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Accounts Receivable Revenue Cycle

Location:
Middletown, OH
Salary:
95000
Posted:
December 28, 2024

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Resume:

R

Cheryl

Reynolds

513-***-****

**********@*****.***

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



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