I have over 10 years of experience in revenue cycle management, specializing in mid-revenue cycle optimization. In my previous role, I implemented a workflow automation tool that reduced claim denials by 25%. I also streamlined the pre-authorization process, resulting in a 15% increase in timely authorizations. My approach involves data-driven analysis, process mapping, and continuous improvement initiatives to ensure efficient and effective revenue cycle management.

I address claim denials and payment delays by first identifying the root causes through detailed analysis. I then collaborate with cross-functional teams to implement corrective actions, such as updating billing codes or improving communication with payers. Additionally, I establish regular monitoring and reporting mechanisms to track progress and ensure sustained improvements. My goal is to reduce denials and delays through proactive measures and continuous process refinement.

To enhance patient financial engagement, I focus on clear and timely communication. I implement automated patient statements and reminders to ensure patients are aware of their financial responsibilities. I also offer multiple payment options and provide financial counseling services. By personalizing the patient experience and making it easier for them to manage their payments, I aim to reduce patient delinquencies and improve overall financial outcomes.

Ensuring compliance involves a combination of regular training, policy updates, and rigorous auditing. I conduct periodic compliance audits to identify and address any gaps. I also stay updated on regulatory changes and industry standards, ensuring that our processes align with the latest requirements. By fostering a culture of compliance and providing ongoing education, I ensure that our mid-revenue cycle operations remain compliant and efficient.

In a previous role, I led a team to improve mid-revenue cycle performance by 30% over six months. We started by conducting a comprehensive assessment of our current processes and identifying key areas for improvement. I then facilitated cross-functional workshops to develop and implement new strategies, such as enhancing pre-authorization workflows and improving claim submission accuracy. My leadership involved setting clear goals, providing ongoing support, and celebrating milestones. The result was a significant reduction in claim denials and improved cash flow.