CHERYL REECE

Humble, TX ***** 713-***-**** ad4ie2@r.postjobfree.com

Summary

Efficient Revenue Cycle Manager adept at implementing procedural improvements and executing revenue metrics analysis to drive corporate financial objectives. Eager to apply 30 years of account management to increase revenue and add value to the team.

Skills

Customer Service

Insurance Claims

Problem Solving

Medical Coding

Practice Management

HIPAA

ICD-10

Revenue Cycle

Notary

Practice Management Systems- ECW, Nextgen, Xifin, ModMed, Advanced MD, Nable and Clinix

Billing Cycle Performance

Account Monitoring

Compliance Assessment

Employee Training Oversight

Decision-Making

Willing to Learn

Data Analysis

Critical Thinking

Operational Reporting

Goal Setting

Staff Recruitment and Hiring

Prioritizing and Planning

Proactive and Focused

Relationship Building

Business Relationship Management

Team Building Leadership

Work Planning

Attention to Detail

Staff Management

Excels in Team Leadership

Staff Training

Proficient in Microsoft Office

Collections Actions

Typing and 10-Key Entry

Managed Care

Experience

Revenue Cycle Manager 2023 to 2024

Gene By Gene Houston, TX

Implemented new policies and procedures for streamlining workflow processes within the revenue cycle department.

Evaluated revenue cycle processes and established actionable methods to increase productivity and efficiency.

Successful in assisting employees with appeals, which yielded an additional 1.5 million dollars.

Generated reports detailing key metrics such as days in accounts receivable, denial rate.

Checked payroll, vendor payments and other accounting disbursements for accuracy and compliance.

Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.

Analyzed and reported on billing cycle data to inform management.

Performed data analysis to identify trends in denials or rejections from payers and develop strategies for resolution.

Other: Assisting with Credentialing & Certified Notary

Revenue Cycle Manager 2016 to 2023

The Center for ENT Houston, TX

Manage Billing Office to make sure all policies and procedures are in place.

Oversee operations and workflow to optimize production and assist with problem resolution in all situations.

Mediation of requests from insurances for credit balances.

Implemented new processes to cut down on Patient Responsibility AR prior to rendering services.

Verifying insurance benefits for all patients which includes Surgeries, CT Scans Dermatology and Allergy and obtain prior authorization as needed

Oversees coding for eight providers that specialized in Otolaryngology, Dermatology, Audiology and Allergy.

Ensures electronically filing of medical claims from ECW to Navicure in a timely manner.

Resolves unpaid and denied claims at claim level and in bulk with payors.

Oversees patient accounts by reviewing balances and credits, making collection calls, handling customer service calls.

Successfully overturn denials due to no payment or underpayments from the insurance companies

Identify issues that may be keeping the claim from being paid such as insurance changes, coordination of benefits and transfer of balance to correct payor, process noncash related adjustment per established guidelines.

Oversees payment posting process & reconciled bank deposits with money posted in ECW daily.

Other: Assisting with Credentialing & Certified Notary

Maintained oversight of all billing operations including coding, charge entry, payment posting, collections and appeals.

Participated in revenue cycle processes, working to maximize profitability and increase revenue.

Investigated any discrepancies that arise during the billing process and resolved them promptly.

Oversaw training of staff on changes in insurance regulations and coding updates impacting reimbursement rates.

Oversaw complete lifecycle of revenue operations.

Monitored daily cash flow activity, ensuring timely filing of claims and proper reimbursement for services rendered.

Developed strategies to reduce denials, improve accounts receivable, and enhance revenue cycle performance.

Assisted with implementation of electronic health record system upgrades designed to optimize revenue cycle activities.

Assisted with customer requests and answered questions to improve satisfaction.

Displayed strong telephone etiquette, effectively handling difficult calls.

Completed day-to-day duties accurately and efficiently.

Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.

Practice Manager 2014 to 2016

Allergy Sinus and Asthma Associates Houston, TX

Managed 15 employees.

Credentialing

E-Post and manually posting all medical insurance and patient payments.

Verification of benefits for all Allery patients

Assisted front office with checking in patients.

Successfully attested for Meaningful Use for 2014 and 2015

Reconciled monthly bank statements with ECW.

Reviewed patient’s accounts for possible refund.

Reviewed insurance refund requests to determine if it was

Certified Notary

Maintained financial records, including billing and accounts receivable and payable.

Monitored compliance with HIPAA regulations concerning patient privacy rights.

Conducted regular meetings with staff to discuss operational issues and ensure proper communication between departments.

Medical Collector/Biller 2006 to 2014

Allergy & ENT Associates Houston, TX

Daily filing of medical claims to Navicure and Availity RCM by working claim errors in Nextgen and claims errors returned from Navicure and Availity RCM

Worked on patient accounts by reviewing balances, making collection calls, handling customer service calls and sending appeals due to none or under payment from insurance companies.

Worked with reports for patient AR and credit balances.

Worked closely with medical coder as back up for reviewing charges.

Maintained insurance master files and referring doctor files in Nextgen.

Assisted collectors when they were very busy; helping with reports, AR, phone calls and wherever I was needed.

Team player in winning award for top AR in collections.

Medical Collector/Biller 2005 to 2006

N.E. OBGYN Associates Kingwood, TX

Daily posted insurance and patient payments to medical accounts in NABLE

Called patients with delinquent accounts for collection of payments.

Filed and appealed health claims due to none or under payment

Verified PPO, HMO, Medicaid and Medicare insurances by phone or internet.

Processed medial record requests from patients or other facilities.

Medical Biller/Team Leader 1993 to 2005

Diagnostic Clinic of Houston Houston, TX

Audited patient's accounts for accurate balances

Resolved patient problems through phone calls, correspondence or by patient contact.

Prepared patient statements for billing records for law firms

Posted insurance and patient payments to medical accounts.

Managed and ordered office supplies.

Managed 12 staff members by overseeing workflow and job performance.

Reconciled daily payment deposits from patients and insurance companies with billing system.

As part of the management team, I participated in restructuring the business office.

Trained new employees on computer systems and job functions.

Participated in the implementation of two computer system conversions, Clinix and Nextgen.

Education and Training

High School Diploma-1988

References

References available upon request.

Contact this candidate