manage to applicable Key Performance Indicators ("KPIs"). Defines and implements action plans when performance is not meeting expectations
  • Manage patient portal, credit card merchant and banking automation vendor relationships
  • Manages quality audit and education operations, including, but not limited to
  • Present regular reporting packages on financial and operational performance to senior hospital leadership
  • Liaise with Revenue Management staff, partner organizations, and other stakeholders to determine training needs and design a curriculum
  • Lead the technical and analytical support for key production-related activities and projects within the Billing team
8

Responsibilities For Manager, Revenue Cycle Process Resume

  • Actively participate in ongoing development of new products, regulations and technologies
  • Monitors and assigns daily workload to the AR team to optimize load-balancing and staff acuity
  • Coordinate with peers across the revenue cycle organization, and with related stakeholders, on vendor management and customer service as relevant
  • Communicate with and present to a wide variety of internal and external users, including senior management as well as outside vendors and consultants
  • Manage the department's staff training program, including logistics, coordinating with trainers, finalizing attendees, developing the agenda, supervising communications about the events, and developing relationships with attendees
  • Deliver training sessions and presentations
  • Recruit, screen, manage, and mentor training associates or interns
  • Manage the process for overall Billing and Collection activities in accordance with current applicable standards, guidelines and regulations
9

Responsibilities For Manager, Revenue Cycle Operations Resume

  • Maintains positive and strategic relations with internal and external customers, support vendors and stakeholders including the State and County governments
  • Provide leadership and direction to the Revenue Cycle Operations team to ensure the goals and standards of the department, and CareSource, are met
  • Review aged accounts for collection problems / issues and prepare necessary reports for management review and further collections processes
  • Gather, analyze, and report data related to the performance of the department and change the status quo by making recommendations for process improvement(s) to achieve higher efficiencies and effectiveness
  • Establishes, monitors and enforces financial policies and procedures and internal controls
10

Responsibilities For Engagement Manager, Revenue Cycle Solutions Resume

  • Develop a culture of accountability and flexibility within the team to support the organizational mission and vision
  • Make appropriate changes to ensure compliance with Model Audit Rule (MAR), regulatory and other organization requirements
  • Participate in strategic conversations with all company departments, directors and members of the executive team
  • Manages assigned staff within the respective area of the Revenue Cycle and oversees all demographic and financial data collections related activities for the Medical Center
  • Responsible for serving as the primary point of contact for interactions with internal and external customers to Revenue Cycle. Primary decision maker regarding collection activities with third party insurance and guarantors

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