I have extensive experience with various revenue cycle management software systems, including Epic, Cerner, and Meditech. I have successfully implemented and optimized these systems to improve billing accuracy and reduce claim denials. My approach involves thorough training for the staff, regular system audits, and leveraging data analytics to identify and resolve bottlenecks in the revenue cycle.

Handling denials and rejections requires a systematic approach. I first analyze the root causes of the denials, whether they are due to coding errors, insufficient documentation, or other issues. Then, I implement corrective actions, such as retraining staff, updating policies, or improving communication with payers. I also ensure that there is a robust follow-up process to resubmit claims promptly and monitor their status to prevent future denials.

Improving cash flow involves several strategies, including optimizing billing processes, reducing claim denials, and accelerating payment collections. I focus on enhancing the accuracy of patient billing and insurance claims, ensuring timely follow-up on unpaid claims, and implementing efficient payment collection methods. Additionally, I work closely with finance teams to forecast cash flow and identify areas for improvement.

Ensuring compliance involves staying updated on the latest regulatory changes and implementing policies and procedures that align with these requirements. I conduct regular audits and staff training to ensure adherence to HIPAA, Medicare, and Medicaid guidelines. I also maintain strong relationships with compliance officers and legal teams to address any issues promptly and prevent potential violations.

In a previous role, we faced a significant issue with a high volume of claim denials due to coding errors. I led a cross-functional team to analyze the root causes and implemented a comprehensive training program for the coding staff. We also updated our billing policies and increased our follow-up on denied claims. Within three months, we saw a 30% reduction in denials and a significant improvement in our cash flow.