I have over 10 years of experience in managing revenue cycle processes, including patient registration, insurance verification, charge capture, coding, billing, and collections. I have successfully implemented process improvements that reduced denials by 20% and increased cash flow by 15%. My expertise includes utilizing technology to streamline workflows and ensuring compliance with regulatory requirements.

I approach disputes and denials systematically by first analyzing the root cause, whether it's coding errors, insufficient documentation, or insurance issues. I then collaborate with the billing team and coders to rectify the problem and resubmit claims promptly. Additionally, I provide training to prevent future occurrences and maintain a robust follow-up system to ensure timely resolution.

To improve cash flow, I implemented a multi-faceted strategy that included enhancing billing accuracy, reducing claim submission errors, and accelerating the payment cycle. I also introduced a proactive follow-up system for outstanding claims and negotiated better payment terms with insurers. These efforts collectively reduced AR days by 10% and improved overall cash flow.

Ensuring compliance involves regular training sessions for the team on the latest regulations and guidelines, such as HIPAA and ICD-10 coding. I also conduct internal audits to identify and address any non-compliance issues promptly. Additionally, I stay updated with industry changes and implement necessary adjustments to our processes to maintain full compliance.

In my previous role, we transitioned to a new billing system that required extensive training and process re-engineering. I led the team by first understanding the new system's requirements and then developing a comprehensive training plan. I ensured open communication and provided continuous support to address any challenges. This approach resulted in a smooth transition and minimal disruption to our revenue cycle operations.