Director of Revenue Cycle Account Management

• Jun 2022 - Present

Lead revenue cycle account management, and implement continuous improvement initiatives for both internal and offshore operations.Develop and implement business strategies and plan, ensuring SOW, and P&P are updated.Project Management for all RCM customers, from pre-contracting/sales to celebrating the wins throughout the RCM Account life cycle, ensuring overall RCM Customer Success.Analysis of department performance compared to KPIs.

Senior Revenue Cycle Manager

• Aug 2019 - Jun 2022

Leadership of Enterprise Account Management Team and Patient Relations team and offshore partners. Presenting Key Performance Indicators to C-Level executives, ad hoc and Excel reporting, preparing and monitoring reports, analyzing and monitoring trends. Customer success, evaluating for process and workflow improvements, tracking statistics of department metrics and cash flow management. Ensuring Revenue Cycle performance and areas of optimization, optimize revenue and ensuring contractual reimbursement. Providing internal employee mentorship and training. Auditing Revenue Cycle Management accounts, including chart audits, claim audits, payment/reimbursement audits, denial management, accounts receivable management.

Quality Assurance Manager

• Oct 2017 - Aug 2019

Created a Quality Assurance Department, establishing an internal auditing process and creating monthly training content for the RCM team. Audited productivity, coding, denials review, designed and executed growth strategies for client revenue through performance improvement. Subject Matter expert for Quality Assurance, Medical Billing and Coding, and Process and Workflow Review.

Revenue Cycle Account Coordinator Team Lead

• Apr 2016 - Oct 2017

Management, Training, and Supervision of Account Managers and Patient Relations Specialists. Conducted One to One Meetings with team members, software training and support, ensured month end close processes were followed and completed, financial reporting credit balance review, compliance and oversaw client relationships.

Software Implementation and Support Specialist

• Oct 2014 - Apr 2016

Oversaw implementation of new SAAS and RCM software clients; reviewing contracts and establishing training and implementation processes unique to each client. Created and established settings for new client accounts, chart templates, and trained clients on the software. Provided ongoing support and training, creating training materials for the learning academy. Tested the software for bugs, enhancements, new designs and feature requests, as well as served as Product Manager for the mobile application; design, user experience, testing and enhancements.

Revenue Cycle Account Manager

• Jul 2010 - Oct 2014

Medical billing, coding, reimbursement, aging, denials, insurance and patient payment posting. Customer service, financial forecasting and reporting, educating for coding, charting, compliance, and processed accounts for month end close. Customer advocate for software support and to ensure their claims were paid at the highest reimbursement.

Billing Department Manager

• Apr 2005 - Jul 2011

Oversaw team responsible for commercial and private pay Home Health billers. UB04, HCFA, and patient statements, patient customer service, reporting, and employee training. Oversaw team responsible for commercial and private pay Home Health billers. UB04, HCFA, and patient statements, patient customer service, reporting, and employee training.

Office Manager

• Jun 1999 - Apr 2005