I have over 10 years of experience in managing revenue cycle operations, specifically within medical groups. My role involved overseeing the entire revenue cycle, from patient registration and insurance verification to claims submission and follow-up. I implemented process improvements that reduced denials by 20% and increased cash flow by 15%. My expertise includes optimizing workflows, training staff, and ensuring compliance with regulatory requirements.

Managing multiple revenue sites requires a strategic approach to ensure consistency and efficiency. I establish standardized processes and KPIs for each site, conduct regular audits, and provide ongoing training to site managers. I also leverage technology to centralize reporting and communication, which helps in identifying and addressing issues promptly. My goal is to create a cohesive operation that maximizes revenue while minimizing operational costs.

To improve cash flow and reduce A/R days, I focus on several key strategies. First, I ensure timely and accurate claims submission by implementing rigorous pre-billing audits. Second, I enhance follow-up processes for denied and delayed claims, often using automated systems to track and manage these. Third, I work closely with insurance payers to resolve issues quickly. Additionally, I provide regular training to staff on best practices and compliance to avoid common billing errors.

Ensuring compliance is a top priority. I stay updated on the latest healthcare regulations and billing guidelines through continuous education and industry publications. I conduct regular internal audits and implement corrective actions as needed. I also ensure that all staff are trained on compliance requirements and that there are clear protocols in place for handling any non-compliance issues. My approach is proactive, aiming to prevent issues before they arise.

In a previous role, we faced a significant issue with a new billing system that was causing delays in claims processing. I quickly assembled a cross-functional team, identified the root cause, and implemented a temporary workaround while the system was being fixed. I also ensured continuous communication with stakeholders to manage expectations. By prioritizing tasks and leveraging the team's expertise, we were able to resolve the issue within the deadline, minimizing financial impact.