Financial Analyst Revenue Cycle

Michelle L. Wright

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

Message Phone: 323-***-****

Objective: Highly experienced results-driven medical financial analyst with over 20 years of experience in the healthcare sector. Looking to leverage my expertise to contribute to efficiency and optimizing revenue cycle management while ensuring compliance. Seeking a challenging role where I can utilize my expertise and continue to expand my knowledge in the healthcare financial industry.

Highlight of Skills:

*Microsoft Word *Epic Finesse *Detail-oriented *CS-Link

*Outlook *PACER Case Locator *Insight *Adaptability

*Medical Collections *Genesys *Cisco Dialer System

*10-key by touch *Short Message Service *Issue & Complaint Resolution

*Critical Thinking *Money Handling Abilities *Call Documentation Certificates:

*CS-Link SBO PB Adjustment and Self Pay Refunds *Financial Assistance Policy

*CS-Link SBO PB Rebill Workflow Training Course *Credit Analyst

*CS-Link PB 2024 Overview of Professional Billing Revenue Cycle *Charge Entry Professional Experience:

Cedars-Sinai Medical Center, Los Angeles, CA 11/2011 – Present Patient Financial Care Specialist II

• Provide exceptional financial service assistance to ensure satisfactory account resolutions.

• Strong analytic and prioritization skills; ability to comprehend and explain payor contracts.

• Oversee the handling of 8 work queues daily.

• Expedient response to patient, insurance and third-party inquiries to avoid and/or mitigate prolonged patient debt history.

• Attentively answer approximately 40 incoming calls daily from patients, providers, collection agencies, and billing inquires.

• Proficient in resolving escalated patient matters.

• Responsible for creating Workers Comp (WC) accounts in EPIC and manage WC inquiries.

• Solely responsible assisting Transplant Team with escalated accounts.

• Communicate with legal department to govern bankruptcy patient processes.

• Resolve customer service issues by utilizing diplomacy, empathy and active listening skills.

• Negotiate payment plans based upon the most current industry/hospital policies Review and respond to customer complaints to improve the quality of customer service offered and preserve the reputation of the organization.

• Ensure the accuracy of billing codes, patient information and demographics to streamline billing and payment collection processes.

• Generate and maintain accuracy of patient’s personal insurance data.

• Adhere to all Health Insurance Portability and Accountability Act (HIPAA) legislation to ensure data privacy and security of all patient information.

• Demonstrate thorough knowledge in revenue and billing cycles and collection practices.

• Trained in all aspects of verifying bankruptcy status, processing credit card payments, resolving payment disputes, negotiating settlements and analyzing the patient’s ability to pay for care.

• Communicate effectively with all audiences including, physicians, pharmacists, veterans, victims of crimes, homeless population, Sherriff’s Dept. and Medicare members.

• Work as a team player to provide back-up support, as needed, to the department.

• Recognized as a positive role model by management and peers.

• Work que management, age and volume

• Familiar with complete revenue cycle process and workflow

• Determines bad debt process flow and next steps

Marina Medical Billing Service, Cerritos, CA 1/2007-11/2011 Insurance Collector

• Acted as an intermediary between patients and insurance carriers to file and follow-up on claims and appeals.

• Learned laws governing debt collecting and followed appropriate protocols and procedures.

• Empowered patients by advising them on insurance coverage and medical benefits prior to procedures or treatments and explained billing statements.

• Provided reports regarding denied claims, past due accounts and unresolved issues to management for review.

• Managed patient files and gathered missing information to ensure accurate, timely payments.

• Completed a total of 100 calls/contacts or more per day to successfully meet and/or exceed established quotas.

References Available Upon Request

Contact this candidate