As a Revenue Cycle Consultant, the individual will work for the healthcare industry and undertake responsibility for reviewing the billing, claims, and payment procedures of a medical office or facility, and recommend ways to streamline financial operations and process successful insurance claims. Actual duties are determined by the nature and type of the industry, however, the following core duties are listed on the Revenue Cycle Consultant Resume – providing support to the managers and management, posting and reconciling census daily, posting and reconciling deposits, maintaining resident trust account to include petty cash and reconciliation process, billing and collecting of current and outstanding accounts, performing functions as outlines on the calendar, and assisting with resolving accounts and/or payers as assigned.
The most sought-after skills for the post include the following – the ability to adhere to HIPAA regulations, knowledge of rights, dignity, and individuality of each resident, the ability to communicate well, strong knowledge of state and federal regulations, the ability to follow safety guidelines, and adhering to local health regulations. A college degree is preferred, work experience with the revenue cycle management process is as well needed.
Summary : Revenue Cycle Consultant is to support the clinical and financial teams in the daily operations of the hospital and to provide a high level of expertise in ICD-10 coding.
Skills : Microsoft Office Suite, Automotive System.
Description :
Developed back-end application workflow systems to influence end-user adoption.
Communicated complex information through different levels of knowledge.
Designed multiple approaches to implementation.
Strategized workflow in all departments for newly constructed facilities to maximize revenue.
Automated charge capture using workflow analysis through all stages of implementation in all clinical areas.
Guided analytical choices.
Collaborated with third parties to maximize efficient and effective integration.
Experience
10+ Years
Level
Senior
Education
Bachelors In Finance
Revenue Cycle Consultant Resume
Objective : Involved in healthcare for over ten years, focusing on the MEDITECH HCIS in project management, as a revenue cycle systems specialist and leading clinical initiatives. I have a strong management background in my healthcare career leading multiple departments as well as my employment at Jefferson County Tax Office as Accounting Supervisor.
Skills : Project Management, All Microsoft Office Products, Budgeting, Training, Process Improvement, Work Flow Design, Management & Behavior Modification .
Description :
Met and built relationships with client resources by presenting and discussing industry trends, best in class strategies, and gaining buy-in for GHX industry initiatives and consulting services.
Actively collaborated with supervisors in deploying GHX products to clients.
Identified opportunities in the customer organization where GHX products or services can make improvements related to revenue cycle, master data management, clinical procedure documentation, inventory management, and billing documentation processes.
Instructed customers on best practices related to the implementation and use of GHX products and processes.
Developed process improvement plans to address the identified opportunities.
Developed and facilitated training sessions to implement identified change management in support of GHX product initiatives.
Directed client collection of qualitative and quantitative data to assess current processes, benchmark against best practice metrics, and quantify improvement opportunities.
Experience
0-2 Years
Level
Entry Level
Education
MBA In Business Administration
Revenue Cycle Consultant Resume
Summary : Although my current specialty is Patient Access as a Senior Project Manager and Consultant within the Hospital Revenue Cycle, I bring an additional 20+ years of Management experience to the table. Some of my diverse background lies in the area of communications, call center development, project management, creation and improvement of workflow and processes, budget analysis and staff behavior modification giving me the opportunity to play an important role in supporting Company Goals and Vision.
Prepared and reported revenue reports to Director.
Posted of denials and recoupments.
Analyzed and approved account adjustments, including non-covered, disallowed, and exceeded allowable in accordance to hospital policies and procedures.
Secured medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services.
Obtained insurance authorizations for scheduled & unscheduled Hospital services.
Assisted with implementation of business processes.
Assisted with quality assurance audits of the revenue cycle process.
Experience
7-10 Years
Level
Management
Education
MBA In Business Administration
Revenue Cycle Consultant Resume
Summary : Seeking a challenging position where management skills as well as professional knowledge of communication, regulatory compliance, revenue cycle management and facility operations will have valuable application toward profitability and corporate integrity. Experienced manager with proven leadership skills and in-depth knowledge of all phases of healthcare business operation.
Involved management of teams at the facility, in Chicago, Illinois and an offshore collections team.
Re-designed the management structure of the facility's revenue cycle management.
Performed Revenue Cycle assessments at facilities in Maine, Texas, Iowa, Kentucky, Washington, Oklahoma, Georgia, and Ohio.
Created Pre-bills and sent out billing statements to patients in hospital and nursing facility.
Performed Prerequisites for Monthly Billing Process.
Identified systems errors/ issues and make necessary corrective action recommendations within PM and clearinghouse to the appropriate parties.
Assisted in transition to ICD-10 coding implementation.
Experience
10+ Years
Level
Senior
Education
High School Diploma
Revenue Cycle Consultant Resume
Objective : As a Revenue Cycle Consultant, responsible for Providing leadership and support in problem solving within the Authorization Department, serving as a role model and consultant for the staff, Assisting in interpreting policies & procedures, and also Demonstrating the ability to make decisions and delegates responsibility to assure high quality performance and efficiency of the team.
Skills : Microsoft Office, Revenue Manager.
Description :
Led client discussions and meetings to present analysis and facilitate client decision making in selecting improvement tactics.
Collaborated with GHX Implementation, Customer Success Manager, Sales, Product Management and Marketing to identify and address customer needs.
Created solutions to client problems and monitors engagement progress.
Created support documentation, work plans, and other deliverables.
