Summary
Overview
Work History
Education
Skills
Timeline
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Sandra Murphy

Orland Park

Summary

Results-driven management professional with proven ability to lead teams to success. Strong focus on team collaboration, operational efficiency, and achieving measurable outcomes. Adept at strategic planning, process improvement, and fostering culture of accountability and excellence. Known for adaptability and consistently meeting changing organizational needs.

Overview

25
25
years of professional experience

Work History

RCM Manager

Cognizant
06.2015 - Current
  • Oversee the revenue cycle operations for a large healthcare organization, ensuring accurate and timely billing and collections in the Epic System
  • Lead a team of 23 revenue cycle professionals, providing guidance and support to achieve department goals
  • Develop and implement policies and procedures to improve efficiency and compliance within the revenue cycle process
  • Collaborate with cross-functional teams including finance, coding, and clinical departments to resolve billing issues and ensure accurate reimbursement
  • Analyze key performance indicators (KPIs) such as days in accounts receivable (AR), denial rates, and net collection percentages to identify areas for improvement
  • Develop training programs for staff members on revenue cycle best practices, ensuring consistent adherence to industry standards
  • Create financial reports detailing revenue trends, AR aging analysis, bad debt write-offs, etc. for executive leadership review
  • Manage relationships with external vendors such as billing companies or collection agencies, ensuring compliance with service level agreements
  • Conduct regular staff meetings to communicate updates on industry changes, policy updates, and performance expectations
  • Participate in professional development activities such as conferences or webinars to stay updated on the latest trends and best practices in revenue cycle management
  • Examine reimbursement and denial patterns within assigned AR; recognize trends, suggest and implement innovative solutions
  • Monthly review of the AR Trend Reports
  • Monthly review of ATB
  • Creation of Action Plans for reducing the AR
  • Tracking of monthly revenue to assure the client will reach the set goal/budget

Revenue Cycle Director/Director of Operations/Sales

HealthPCP, Inc.
05.2012 - 05.2015
  • Accounts Payable & Accounts Receivable for the company
  • Payroll – ADP, Benefit Administration (Medical, Dental, 401K, etc.)
  • New Hire Administration (hiring process, background check, benefits, adding to payroll system, etc.)
  • Company Insurance Administration (W/C Carrier, Liability, etc.)
  • Prepare and perform evaluations for staff
  • Productivity monitoring & Daily Supervision of 11 Client Service Representatives and 10 Registration, Coding & Charge Entry Staff
  • Analyze Key Performance Indicators
  • Oversee the Credentialing department to ensure completion of applications are within time limits
  • Oversee Monthly Collection process
  • LinkedIn Sales & Participate in Company Sales calls with potential clients
  • Assist in implementation of new clients
  • Conduct monthly meetings with staff to review changes within company or changes within Healthcare field.
  • Create Policy & Procedures
  • Client communication & participation in meetings
  • Registered Agent for company
  • Creation of reports within GE Centricity CPS PM system
  • Assist the CFO & President

Third Party Follow Up Team Manager

SPi Healthcare
03.2011 - 03.2012
  • Interview candidates for open positions within team structure
  • Prepare performance evaluations and action plans to document and communicate individual staff performance
  • Perform Quality assurance checks and monitor team work loads and productivity
  • Conduct meetings with staff members to deliver results related to productivity and quality, discuss coaching and development needs
  • Examine reimbursement and denial patterns within assigned AR; recognize trends, suggest and implement innovative solutions
  • Monthly review of the AR Trend Reports
  • Monthly review of ATB
  • Creation of Action Plans for reducing the AR
  • Continuation of keeping the AR days at 42
  • Creation of Policy & Procedures for daily processes
  • Communication with the client regarding issues, trends, etc.
  • Create reports to drill down the AR
  • Creation of workfiles for staff to complete
  • Assist the Third Party Follow Up Director with special projects
  • Assist the Executive Director of Third Party Follow Up with special projects
  • Tracking of monthly revenue to assure the client will reach the set goal/budget
  • Tracking/Resolution of Missing Money issues

RCM Audit Analyst/AR Supervisor

Med3000
10.2004 - 03.2011
  • Correction of Masterfiles and claims
  • Review all Posting Errors.
  • Research any posting issues with e-remit.
  • Train and work edits on RealMed system
  • Streamline payment process workflow if applicable
  • Batch audits for Payment Posters
  • Monitor daily postings and AR
  • Reports to AR Managers on denial trends reported by Posters.
  • Track workflow back and forth between Posters and AR.
  • Maintain any system issues
  • Work with Management Team on New Process Changes or Requests
  • Client system (Allscripts Misys) and New Procedure implementation
  • Extensive involvement in Client Meetings
  • New Hire training on Policies & Procedures and the Allscripts Misys system
  • Contract Review for existing and new clients
  • Assist the RCM Director with Internal Audits
  • Assist the RCM AR Manager with special projects or client requests
  • Involved in Employee Evaluations and Productivity Reviews
  • Monitor staff to ensure quality and productivity are within the standards and measurements set forth

Account Manger

K.L.O. Professional Billing, Inc.
04.2003 - 09.2004
  • Account Manager
  • Primary Biller for twelve various specialty Physicians
  • Payment Posting
  • Successful Account Mediator
  • Patient Account Setup
  • Retrieval of denied claims and systematically re-file with required information
  • Process Appeals of denied claims
  • Client Satisfaction of their accounts
  • Special Projects upon request
  • Physician Liens

AR Representative

Center for Reconstructive Surgery
09.2000 - 04.2003
  • Patient Account setup
  • Payment Posting
  • Successful Account Mediator
  • Charge Entry
  • Liens and Workers Compensation Collections
  • Verify Insurance and retrieve referrals if necessary
  • Answer phones and schedule appointments

Education

Business Administration

Moraine Valley Community College
Palos Hills, IL
05.2002

Skills

  • Strategic decision-making
  • Effective communication skills
  • Analytical problem-solving
  • Documentation and analysis skills
  • Operations management
  • Policy implementation
  • Performance evaluations
  • Key performance indicators
  • Financial management
  • Policy and procedure development
  • Revenue enhancements
  • Revenue metrics analysis

Timeline

RCM Manager

Cognizant
06.2015 - Current

Revenue Cycle Director/Director of Operations/Sales

HealthPCP, Inc.
05.2012 - 05.2015

Third Party Follow Up Team Manager

SPi Healthcare
03.2011 - 03.2012

RCM Audit Analyst/AR Supervisor

Med3000
10.2004 - 03.2011

Account Manger

K.L.O. Professional Billing, Inc.
04.2003 - 09.2004

AR Representative

Center for Reconstructive Surgery
09.2000 - 04.2003

Business Administration

Moraine Valley Community College

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Sandra Murphy