Revenue Cycle High School
Resume:
April Bennett Richards
704-***-**** (Cell)
adz4gu@r.postjobfree.com
LinkedIn Profile: https://www.linkedin.com/in/april-bennett-richards/
Healthcare Professional with greater than 20 years of experience in Revenue Cycle that includes billing services, cash services, accounts receivable, collections systems, processes and HFMA standard best practices. Seeking an opportunity as a Billing Services Leader and advance in my career in the Revenue Cycle to further my experience and knowledge as I simultaneously drive value for the company.
EXPERIENCE:
April 2022 – April 2023: VBO
Revenue Cycle Manager
Successfully managed and developed a team of 65 associates.
Maintained team development rate of 90%.
Supervised the revenue cycle department in various duties, such as account management, communications with insurance providers, collections, cash posting, contract analysis, and billing.
Successfully led client calls to improve revenue.
Root caused denials; overturned denials & presented to client.
Managed staff performance by providing regular feedback, performance reviews, and one-on one meetings to Team Leads to ensure staff productivity was maintained.
Monitored, tracked, and increased KPI’s via OPS report.
Reviewed invoices for accuracy.
Reviewed and updated DPD with current procedures and processes.
Oversaw the hiring and training of staff.
Implemented numerous policy and procedures within my engagement.
Identified and led denial projects to increase revenue for client.
Planned and structured the department’s workflow and staffing.
Cultivated relationships with team building events and community engagement events for client via remote.
August 2021 – April 2022: Accordius Health, Mooresville, NC
Business Office Manager
Successfully managed a team of 80 associates.
Monitors daily resident census.
Approves associates’ timecards.
Approves/denies associates time off requests.
Maintains associates’ schedules.
Counsels and coaches’ associates.
Monitors and reconciles Resident Trust Funds.
Pays vendor invoices.
Executes the hiring and termination process.
Submits for insurance authorizations.
Submits insurance updates to payers.
April 2021 – August 2021: GenTem Health, LLC San Francisco, CA
Billing and Account Receivables Services Lead
Billed claims for 27 clients.
Resolved rejections for 27 clients.
Decreased benefits and eligibility claim issues by 50%.
Created Benefits & Eligibility process for 27 clients & trained two staff members.
Resolved payment and contractual issues.
October 2019 – April 2021: Kindred at Home Mooresville, NC
Hospice Billing and Account Receivables Services Supervisor
Maintained 98% retention rate among associates.
Supervised and developed 30 associates
Track and report Billed and Unbilled totals.
Submit Bridge Routines to Zirmed/Way Star for resolution.
Perform QA for associates.
Root cause and resolve billing issues as they arise
Monitor staff productivity.
Create and implement policies and procedures
August 2015 - October 2019: Ensemble Health Partners Huntersville, NC
Billing Services Supervisor
Successfully led and coached a team of 15-20 associates.
Increased clean claim rate from 72% to 96%.
Submitted SSR’s to SSI for resolution.
Submitted Bridge Routines to Change Healthcare/Assurance for resolution.
Tracked Bridge Routines to ensure resolved for Change Healthcare/Assurance.
Password resets for end users.
Held weekly calls with Change Healthcare/Assurance to discuss Bridge Routines and ensure completed timely.
Submitted Service Orders for review/resolution for EPIC host system.
Managed daily activities for a total of 13 different hospitals that were clients of Ensemble; managed the billing activities of 11 hospitals at the same time.
Assisted On-Site Revenue Cycle Directors with resolving billing edits and with resolving issues to help improve their clean claim rate.
Answered questions from stakeholders in resolving issues for their specific department with billing edits.
Tracked and reported DNFS/FBNS (Discharge Not Final Submitted/Final Billed Not Submitted)
Supervised a total of 18 associates.
Held a daily call with various departments such as HIM, Patient Access, AR to ensure that the FNBS goals for the individual hospitals are met.
Monitored Biller productivity and performed QA for billers.
Implemented new processes for billing functions.
Researched for the root cause of why claims are not being accepted electronically, etc. and put necessary fixes in place.
Reviewed reporting of Billers and Follow up specialists.
Implemented new innovative ideas and processes.
Created and implemented SOP’s and tip sheets for improving the processes in billing department
December 2002 – December 2015: HMA/CHS
Accounts Receivables Clerk/Billing Clerk/Cash Posting/Interim Business Office Director
Posted all patient and insurance payments.
Identified patient and insurance refunds & prepared them to be processed.
Answered all questions and concerns from patients & insurance reps.
Applied discounts on all necessary accounts.
Prepared deposits daily and deposited
Billed insurance and followed up with payers to check status
Registered patients for Emergency Room, Lab, Radiology, and outpatient Surgery departments.
Answered telephone calls and assisted patients.
Billed for 15 hospitals in 9 different states
Corrected all errors on SSI and billed claims.
Billed claims hard copy with medical records and itemizations.
Worked denials and re-bills correctly.
Submitted necessary adjustments online as well as manually
Read remittance advices correctly.
Reviewed claims for contractual underpayments
EDUCATION:
2015-2022 Strayer University
Graduated with Associates Degree, August 2019
Graduated with Bachelor’s degree, June 2022
1993-1997 Fairfield Central High School Winnsboro, SC
Obtained High School Diploma.
Professional Certifications
HFMA Certified Revenue Cycle Representative (CRCR), October 2019
System Experience: SSI, Relay Assurance, Meditech, Meditech Magic, DAR, Pulse, Medhost, HMS, Paragon, EPIC, Alpha Collector, Ensemble IQ, Athena Health, NextGen, Therapy Notes, eMDs,
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