• Monitor RCM operational metrics.• Provides direct guidance and assistance in all areas within revenue cycle requiring appropriate review of workflow, development and implementation. • Analyzed top denials for each client, identified solutions, and use the findings to reduce average days in A/R to increase net collections.• Analyzed critical operations on an ongoing basis and developed reports that evaluated and demonstrated productivity and performance gains.• Researched and analyzed revenue and reimbursement trends.• Keep track of department KPI and employee performance, adjusting plans as needed to meet daily and monthly goals.• Supports implementation of follow-up processes with offshore resources. • Assessed current revenue cycle procedures and implemented improvements to foster efficiency.• Monitored project progress, identified risks and took corrective action as needed.

• Managed comprehensive revenue cycle, including payer billing, collections, and patient account activities; oversee day-to-day operations amongst credentialing, client contracts, and billing department.• Organized regular meetings with physicians and cross-functional personnel and provide coaching on medical coding best practices, through ICD-10 and CPT coding schemes on posted charges, and provider credentialing processes.• Developed and introduced plans and policies that reduced unsettled debts and collection costs by performing claims analysis on unpaid claims, partial payments, and payment variances by reviewing billing problems, researched issues, and resolved concerns.• Decreased billing cycle turnaround time by 40% through automation; supervised revenue cycle team on invoicing and account management on billing software that reduced reliance on standard practices.• Established and checked coding procedures, monitored reports and updated internal files.• Improved overall financial reporting by streamlining control processes and reporting structures.

• Delivered efficient and professional administrative and clerical service to colleagues and supervisors; provided excellent customer service and coordinated daily task assignments for receptionist, medical assistants, and medical records clerk.• Trained and mentored staff on procedures, compliance requirements, and collections techniques.• Conducted performance reviews and implemented improvement plans.• Administered physician credentialing, license renewal, reappointment, and guidance across complex problem resolutions.• Analyzed business processes to identify cost savings and operational efficiencies.