I have extensive experience with various revenue cycle management systems, including Epic, Cerner, and Meditech. In my previous role, I led the implementation of a new billing system that reduced claim denials by 20% and improved cash flow by 15%. I focused on training staff, optimizing workflows, and integrating the system with other hospital operations to ensure seamless data flow and accurate billing.

I approach disputes with a proactive and collaborative mindset. I first gather all relevant documentation and communicate directly with the insurance company to understand their concerns. I then work with our billing team to address any errors or discrepancies. If necessary, I escalate the issue to higher-level contacts within the insurance company to resolve the dispute efficiently and maintain a positive relationship.

I prioritize regular training for staff on the latest healthcare regulations and best practices. I also implement internal audits and quality control measures to identify and correct any potential compliance issues before they escalate. Additionally, I maintain strong relationships with legal and compliance teams to stay informed about regulatory changes and ensure our processes are always up-to-date.

I measure success through key performance indicators (KPIs) such as days in accounts receivable (A/R), claim denial rates, and net collection ratio. I also track patient satisfaction scores related to billing and collections. By regularly reviewing these metrics, I can identify areas for improvement and adjust strategies to enhance overall revenue cycle performance.

In a previous role, we transitioned to a new electronic health record (EHR) system, which required significant changes in our revenue cycle processes. I led a cross-functional team to map out the new workflows, provided extensive training, and established a support system for staff during the transition. By closely monitoring the impact and making timely adjustments, we successfully minimized disruptions and maintained revenue cycle efficiency.