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P.O. Box 0000 xxxxxx xxxx , xxxx , xxxxx 00000 ● (xxx-xxx-xxxx ● abc@xyz.com
Seeking to contribute expertise in Revenue Cycle & Patient Services toward optimizing operations at Klickitat Valley Hospital
Patient Registration ~ Patient Financial Services ~ Customer Service
Staffing & Personnel Management ~ Charge Capture ~ Third-Party Relations
Well-versed in all areas of patient access and registration, especially related to revenue cycle activities.
Strive to uncover cost savings through identification and implementation of process enhancements while adhering to stringent standards for compliance and quality.
Extensive knowledge of patient access principles and best practices, medical records processes, and HIPAA regulations.
Highly respected for adaptability, attention to detail and accuracy, a collaborative work ethic, supervisory talents, and sound judgment.
Proficiency in navigating the billing cycle including interpreting EOBs and applying appropriate payment methodologies.
Consistently deliver excellent customer service to internal personnel and external customers such as patients, auditors, and other third parties.
Meticulous and resourceful with considerable abilities in project coordination, staffing, mentoring, problem solving, charge master maintenance, managing credit balances, and calculating estimates for services.
Skilled at conducting in-depth research to ensure proper billing and reimbursement for third-party payers to maximize clean claims and revenue.
Professional Experience
Self-employed, 2015 to Present
Consultant
Conduct research and data analysis, deliver superior customer service, and provide practical recommendations on process improvements specific to revenue cycle operations for local physician.
Skyline Hospital - White Salmon, WA, 2104 to 2015
Medicare Biller, Patient Services
Spearheaded full-scope patient services encompassing registration, billing / insurance, collections, patient relations, chart audits, regulatory compliance, and account administration.
Reviewed EOBs (explanation of benefits) and took appropriate action when needed to reverse denials.
Examined claims data from third-party payers pertaining to filing, coding, and adjudication.
Referred to coding and reimbursement criteria for new and commonly denied services, and reported critical information to senior-level and middle-level management.
Handpicked by CFO to play an integral role in meeting with all department heads over six-month period to educate managers and resolve issues with respective department s revenue.
Thoroughly researched and resolved issues related to professional and insurance accreditation.
Methodically investigated, approved, and processed refunds for patient services department.
As key member of Revenue Cycle Committee, regularly investigated strategies to optimize accuracy and efficiency of patient service revenue processes.
Continued ►
Page 2 of 2
Professional Experience continued
Interim Charge Coordinator
Coordinated, monitored, approved, and implemented all new and requested changes to charge master.
Verified and meticulously coded anesthesia, pathology, and speech/nutrition therapy charges.
Audited inpatient charges and applied corrections when warranted to achieve quality assurance goals.
Closely partnered with HIM Director to ensure codes on charge master were accurate and up-to-date.
Systematically resolved suspended charges and applied end-of-year price increase to charge master.
Advantage Dental Florence, OR, 2010 to 2012
Dental Office Coordinator
Applied sharp organizational skills toward scheduling patient appointments, greeting patients upon arrival, completing pre-authorizations, processing referrals, collecting patient data, verifying insurance coverage, and billing procedures performed to insurance companies.
Efficiently posted payments, deposited funds to bank, responded to patient inquiries, and called in prescriptions to ensure patient well-being and seamless office flow.
Florence Medical Equipment Florence, OR, 2005 to 2010
Managing Partner
Orchestrated admission processes including preparing medical records and agreement packets.
Trained, mentored, coached, directed, and supervised team of admitting, billing and collection staff, and held crucial accountability for ensuring confidentiality of patient information.
Contacted providers to determine status of reimbursement and to expedite rebilling as needed to ensure prompt account resolution.
Governed medical supply inventory management as well as associated records and reporting.
Negotiated with patients to obtain payments on outstanding accounts or accounts requiring deductibles or co-pays.
Lincare Florence, OR, 2003 to 2005
CSR / Marketing / Service Technician
As first contact for referral sources and patients, processed patient information, determined required action, verified insurance coverage, received service orders from physicians or other referral sources, and set up DME as specified by physician.
Advised collections department of required actions for billing to maximize fiscal performance.
Les Schwab Tire Florence, OR, 1995 to 1999
Facility Administrator
Successfully steered efficient business operations by answering multi-line phones, coordinating facility schedule, updating changes in pricing, processing new hires, and supporting inventory control.
Approved credit and established credit limits with a constant eye on minimizing risk to company.
Collected past due accounts, managed accounts payable and receivable, performed daily cash reconciliation, administered staff payroll, and consistently delivered first-rate customer service.
Education & Certifications
Master Certificate in Business Management, 2017
Medicare Billing Certificate for Part A Providers, 2014
Yyyyyy x. yyyyyy
P.O. Box 0000 xxxxxx xxxx , xxxx , xxxxx 00000 ● (xxx-xxx-xxxx ● abc@xyz.com
INSERT DATE
HIRING AGENT NAME
TITLE
HOSPITAL NAME
ADDRESS
CITY/STATE/ZIP CODE
RE: Revenue Cycle Analyst (#1063) and Patient Registration Supervisor (#1061)
Dear Hiring Manager:
I learned with great interest of the Patient Registration Supervisor and Revenue Cycle Analyst opportunities that are available at Klickitat Valley Hospital and am submitting my resume for your review. In advance, thank you for your time and consideration.
As demonstrated in the accompanying resume, I offer strong experience in healthcare administration and considerable talents in the complete spectrum of patient financial services and revenue cycle operations. Along with proficiency in patient relations and registration processes, I m equally comfortable in financial tasks encompassing billing/insurance, collections, audits, and account maintenance. My supervisory skills are top-notch and I ve developed a solid reputation for delivering exceptional customer service while fostering a cohesive workplace climate. To complement these qualifications, I offer exemplary strengths in scheduling, staff training, multi-tasking, and problem solving.
As a proactive contributor to KVH, you will find me to be a stellar leader committed to supporting you in achieving your objectives through a superior blend of critical thinking skills, decision-making capabilities, communication skills, and rigorous attention to quality assurance. I am confident that I could be an asset to Klickitat Valley Hospital and hope to hear from you soon.
Sincerely,
Yyyyyy x. yyyyyy
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