Revenue Cycle Manager at CURRENT EMPLOYER
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Revenue Cycle Consultant.
Results-driven healthcare revenue cycle and insurance operations leader with comprehensive, end-to-end experience across both the provider and payer sectors. Proven expertise in the full revenue management lifecycle within medical environments, including payment posting, patient collections, hospital and physician billing (high-volume billing queues 600–900 claims daily), coding, claims processing, insurance collections (Consistently achieved individual monthly productivity goals, finalizing and resolving 1,000–1,200 accounts), appeals management, and A/R analysis. Skilled in navigating complex reimbursement landscapes, including Commercial, Government, Auto, and Workers’ Compensation payers, with additional in-depth experience in Auto claims management.
From the insurance perspective, I bring a well-rounded background in benefits administration, claims adjudication, policy benefit analysis, member retention strategies, and escalation resolution. Adept at identifying process improvements to streamline operations and enhance member and provider satisfaction.
Leadership experience includes managing teams of 25 to 40 representatives, with a strong focus on payroll administration, team mentorship, and professional development. I lead with integrity and a "lead by example" philosophy, consistently fostering high-performing, collaborative environments that support both operational goals and employee growth.
Qualifications: Extensive background in Revenue cycle, contract review, physician credentialing, document creation, medical documentation review, coding, electronic billing expertise, clean claims, collection practices, appeals, reports, leadership/management, training program creation.
Spanish and English: Read, Write, Speak.
17 years of hard earned experience.
