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Susan ValmontDallas/Ft. Worth, Texas Street Address  PHONE NUMBER AVAILABLE EMAIL AVAILABLEREVENUE CYCLE MANAGERHigh-performing healthcare revenue cycle professional with 10 years of corporate experience and 10 years of practice revenue cycle delivering high-impact work for health care partners. Skilled in developing strong internal and external relationships to facilitate collaborative achievement of high-priority goals. Confident in ability to thrive in a fast-paced setting facilitating optimal outcomes for both professional and ancillary providers.EXPERIENCE2024-PresentConsultant-Revenue CycleUtilizing my extensive experience as a Revenue Cycle Manager, I conduct thorough analyses of revenue cycle financials, assess, and recommend improvement on policies and compliance, and oversee hiring processes. I am proficient in managing insurance verification, coding, billing, and collections. Additionally, I implement systems and provide comprehensive training to ensure optimal operational efficiency and compliance.2022-2023Revenue Cycle Analyst, Ensemble Health Partners, Cincinatti, Ohio (remote)As an analyst identified trends in denials, root causes to determine assessment and resolution for hospital health partner.January 2016- January 2022Revenue Cycle Manager- Mednax-Pediatrix, Richardson, Texas (remote)Build and manage a revenue cycle department overseeing California and Texas region of managed care, government and commercial inventory for credit balance and claims resolution team. Lead efforts to identify, analyze, and resolve denied and overpaid claims.Ensured accurate capture and reconciliation of revenue to meet accurate regulations and timely standards for government deadlines.Established performance standards for team development, in charge of hiring, training and mentoring staff within the department.Achieve department monthly and quarterly performance indicators to meet and exceed corporate goals and expectations.December 2014- December 2015Revenue Cycle Manager- Schumacher Health Partners, Dallas, TexasSpearheaded accounts receivable operations for emergency room health partners organization, ensuring efficient revenue cycle management.Developed and implemented strategies to optimize collections, resulting in a reduction in outstanding balances and increased cash flow.Successfully created a process for A/R for $170 million in managed care accounts receivable and the incorporation of negotiations handing from insurance carriers which contributed to 20% increase in revenue.2011-2013Revenue Cycle Manager Encompass Home HealthProvided analyzation of accounts receivable data to identify ways overall practices can be improved to maximize collections and minimize open accounts receivable.Managed revenue for new acquisitions.Improved accounts receivable by 55%.Oversaw all managed care, work compensation and Medicare HMO inventory.2000-2010Practice Manager OB-GYN Associates of DallasManaged all accounts receivable functions. Supervised billing, coding and training. Maintained clearing house rejections. Created SOP for effective practice management of the billing and coding staff.Managed credentialing and contracting for the practice. Access health plans to negotiate best standards to maximize reimbursement.Maintained accounts receivable, billing and claims submissions.Bachelor of Science in Applied Science, Major Behavioral Science, University of Louisiana LafayetteRelevant course work; ManagementAssociates of Arts, Dallas Community CollegeSKILLSGE CentricityEpicHomecare HomebaseMicrosoft 365NEXTGENEXPERIENCE2024-PresentConsultant-Revenue CycleUtilizing my extensive experience as a Revenue Cycle Manager, I conduct thorough analyses of revenue cycle financials, assess, and recommend improvement on policies and compliance, and oversee hiring processes. I am proficient in managing insurance verification, coding, billing, and collections. Additionally, I implement systems and provide comprehensive training to ensure optimal operational efficiency and compliance.2022-2023Revenue Cycle Analyst, Ensemble Health Partners, Cincinatti, Ohio (remote)As an analyst identified trends in denials, root causes to determine assessment and resolution for hospital health partner.January 2016- January 2022Revenue Cycle Manager- Mednax-Pediatrix, Richardson, Texas (remote)Build and manage a revenue cycle department overseeing California and Texas region of managed care, government and commercial inventory for credit balance and claims resolution team. Lead efforts to identify, analyze, and resolve denied and overpaid claims.Ensured accurate capture and reconciliation of revenue to meet accurate regulations and timely standards for government deadlines.Established performance standards for team development, in charge of hiring, training and mentoring staff within the department.Achieve department monthly and quarterly performance indicators to meet and exceed corporate goals and expectations.December 2014- December 2015Revenue Cycle Manager- Schumacher Health Partners, Dallas, TexasSpearheaded accounts receivable operations for emergency room health partners organization, ensuring efficient revenue cycle management.Developed and implemented strategies to optimize collections, resulting in a reduction in outstanding balances and increased cash flow.Successfully created a process for A/R for $170 million in managed care accounts receivable and the incorporation of negotiations handing from insurance carriers which contributed to 20% increase in revenue.2011-2013Revenue Cycle Manager Encompass Home HealthProvided analyzation of accounts receivable data to identify ways overall practices can be improved to maximize collections and minimize open accounts receivable.Managed revenue for new acquisitions.Improved accounts receivable by 55%.Oversaw all managed care, work compensation and Medicare HMO inventory.2000-2010Practice Manager OB-GYN Associates of DallasManaged all accounts receivable functions. Supervised billing, coding and training. Maintained clearing house rejections. Created SOP for effective practice management of the billing and coding staff.Managed credentialing and contracting for the practice. Access health plans to negotiate best standards to maximize reimbursement.Maintained accounts receivable, billing and claims submissions.Bachelor of Science in Applied Science, Major Behavioral Science, University of Louisiana LafayetteRelevant course work; ManagementAssociates of Arts, Dallas Community CollegeSKILLSGE CentricityEpicHomecare HomebaseMicrosoft 365NEXTGEN