Candidate Information Title Revenue Cycle Manager - Anesthesia Target Location US-TX-Garland Email Available with paid plan Phone Available with paid plan	20,000+ Fresh Resumes Monthly     View Phone Numbers     Receive Resume E-mail Alerts     Post Jobs Free     Link your Free Jobs Page     ... and much more Register on Jobvertise Free
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Email: EMAIL AVAILABLEPhone: PHONE NUMBER AVAILABLEExperienceNov 2023 - May 2024 RCM ManagerBrightStar CarePlano, TX Home health - skilled nursing/PT/OT/PDN specialty  Built an in-house team, managed transition from two 3rd party billing groups  Hire & manage a team of at least 15 located in person, remote, and offshore.  Manage policies, protocols, and workflows for the full RCM cycle. Referrals-AR/collections  Intake and referrals Benefits verification and authorizations  Code, create, and follow HCFA, and UB04 claims with in & out of network plans  AR/Collections Led training sessions for staff on new policies, procedures, and regulations in revenue cycle management. Analyzed data trends to identify areas for improvement in revenue cycle performance. Collaborated with other departments to streamline communication and workflow for revenue cycle operations. Served as a subject matter expert on revenue cycle best practices and industry trends. Dec 2021 - Nov 2023 Medical Billing Specialist/Client Specific Account Manager AMBP Plano, TXSpecialty: Anesthesia - In and out of network Managed a high volume of billing transactions and ensured all billing deadlines were met. Collaborated with insurance companies to verify coverage and facilitate timely reimbursement. Utilized knowledge of medical terminology and coding to accurately process claims and resolve billing issues. Assisted clients with inquiries and provided exceptional customer service to ensure satisfaction. Analyzed billing reports and worked with team members to improve revenue cycle management. Resolved denials and appeals through thorough research and effective communication with payers.Aug 2021 - Dec 2021 Independent ContractorAnesthesia Billing Garland, TXSpecialty: Anesthesia - in & out of network Charge entry Writing appeals Speaking with insurance companies about claims & appeals Speaking to patients about their balances and how to speak with insurance companies Worked on TDI ArbitrationJul 2019 - Aug 2021 Billing ManagerPrivate Office Surgery CompanyDallas, TX Specialty: Anesthesia  In and out of network experience Built in house billing team & facilitated transition from 3rd party billing to the in house team. Ran full end to end RCM functions & created policies and procedures making sure we complied with all state and federal guidelines like the No Surprises Act. Krystle Caddell Implemented new billing software and trained team members on its use to improve billing processes. Managed a high volume of billing transactions and ensured all billing deadlines were met.Sep 2016 - Jul 2019 Billing Team LeadNational Medical Billing ManagementRichardson, TX Specialty: Anesthesia - In & out of network Managed and supervised a team of billing specialists to ensure accurate and timely processing of invoices. Analyzed billing data and generated reports to track key performance metrics and identify areas for improvement. Trained new team members on billing procedures and software systems. Managed claim negotiations with 3rd party re-pricers & TDI mediation Resolved billing discrepancies and handled patient inquiries regarding their accounts. Was the main point of contact for all physician clients wanting extra attention to their claims & patients.Mar 2016 - Aug 2016 Testing TechnicianFagadau, Hawk, and SwansonDallas, TX Specialized testing: Visual field testing OCT pictures Nevus pictures. Assisted in patient intake and prepared examination rooms for appointments. Managed patient records and ensured confidentiality of medical information. Provided excellent customer service and communicated effectively with patients and healthcare professionals.Jan 2013 - Mar 2016 Front/Back office associateOwens Ear Center Plano, TX Managed front and back desk operations including checking in/out patients, scheduling appointments, and answering phone calls. Assisted patients with filling out forms, collecting copayments, and updating personal information. Monitored inventory of office supplies and placed orders with management when necessary. Performed administrative tasks such as filing, organizing medical records, and verifying insurance information. Administered allergy injections & ran office CT machine. Jan 2012 - Jan 2013 Business office float/Scheduler Texas Oncology Plano, TX Managed schedules and appointments for new & existing patients Medical records management Handled incoming phone calls and emails, addressing inquiries and providing exceptional customer service. Collaborated with cross-functional teams to streamline processes and improve efficiency in daily office operations.EducationJun 2024 - Present Certified Professional Coder/ Certified Professional Billing AAPCPre-NursingRichland Community CollegeAug 2006 - May 2010 Pre-NursingInsuranceVerificationRCM ManagementICD-10 CPT codingClaims NegotiationNot completedAug 2003 - May 2006 Diploma