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Accounts Receivable Revenue Cycle

Location:
Grand Prairie, TX
Posted:
July 05, 2023

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Resume:

Susan Lloyd

Revenue Cycle Manager

Dallas, Texas

214-***-****

adx3z7@r.postjobfree.com

https://www.linkedin.com/in/susan-lloyd-0973a618/

CBO Revenue Cycle Manager with a comprehensive background in AR collections, AR overpayments and practice management, over 10 years working for healthcare partners accounts receivables utilizing analysis to develop and implement processes that optimized sustainable revenue goals. Inspire teams to perform their best while maintaining innovation.

Experience

Education

2016- 2022

Revenue Cycle Manager Mednax, Pediatrix

Engineered a department of two regions whereby responsible for the oversight of all functions related to the denial management credit balance audit team. Ensured the accurate capture of all revenue, associated with overpayments and reconciliation of government, managed care and commercial inventory. Creating and administering ongoing training to staff and upholding the integrity of the organization.

Provide direction to team members and analyze revenue to create a workflow that maximized departmental productivity.

Managed department, including problem solving, administering procedures to increase efficiencies, and implementing new systems to ensure accountability. Organized $1 billion practice based and hospital-based healthcare partner accounts A/R debit/credit overpayment inventory maintained less than 2% monthly. Enhanced Government AR maintained 0% monthly.

Upgraded, implemented, and managed (SOP’S) to align operations with best practices, meet regulatory requirements with the goal of creating a specialized department to address specific target inventory. Coordinated with the national leadership teams to execute a plan to meet company expectations for AR-overpayments and denials department.

2014-2015

Revenue Cycle Manager Schumacher Health Partners

Oversaw the billing A/R denial management managed care team. Implementing daily workflows. Decreased managed care KPI expectations from 85-60 days.

Analyzed and reported on managed care accounts receivable data to optimize revenue expectations. Supervised, mentored, and coached a team of fifteen Revenue Cycle Specialist and offshore team members.

Successfully created a process for A/R for $170 million in managed care accounts receivable and the incorporation of negotiations handing from insurance carriers which contributed to 20% increase in revenue.

Provide direction to team members and analyze revenue to create a workflow that maximized departmental productivity.

2011-2013

Revenue Cycle Manager Encompass Home Health

Accumulate and analyze accounts receivable data to identify ways overall practices can be improved to maximize collections and minimize open accounts receivable.

Managed revenue for new acquisitions

Improved accounts receivable by 55%

Oversaw all managed care, work compensation and Medicare HMO inventory.

University of Texas Arlington

Mountainview College, Dallas, Texas

Specialty Skills

GE Centricity Business

GE Practice Management

NEXGEN

EPIC

VISIQUATE

Hospital

Provider Credentialing & Contracting

Ophthalmology; NICU; PICU; Obstetrics,

Gynecology; Surgery; Oncology; Endocrinology; Hospital

Home Health; Infusion Therapy

2000-2010

Practice Manager OB-GYN Associates of Dallas

Managed all Accounts Receivable functions. Supervised billing, coding, training compliance and maintained clearing house rejections. Created SOP for effective practice management of the billing and coding staff.

Managed credentialing and contracting for a group of three physicians. Access health plans to negotiate best standard to maximize reimbursement.

Oversaw accounts receivable and analyst of claims submission



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