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Accounts Receivable Revenue Cycle

Location:
Scottsdale, AZ
Salary:
Negotiable
Posted:
February 21, 2024

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Resume:

Becky Townsend

Revenue Cycle Manager

Scottsdale, AZ 480-***-****

ad3tly@r.postjobfree.com

Engaging and detail-oriented professional with over 20 years of medical experience, exceptional time management skills, and the capacity to energize a team of professionals by creating a dynamic and innovative team culture.

Qualifications Summary

Visionary professional with the ability to oversee the daily activities of direct reports on a collections team.

Collaborative team-player with high emotional intelligence and the capacity to ensure customer expectations are met in close partnership with other departments and leaders.

Exceptional communicator and change agent with a sharp power of observation, able to identify process limitations and opportunities for improvement within the organization and customer accounts.

Versatile and dependable professional with inspiring leadership ability, excellent communication skills, and the capacity to adapt communication and leadership style to achieve quality results.

Organized professional with a proactive mindset and a strong work ethic, able to provide quality training and education to staff related to collection policies and procedures.

Resilient individual with a dynamic growth mindset; known for strong management and people skills, personal values, integrity, and strong technical knowledge.

Career Experience

Connective Health Strategies Maine October 2022 - Present

Billing Operations Manager

Client Relations Lead

Managing full revenue cycle by creating processes for multi-client billing company to include managing an offshore team of 15.

Responsible for $5M in current client base, with continued expansion projected to increase 150% by end of 2023.

Ensure timely clean claim submission

Ensure timely follow up of all accounts receivable

Perform Q&A of work performed by offshore team and provide additional mentorship where needed based on audit results

Barrow Brain February 2022 – June 28.2022

RCM Manager

My position was eliminated due to corporate restructuring with the onboarding of a new COO. Before securing another job, I then required surgery and just finished physical therapy mid December.

Building revenue cycle team by creating workflow processes for this neurosurgery office with a team of 70 providers specializing in Neurosurgery, Pain Management and Physical Therapy.

Manage a team of 17 AR representatives, 3 payment posters, and 12 medical record indexers

$30M accounts receivable with extensive aging >90, creating projects to generate as much revenue as possible from grossly aged claims

Ensure timely follow-up of outstanding insurance and patient accounts receivable balances by monitoring productivity and quality standards

Shape productive work environment for remote work newly offered, maintaining team morale

Capture significant gains for >90 day accounts, netting over $200K for >730 day accounts receivable

Creating new processes for more efficient accounts receivable workflow creating increase in productivity

Ironwood Cancer and Research Centers Gilbert, AZ July 2011 to November 2021

I left Ironwood after 10 years due to taking another role that was the next level in Management. A week prior to starting the company had leadership changes and the position was then put on hold indefinitely. There was very little movement with my applications due to the holidays.

Accounts Receivable Manager March 2019 to November 2021

Establish strong foundation for success for this oncology office with a team of 44 Oncologists, one Gynecologic Oncologist, eight Breast Surgeons, and 12 Mid-levels with 44 community-based centers throughout the East / West Valley of Phoenix. Demonstrate strong leadership and foresight by building, developing, and managing a rapidly expanding Accounts Receivable Department.

Selected Contributions:

Shape a vibrant, productive environment through a focus on productivity, quality, and staff development for a team of 28 account team members.

Generate energy and stability by maintaining an efficient daily operational workflow for a 90-clinician Oncology Practice.

Leverage experience and skill to manage $58M accounts receivable including 40K claims per month, resulting in 8% A/R >90 days and 27 DSO.

Employ refined relationship-building skills and collaborative mindset while managing overseas business partner relationships.

Ensure timely follow-up of outstanding accounts receivable balances by monitoring productivity standards and quality.

Capture substantial gains in efficiency and productivity by maintaining up-to-date knowledge of all patient financial and healthcare related issues and regulations.

Surgical / Urological Code Capture October 2018 to March 2019

Exercised detailed analysis and judgment while reviewing and capturing charges for all Urological / Surgical charges based on NCCI guidelines for billing and coding procedures, office visits, and other office-related charges.

Selected Contributions:

Exhibited superior attention to detail while verifying proper coding and bundling for all billed charges.

Delivered key contributions toward success by maintaining productive working relationships with office manager and physicians.

Quality Management Data Analyst January 2017 to October 2018

Exhibited resourcefulness by reviewing practice data to understand and promote evolution of alternative payment models and value-based health care payment models.

Selected Contributions:

Maximized productivity and provided vital structure by identifying, tracking, and reporting on national and regional trends toward alternative value-based payment models, accountable care, episode / bundled payments, and shared savings / gain sharing programs.

Embraced responsibility for understanding methods by which to transition from traditional fee for service payments to alternative payment models.

Established organizational goals for APM and participate in reporting of progress toward APM goals in close partnership with clinical and finance staff.

Billing Specialist - Supervisor July 2011 to January 2017

Demonstrated leadership and communication skills by partnering closely with supervisor to train new staff; helped to lead the team by providing assistance in resolving claims issues, composing appeal letters, and auditing the team.

Selected Contributions:

Exercised sound judgment and discretion while following up on assigned portion of the accounts receivable; contacted insurance companies to verify status and resolve claims; met with payer representatives to resolve ongoing claims issues.

Ensured flawless execution by reviewing appeals and making account adjustments.

Created environment for durable success through a solid understanding of CMS guidelines, LCD, and NCD. Firm CPT and HCPCS knowledge with moderate ICD-10 knowledge base.

Exhibited exceptional ability to marshal appropriate resources by working denials from electronic and paper remits; made corrections and resubmitted claims including following up on aged accounts.

Additional Experience 2007-2011 as Billing Specialist, Skaggs Regional Medical Center, Branson, MO; Cash Posting Supervisor, Skaggs Regional Medical Center, Branson, MO.

Education

AAPC CPC Certified, December 2017

Professional Proficiencies

Microsoft Office Suite OncoEMR MOSAIQ Oncology EMR eClinical Works Centricity Centricity EMR Citrix Emdeon ZirMed MedAssets Compass Athena

References Available upon Request



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