Coordinated client assignments: monitors client satisfaction, assures engagement efficiency and quality, and manages continuous improvement process.
Experienced in developing and executing systems integration.
Interfaced with provider, supplier, distributors, and group purchasing organizations.
Experience
2-5 Years
Level
Executive
Education
MS
Revenue Cycle Consultant Resume
Objective : Team-focused experience with diverse groups, community minded and energetic style provides efficient, cost-effective utilization of resources while developing relations and maximizing customer service. Strengths consist of considerable knowledge of medical records and administrative procedures; dedicated to highest standard of health care excellence.
Skills : Accounting Skills, Claim Management.
Description :
Performed skip tracing using Equifax Verification Services (The Work Number), Verifytoday.com and Facebook as resources for employment history and salary verification.
Researched and verified employment for the purpose of filing garnishments, judgments or wage attachments in the General District Court.
Assisted with Medicaid Claim status and eligibility.
Researched other insurance claims status, eligibility and denial codes for claims being rejected utilizing Virginia Web and SSI portal.
Re-billed Medicare Accounts for timely filing, denials/write-offs and reversed write-offs in general accounts/pt ledgers to make them billable.
Accessed Patient account status using AS400 system.
Managed AR to include denials review, account reconciliation including coding corrections, charge abstraction based on documentation and collections.
Experience
2-5 Years
Level
Executive
Education
MS
Revenue Cycle Consultant Resume
Objective : Revenue Cycle Consultant is responsible for Assisting with management functions such as providing feedback on performance reviews, assistance with payroll, variance reports, and other daily operational functions, Providing feedback to the manager,Supervising and monitoring the workflows for the team.Monitored the reported and dashboards to ensure that authorizations and referrals are completed in a timely manner.
Skills : Managing Skills, Review Management.
Description :
Responsible for all aspects of hospital patient account management; inpatient and outpatient procedures for claim processing, billing and contract adjustments.
Prepared and submitted hospital based claims to third party insurance carriers via electronically and or hard copy.
Assisted in facilitating process improvement for hospital revenue.
Developed strategic plans for the Revenue Cycle Team and ensured that goals and objectives were properly designed and clearly established.
Planned and coordinate daily workflow to optimize efficiency and productivity.
Resolved issues with patients, insurance companies and other commercial accounts.
Identified issues attributed to account delinquency and/or timely reimbursement.
Experience
0-2 Years
Level
Entry Level
Education
MBA In Business Administration
Revenue Cycle Consultant Resume
Objective : As a Revenue Cycle Consultant, responsible for serving as a resource and liaison in the development, implementation, and support of health information technology utilized by staff, Triaging incoming issues and requests and determines remedial and/or escalation procedures, Conducts testing and maintenance of applications and related technology.
Skills : Testing Skills, Consulting Skills.
Description :
Worked with insurance companies, staff and physicians to maximize surgical authorizations by increasing compliance with regulations 2.
Created flow charts to maximize efficiency of the same.
Taught anatomy to coders and revenue cycle employees.
Assisted with quality control evaluation and procedures.
Assisted with training classes to increase the quality of the registrations in the Admissions, Outpatient and ED with focus of quality improvements.
Assisted with teamwork focus and identified strong employees for Super Users.
Assisted with training new staff and helping others with errors and mistakes Reduction of Accounts in WQs: Assisted with WQ day to day management and review of error volumes.
Experience
2-5 Years
Level
Executive
Education
MS
Revenue Cycle Consultant Resume
Headline : As a Revenue Cycle Consultant, responsible for Analyzing and assessing information in the revenue cycle in order to identify opportunities for improvement,
Implementing interventions to address identified opportunities for improvement, Monitoring, evaluating and reporting on the effectiveness of interventions with providers and other stakeholders.
Skills : MS Word, Excel, MS4, CPT, ICD-9, Icd-10, HCPCS, Collections, Customer Service, Reimbursements, Medical Billing, Medical Records, Medical Terminology, Claims Processing, Computer , Appeals, Implants.
Description :
Used Managing, training and motivating staff to meet client's expectations.
Focused Areas of Process Improvement Quality of Registration: Interim Registration staff in the Admissions, Outpatient and ED had a very high rate of incomplete registrations with Critical Data missing and patient information that reflected in WQs.
Prepared monthly financial statements for accruals, payables, and receivables.
Reviewed monthly financial statements for accuracy and completeness.
Prepared monthly bank reconciliations for deposits and checks payable.
Reviewed monthly bank reconciliations.
Reviewed and developed revenue cycle policies, procedures and systems.
Experience
5-7 Years
Level
Executive
Education
Legal Secretary In Legal
Revenue Cycle Consultant Resume
Headline : Multi-faceted Revenue Cycle Consultant professional with several years of experience in Public Health and Health Informatics. Working knowledge of non-profits, private and public sectors, state, local and regional. Researching, developing, facilitating, and conducting workshops. Possess several years of clinical and research experience in administrative support and health professions relations.
Skills : Epic, Meditech, Centricity, Emdeon, Microsoft Office,.
Description :
Maintained an inventory of all outstanding accounts receivable balances.
Performed regular aging reviews on open accounts receivable.
Reviewed accounts receivable for accuracy and completeness.
Performed detailed account analysis to identify trends in payment patterns.
Analyzed data from A/R reports to identify areas of improvement in the collection process.
Developed strategies to increase cash flow.
Analyzed credit risk of new customers based on credit bureau data.
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