Revenue Cycle & Denials Management Expert
Resume:
REBECCA
SMITH
*****************@*****.***
Kyle, TX 78640
SUMMARY
Results-oriented Revenue Cycle Manager with demonstrated expertise in denial management, insurance claims processing, and medical coding compliance.
SKILLS
Revenue cycle management
Denial management
Medical coding and billing
Insurance claims processing
Data analysis
Customer relationship management
EXPERIENCE
REVENUE CYCLE MANAGER 04/2016 to 11/2025
Medical Management Professionals - Austin, Texas
Managed revenue cycle processes to ensure efficient billing and collections.
Oversaw denial management strategies, enhancing revenue recovery efforts.
Trained staff on coding best practices and compliance standards.
Implemented policies to streamline workflow processes within the revenue cycle department.
Generated reports detailing key metrics, including days in accounts receivable and denial rate.
Collaborated with physicians, clinical staff, payers, and stakeholders to resolve medical billing issues.
MEDICAL CODING AND BILLING SPECIALIST 08/2013 to 07/2016
South Austin Surgery Center - Austin, Texas
Reviewed medical records for accurate coding and compliance with regulations.
Processed insurance claims using industry-standard coding software to enhance efficiency.
Conducted audits of coded data and medical records to uphold accuracy standards.
Assigned appropriate codes using ICD-10-CM, CPT, and HCPCS based on payer requirements.
Researched denied claims to identify errors and implemented necessary corrections.
Monitored regulatory updates from Medicare, Medicaid, and private insurers to ensure compliance.
Provided customer service support for billing inquiries via phone and email.
MEDICAL BILLING COLLECTIONS MANAGER 07/2007 to 07/2013
T R Billing - Austin, Texas
Trained and mentored staff on effective collection strategies and customer communication.
Analyzed account data to identify trends and implement corrective actions.
Prepared detailed reports on collection activities for management review.
Collaborated with other departments to resolve billing discrepancies efficiently.
Identified potential areas of improvement in collections process and implemented changes accordingly.
Provided guidance to junior staff members on how to handle difficult customer situations.
Negotiated payment plans with customers in arrears or at risk of defaulting on payments.
Responded to customer inquiries about billing issues, account status, and payment options.
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