Revenue Cycle Manager - Healthcare Resume Search
Revenue Cycle Manager  - Healthcare Resume Search
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Revenue Cycle Manager Resume


Desired Industry: Healthcare SpiderID: 82593
Desired Job Location: Franklin Park, New Jersey Date Posted: 6/10/2020
Type of Position: Full-Time Permanent Availability Date: Immediate
Desired Wage: 75000
U.S. Work Authorization: Yes
Job Level: Management (Manager, Director) Willing to Travel: No
Highest Degree Attained: Other Willing to Relocate: No


Objective:
Accomplished and results-driven professional, with broad-based experience in revenue cycle management, financial operations, and business administration within the healthcare industry.


Experience:
PROFESSIONAL EXPERIENCE

MCKESSON/CHANGE HEALTHCARE | Somerset, NJ
Revenue Cycle Manager 1 2011–Current
-Took charge of revenue cycle outsourcing business including financial outcomes, customer satisfaction, and employee satisfaction in accordance with individual contracts
-Administered business office, patient access, and physician office functions encompassing all functions of first- or third- party claims operations, registration management, admitting, insurance verification, customer service, and managed care contracts
-Held responsibility in ensuring performance and contract compliance
-Provided resolution to problems between hospital and/or physician departments and the business office
-Administered physician billing for a New York based hospital with 26 departments and more than 500 physicians
-Delivered direction to domestic employees and off shore team while handling overflow
-Oversaw all processes to uphold consistent, current, and accurate processing of client charges to boost collections and lessen time to convert the charges to cash
-Performed various tasks including answering employee technical question; providing detailed job or client specific technical training; and resolving difficult technical issues to ensure accomplishment of monthly cash goal of $3M

SPRING HILLS MORRISTOWN | Morristown, NJ
Business Office Manager 2010–2011
-Fulfilled accounting and human resources functions, while generating and completing all weekly, monthly, and annual reports in compliance with corporate deadlines.
-Employed analytical skills in identifying and resolving new hire orientation, benefits administration, and payroll issues
-Demonstrated keen attention to detail in guaranteeing accuracy of resident billing while responding to billing questions
-Offered hands-on assistance in organizing annual budget
-Handled all business collections and accounts payable as well as coordinate new HR and finance policies to department head and staff
-Managed patient accounts on a daily basis to determine outstanding account receivable
-Analyzed historical data for debts and bills and executed actions to encourage timely payments in guaranteeing constant flow of revenue
-Drove efforts in ensuring successful completion of the following initiatives:
-Financial move-out process completion in a timely manner;
-Move-in deposits and rents documentation and deposits in a timely fashion;
-Accurate and time completion of account payable procedures;
-Confidentiality of proprietary, financial, and resident information;
-Management of processes or files worker compensation and leave of absence requests; and
-Accurate personnel records in accordance with regulations and company policies
-Facilitated education program and training sessions
-Guaranteed invoices were constantly paid on time and updated to maintain continuous out sourced services

KINDRED HEALTHCARE | Rahway, NJ
Business Office Manager 1999–2009
-Spearheaded billing, collection, and patient admission activities with a 10-person team in charge of three long-term acute care hospitals in adherence to federal and state billing regulations
-Assumed accountability in ensuring timely submissions of primary, secondary, and tertiary insurance claims; tracking payment trends and cash posting; as well as handling credit balances and refunds reconciliation
-Displayed leadership abilities in supervising staff development and staffing plans for the designated team
-Reported issues on payer behavior to chief financial officer
-Directed billing projects and interfaced with major payers
-Played an integral role in minimizing days in accounts receivable while maintaining 100% cash to revenue


EARLIER CAREER

TOTAL PHYSICIAN SERVICES | New York, NY
Reimbursement Specialist

NATIONAL EXPERT CARE CONSULTING INC. | New York, NY
Billing and Collection Specialist

ERNST AND YOUNG, LLP | New York, NY
Consultant

HOLY NAME HOSPITAL | Teaneck, NJ
Senior Outpatient Medical Biller


Education:
COURSEWORK IN SPEECH PATHOLOGY AND SPECIAL EDUCATION
Kean University | Union, NJ


Skills:
Record Management - Insurance Verification - Rapid Conflict Resolution
Client Relations and Service - Regulatory Compliance - Contract Administration - Denial Management

Microsoft Office Suite (Word, Excel, and Outlook) | SMS | SAP | SSI | Meditech | QuadraMed
Passport | FISS | MMIS | ImageNow | Allscripts / Eclipsys | RightFax



Additional Information:
CERTIFICATIONS

Medical Manager Certificate of Achievement | Healthcare Cash Management Seminars Inc.
Coding for Optimal Reimbursement Certificate | Healthcare Cash Management Seminars Inc.


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