Revenue Cycle Manager

MARCUS JONES JR.

Revenue Cycle Administrator

Atlanta, 30305

404-***-**** ************@*****.***

PROFILE

OPERATIONS MANAGEMENT/STRATEGIC PLANNING/CLIENT RELATIONS Analytical and detail-oriented Financial Counselor with nine years of professional experience in the Heathcare industry. Specialized in account management, data analysis, insurance collection, vendor supervision, process improvement, and conflict-resolution strategies. Reputation for leading cohesive teams that strengthen account performance through efficiently addressing individual financial needs. Proven success in developing strong relationships with insurance representatives to facilitate the effective exchange of patient information and the delivery of high-quality care. Recognized as a leader who completes multiple projects within strict budgetary and time constraints while meeting diverse customer specifications. CAREER HIGHLIGHTS & ACHIEVEMENTS

· Demonstrated situational awareness, leadership, and business etiquette in national healthcare industry. Utilized extensive knowledge of industry trends and issues to ensure facilities remain in high standings.

· Analyzed patient financial data to determine financial aid eligibility statue and applicable assistance programs. Communicated file updates and discrepancies to involved stakeholders to ensure billing accuracy.

· Delivered detailed messaging on insurance coverage and benefit options to target customers. Surpassed performance objectives through effective account management and commitment to customer satisfaction.

· Established and maintained sustainable relationships with insurance providers to facilitate account payment processes on all submitted claims. Consistently met the $20,000 monthly collection goal at Wellstar.

· Supervised 10 team members at Kaiser Permanente in case management. Reviewed administrative staff responsibilities to streamline daily workflow and decrease inconsistencies in account files.

· Consulted with mental health colleagues to assess the effectiveness of various treatment strategies and interventions. Designed additional assessments to evaluate progress with addiction and relationship issues.

· Assisted multiple internal departments including MSCC and PFSCC Tier 1, Patient Business Office, Benefits & Membership Administration, and Claims CSC to efficiently resolve member billing and account inquiries.

· Recognized with multiple awards for consistently delivering excellent customer assistance, coordinating company projects, and prioritizing collection standards while simultaneously supporting team members. EMPLOYMENT HISTORY

Emergency Department - Financial Counselor, Northside Hospital Mar 2020 — Present Atlanta

Ø Provide financial counseling and education to inform patients about available healthcare resources. Report all contact with patients, providers and other individuals within CERNER. Ø Communicate directly with insurance companies to resolve discrepancies and file claims for reprocessing. Review individual patient benefit plans and submit documentation to reduce errors. LEAD - Financial Counselor, WellStar Health System- Kennestone Hospital

Feb 2020 — Present

Marietta

Ø Conduct interviews with patients and family members about insurance benefits. Document all contact details with patients, providers, and other individuals within the EPIC system. Ø Apply knowledge of patient background to formulate recommendations for improving financial circumstances, reducing debt, and increasing income. Create plans to address creditor demands. Revenue Cycle- Account Resolution Manager, Kaiser Permanente Feb 2018 — Mar 2020 Atlanta

Ø Contacted clients with past due accounts to formulate payment plans and discuss restructuring options. Negotiated arrangements for defaults, payment plans, and full remittance cases. Ø Investigated claims to settle conflicts efficiently. Compiled and analyzed data for senior management review while managing cash flow reporting and posted cash receipts. Mental Health Professional, Ridgeview Institute Jan 2018 — Nov 2018 Monroe

Ø Performed client assessments and developed individualized treatment plans to support growth. Assisted patients in drawing insight from personal experiences and relationships. Ø Designed and led goal-oriented psycho educational and therapy groups to enhance daily functioning. Documented all services and client progress in confidential files. Clinical Research Assistant, Atlanta Center For Medical Research Dec 2016 — Dec 2017 Atlanta

Ø Wrote and edited data collection forms and questionnaires. Validated incoming data to ensure information accuracy and integrity while independently locating and correcting concerns. Ø Determined the best methods of data collection. Performed statistical, qualitative, and quantitative analysis to synthesize search results in written reports, graphs, fact sheets, and tables. Mental Health Counselor- LEAD, Peachford Hospital Feb 2015 — Jun 2017 Atlanta

Ø Delivered individual and family therapy sessions for children ages six to seventeen. Offered comprehensive case management services consistent with colleagues to ensure consistency. Ø Developed goal-oriented psycho educational and activity therapy groups that improve daily functions. Maintained sensitivity to cultural and linguistic differences across clients. Administrative Assistant, St.Jude Medical Feb 2016 — Dec 2016 Atlanta

Ø Organized common areas and prepared meeting materials to facilitate the efficient exchange of information throughout the office. Tracked supply levels and managed all inventory needs. Ø Developed spreadsheets and databases to track team performance. Identified and recommended procedural changes to improve operational accuracy, efficiency, and quality service.. Active Treatment Manager, North Mississippi Regional Center Dec 2011 — May 2014 Oxford

Ø Oversaw the daily operations of a quality assurance program including on-site evaluations, internal audits, and customer surveys. Maintained accurate digital patient records. Ø Created individualized exercise programs for patients in acute care settings. Communicated with physicians to assess treatment plans and make adjustments that increase patient benefits. EDUCATION

University of Mississippi Jun 2011 — May 2014

Criminal Justice Oxford

CERTIFICATIONS

Healthcare Financial Management Association (HFMA) Certified Revenue Cycle Representative (CRCR) & Certified Specialist Accounting and Finance (CSAF)

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