Revenue Cycle Manager - Medical Billing

DIANNE MANN

***** ** ***** ******, #*-*** Kent, WA 98030 (Cell) 206-***-****

Email Address: *******@***.*** (Home) 253- 854-7892

INTRODUCTION

I have over 15 years of extensive healthcare knowledge and business

management experience; specialized expertise in the administration of the

Medicare Part B Program. My talents and strengths are project management;

strategic planning and implementation of Practice Management Systems for

Medical Billing. I have a bona fide aptitude for conceptualizing and

effectively implementing a systematic approach and organizational flow to

any activity. In addition, I am known by my peers as an individual that is

masterful at making sense out of chaos.

PROFESSIONAL SKILLS

* Effective leadership, skilled in stimulating and influencing others to

achieve organizational objectives.

* Adept in creating and improving the cohesiveness of work-environments

where teams are not functioning unitarily.

* Excellent organizational and time management skills including ability

to prioritize workloads.

* Computer proficiency in online / PC environments including Microsoft-

Office, Word and Excel.

* Strong communication skills include ability to interact in a positive

and productive manner.

WORK HISTORY

Accounts Receivable Manager 9/2010 - 7/2012

Practice Solutions - Subsidiary of Northwest Physicians Network, Tacoma, WA

Managed and provided oversight of revenue cycle functions for seven (7)

independent physicians' practices. Direct report of a staff of five (5)

Medical Billers of the business office including, credentialing, charge

entry, preparation and submission of insurance claims, cash posting,

oversight and management of denied claims and unpaid claims, collection of

outstanding patient accounts receivables, and resolution of

patient/insurance credit balances and refunds.

* Recovered lost revenue of $148,000 as a result of account analysis and

reconciliation.

* Successfully decreased A/R from 80 days to 32 days.

Business Office Manager - Interim 11/2009 - 04/2010

Healthcare Resources Group, Spokane Valley, WA

Assigned to Minor and James Medical responsible for managing a staff of 38

employees including daily operations and management of the Business Office,

and oversight for Accounts Receivable, Charity Care Program, Charge

Capture, Claims Recovery, Credit and Collections, Payment Posting, and

Patient Accounts.

* Improved timeliness of charge capture - from point of service to

billing was decreased by three (3) to five (5) business days.

* Revamped Charity Care Program - implemented program efficiencies and

reduced approval timeline.

Business Office Manager 04/2008 - 01/2009

Highline Therapy Services, Federal Way, WA

Directly supervised staff, consisting of seven (7) employees of the Central

Business Office (CBO). Planned, organized and directed the CBO billing and

collection operations for five (5) outpatient clinics performing physical,

occupational, speech and massage therapy services. Monthly duties consisted

of preparing reports and statistics related to revenue cycle management and

performance goals as well as reviewing insurance contracts in terms of

reimbursement and compliance. Developed and implemented policies and

procedures and functioned as a liaison between clinic supervisors, front

office staff and billing department.

* Improved Accounts Receivables - reduced days outstanding from 44 to 32

within a period of five (5) months.

* Redesigned and automated patient statement from manual process to

electronic within the first 60 days of hire.

* Implemented Electronic Funds Transfers (EFT) for all Insurance Plans -

increased timeliness of cash flow.

* Updated and installed credit card machines in all clinics to improve

patient collections.

Corporate Business Office Manager 06/2006 - 11/2007

REM Medical Corp, Seattle, WA

Recruited to develop a Corporate Billing Department for a start-up

comprehensive sleep medicine and DME company. Charged with the task to

build from the ground up, a billing department and team. Managed all

aspects of the scheduling, patient registration, referral coordination,

provider credentialing, medical billing and revenue cycle management

processes affiliated with clinical and diagnostic facilities. Implemented

the departmental structure by recruiting, hiring and training staff.

Developed the policies and procedures for all job-related duties as well as

the training material used regarding the practice management system and its

supporting software.

* Reduced DSOs (Days Sales Outstanding) from 65 days to 39.1 days.

* Launched a collection initiative that improved patient collections by

26%.

* Streamlined insurance verification procedures and improved the

authorization/referral process; thereby improving clean claims

percentage and reducing the number of claim denials.

* Originated an effective appeals process that resulted in a 15%

reversal of denials.

* Bestowed the title of "Commando Unit" by the CEO due to the manner in

which our team strategically developed and executed process

efficiencies.

Regional Business Office Manager 01/2005 - 05/2006

U.S. HealthWorks Medical Group, Tukwila, WA

Managed a staff of thirty-four (34) employees and supervised the day-to-day

operations of the accounts receivable department and general office

functions. Primarily responsible for the administration of the revenue

management cycle of sixteen (16) Urgent Care/Occupational Medical

facilities within the states of Arizona and Washington. Oversaw the

credentialing of providers, medical billing and collection activities of

regional receivables totaling $37.8 million.

* Successfully increased collections by 2.9 million; a 12.3% increase in

store to store growth.

* Motivated and organized staff to accomplish a reduction of nine (9)

days in DSO (day's sales outstanding) for 2005.

* Developed and implemented a training program which reduced clinic

intake errors by 15%.

Project Coordinator/Consultant 03/2004 - 12/2004

Sea Mar Community Health Centers, Seattle, WA

Contracted by Chief Financial Officer (CFO) and Corporate Business Office

(CBO) Manager to assist the Billing Department in implementing and

developing an infrastructure within their Patient Accounts Unit. The

assignment was to review, identify and fine-tune business processes

regarding medical and dental claims and the workflow activities performed

by the Customer Service Center and Payment Posting Unit.

Manager of Operations 04/2001 - 08/2003

Pacific Medical Center, Seattle, WA

Managed the Corporate Business Office for 120 physicians and six (6)

clinics. This consisted of the direct oversight and supervision of 24

employees and five (5) business groups: (1) Insurance Claims Billing and

Denial Management, (2) Patient Accounts/Customer Service, (3) Self-Pay

Collection Accounts, (4) Cash Applications/Financial Posting of Accounts

Receivable and (5) Charity Care Program.

* Hired, trained and assisted team in achieving and maintaining a 94.5%

call response for a monthly volume of 3,800 calls.

* Launched a no-response claims initiative that increased cash by 10%

and reduced aged accounts receivable by five (5) days.

* Facilitated the training and education of six (6) specialty clinics on

the referral process of the Charity Care Program.

* Initiated a letter series collection project that increased self-pay

account collections by 30%.

* Received accommodations and accolades from executive team for record

cash month of 2.3 million and reorganization of the Charity Care

Program.

EDUCATION

A.A. Degree in Business Administration

Massey Business College - Atlanta, Georgia

* Major: Accounting Minor: Business Administration

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