Revenue Cycle Human Resources
Resume:
********@**.**.***
Platte City, MO 64079
Skills
Team Player
Ambitious
Self-Motivated
Communication Skills (written/verbal)
Project Management
Vendor Management
KPIS
Denials Management
Claims Management
Team Building
Timecards/Payroll
Conversion Support
KPI’s
Process Improvement
Cash Reconciliation
Associate Development
Training Materials
Education And Training
Bachelor of Science:
Healthcare Management
National American University
Kansas City, MO
Associate of Arts:
Child Development
Penn Valley Community College
Kansas City, MO
Certified Revenue Cycle Representative
DENISE O'DELL
Summary
Resourceful Manager trained in resolution of critical issues within time-sensitive environment with successful track record of building and maintaining talented teams. Highly organized, energetic and versatile leader committed to continuous improvements. Proven history of motivating staff to work together to achieve targets.
Personable professional with 20 years of experience in Revenue Cycle, medical terminology and HIPPA requirements.
Proficient in job-related billing software.
Experience
Prime Healthcare – Project Manager
Kansas City, MO
01/2020 - Current
Conduct monthly one on one meetings with 19 team associates.
Monthly team denial meetings.
Vendor meetings.
Contractual adjustment approval.
Weekly team productivity.
Respond to employee concerns or complaints by coordinating with human resources team to solve issues.
Evaluate processes and employee strengths to realign workflows with changing business demands.
Review completed work to verify consistency, quality and conformance.
Monitor employee productivity to provide constructive feedback and coaching.
Order office supplies.
Insurance and patient refunds.
Timecards/Payroll.
Successfully orchestrated CBO relocation.
Created workflows for: Refunds, Prison Claims, & Disability Determination.
Increased employee engagement through team building exercises.
Implemented bi-weekly one on one’s with team.
Established self as leader of management team.
Collaborates effectively with offshore team and vendors.
Identified void in Epic work queue assignments.
Cerner - Supervisor, Senior Medical Billing Specialist
Kansas City, MO
05/2017 – 01/2020
Coordinated payment with insurance companies and discussed medical benefits with patients.
Established and enforced clear goals to keep employees working collaboratively.
Provided ongoing training to address staff needs.
Complied with company policies, objectives and communication goals.
Interviewed applicants, recommended individuals for hiring and evaluated staff performance.
Responded to employee concerns or complaints by coordinating with human resources team to solve issues.
Monitored employee productivity to provide constructive feedback and coaching.
Evaluated processes and employee strengths to realign workflows with changing business demands.
Reviewed completed work to verify consistency, quality and conformance.
Cerner - Lead Medical Billing Specialist
Kansas City, MO
05/2016 - 05/2017
Trained new associates within three months of being in my position.
Worked weekly logs (adjustment, coding, money found, posting correction).
Applied necessary adjustments to the encounter using the VCO, used Discern Notify to send encounter for coding review.
Assisted supervisor with projects, 180 low balance and adjustment project.
Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
St. Luke's Health System, Mid-America Heart Institute - Account Service Specialist
Kansas City, MO
04/2015 - 04/2016
Reviewed accounts regularly to assess adequacy of current coverage and identify sales opportunities.
Updated and maintained account records to adequately track current revenue and stay on top of communications.
Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
Remained calm and professional in stressful circumstances and effectively diffused tense situations.
Demonstrated excellent communication skills in resolving product and consumer complaints.
Resolved account issues with strengths in research, problem-solving and solution development.
Maintained positive account relationships through regular contact and knowledgeable service for every need.
Entered and processed customers' orders with high accuracy and followed up on open tickets to coordinate deliveries and resolve issues.
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