R
Cheryl
Reynolds
**********@*****.***
Middletown, OH 45042
SUMMARY
Revenue Cycle servant leader with CRCR and CSMC Certifications, professional with experience as an Accounts Receivable Manager and Supervisor. Experience with Medicare, Medicaid and Social Security programs. Advanced computer skills in EMS and other applications/systems. Key Skills: All aspects of Revenue Cycle, Billing, Accounts Receivable/Payable, KPI's, Client Delivery, Data Analyzation, Report & Document Preparation, Excel spreadsheets, Bookkeeping
& Payroll, Records Management, Inventory, Management, and expense reduction. Hardworking and motivated professional with several years of experience and record of success in industry. Solid history balancing team performance, client targets and business objectives. Dedicated to working closely with employees to maximize productivity and optimize procedures. Decisive leader with good planning and organizational skills. SKILLS
All aspects of Revenue Cycle
Billing
Accounts Receivable/Payable
KPI's
Client Delivery
Data Analyzation
Report & Document Preparation
Excel spreadsheets
Bookkeeping & Payroll
EXPERIENCE
Aug 2024 to present
UnitedHealthcare
Sr. Acct. Manager
Onsite Student Insurance Advocate for local
universities.
Sep 2014 to Aug 2024
Ensemble Health Partners
AR Insurance Follow-Up Manager
Records Management
Inventory Management
HIPAA
ICD-10 Coding
Knowledge of Medicare/Medicaid/SSA
EMR Medical Billing Software
Quality Coding Assessment
CSMC Certification
CRCR Certification
Oversaw various aspects of the revenue cycle, such as AR management, insurance collections, and follow- up activities
Conducts analysis of weekly/monthly reports to identify trends and communicate them promptly and proactively to payer/management.
Leads the implementation and oversight of strategies for claims management and receivables collections, resulting in improved cash flow and financial performance. Ensures the effectiveness and efficiency of denial management in overseeing collection efforts and account resolutions. Utilizes reporting and analytics to drive positive change within the department. Facilitates the enhancement of processes by monitoring and providing oversight guidance to AR global partners, assisting with issue identification and resolution. Established, communicated, and oversaw departmental metric and performance objectives while ensuring team members were responsible for meeting these goals. Provided regular reports on performance to leadership.
Monitors payer behavior and develop strategies to minimize disruption to collections Oversee implementation of new systems and processes to gain effectiveness and improve performance Feb 2014 to Oct 2014
AssureRx
Cash Posting Specialist
Enhanced Cash and EOB Posting.
Jan 2009 to Jan 2014
Middletown Cardiovascular Assoc.
Billing Specialist
Thoroughly investigated past due invoices and reduced aged AR Directed patient flow during practice hours, minimizing patient wait time. Completed registration promptly for all new patients.
Evaluated diagnosis codes to ensure accuracy, completeness, specificity and appropriateness in alignment with rendered services. Accurately entered procedure codes, diagnosis codes and patient information into EMR. Scheduled patient appointments efficiently and effectively. Provided administrative support for 6 physicians and 5 Nurse Practitioners Appropriately and correctly identified errors and re-filed denied/rejected claims Posted charges, payments and adjustments.
EDUCATION AND TRAINING
Graduated Preble Shawnee HS, Camden, OH
Certified Revenue Cycle Representative HFMA
Certified Specialist Managed Care HFMA
WEBSITES, PORTFOLIOS, PROFILES
Cheryl-Reynolds-BAB115105