Stephanie Smart
Matteson,IL
Summary
Dynamic Revenue Cycle Manager with a proven track record at Spectrum Eye Institute, enhancing cash flow through strategic process improvements and effective denial resolution. Skilled in HCPCS coding and data analytics, I foster cross-functional collaboration while driving revenue performance and ensuring compliance in a fast-paced healthcare environment.
Analytical professional with strong background in financial modeling and risk management. Skilled in providing financial consultations and solutions for businesses of all sizes. Astute candidate develops new strategies and processes to optimize financial operations.
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Experienced with analyzing revenue cycles to identify inefficiencies and implement solutions for improved performance. Utilizes problem-solving skills to address billing discrepancies and enhance financial outcomes. Knowledge of industry-specific software and strong analytical capabilities ensures precise financial operations.
Professional analyst with focus on revenue cycle management, prepared to drive operational improvements and financial accuracy. Brings comprehensive experience in data analysis and process optimization. Known for strong team collaboration and adaptability to evolving business needs. Skills include problem-solving, communication, and proficiency in revenue cycle tools.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Revenue Cycle Analyst
University of Chicago Physician's Group
10.2023 - Current
- Created well-researched presentations on revenue cycle data to deliver to upper management and executives.
- Maintained up-to-date knowledge of payer requirements, ensuring accurate billing practices across all departments.
- Analyzed financial and statistical data related to revenue cycle, creating in-depth reports to show KPIs.
- Monitored daily reports, identifying trends or discrepancies that warranted further investigation or action from the revenue cycle team.
- Enhanced revenue cycle efficiency by streamlining processes and identifying areas for improvement.
- Optimized charge capture procedures, contributing to more accurate billing statements and higher collection rates.
- Improved collection rate 97.5% by creating automated communication cycles for late payments.
- Tracked and reported variances between revenue plans and actuals.
- Participated in regular audits, proactively addressing any issues identified to minimize financial risks to the organization.
- Collaborated with cross-functional teams to develop strategies for optimizing the revenue cycle process.
- Managed appeals process effectively, successfully overturning denied claims to secure payment for services rendered.
- Conducted root cause analysis on denied claims, implementing corrective measures to prevent future denials and protect revenues.
- Balanced and reconciled accounts.
- Identified and resolved payment issues between patients and providers.
- Provided exceptional customer service when addressing patient inquiries or concerns, fostering trust and satisfaction in the billing process.
- Coordinated closely with clinical departments, ensuring accurate and timely capture of all relevant charges for services provided.
- Contacted responsible parties for past due debts.
- Implemented process improvements that reduced denial rates and increased overall reimbursement levels.
- Increased clean claim rates through meticulous auditing of patient registration data and insurance eligibility verification.
- Reduced outstanding accounts receivable balances through diligent follow-up and effective communication with stakeholders.
- Contributed to improved cash flow by monitoring and resolving aged account balances in a timely manner.
- Assisted in staff training and development, sharing best practices for revenue cycle management within the team.
- Expertly extracted necessary data from records and files and assessed how it related to business operations information.
- Ensured regulatory compliance throughout the revenue cycle by staying abreast of industry changes and updating internal processes accordingly.
- Developed strong working relationships with payers, promoting collaboration in resolving complex reimbursement challenges.
- Supported timely claim submission by reviewing and validating all relevant billing information.
Revenue Cycle Supervisor
Comprehensive Cancer Center
06.2018 - 09.2022
- Optimized payment posting processes to improve cash flow and minimize delays in revenue recognition.
- Trained, evaluated, and challenged team of 30 personnel.
- Developed key performance indicators for the team, monitoring progress toward goals and providing actionable feedback to staff members.
- Collaborated with cross-functional teams to develop and implement revenue cycle policies and procedures.
- Performed root cause analysis to identify issues affecting revenue cycle performance, implementing corrective actions to drive improvement.
- Managed accounts receivable aging, ensuring timely follow-up on outstanding balances and prompt resolution of discrepancies.
- Conducted audits of registrations, insurance verifications, and insurance denials.
- Maintained strict adherence to regulatory guidelines through diligent monitoring of policy changes impacting the revenue cycle.
- Created monthly schedules, maintained time records and submitted payroll with help of EPIC and Athena .
- Enhanced revenue cycle efficiency by implementing strategic process improvements and workflow optimizations.
- Improved overall cash flow by identifying underperforming areas within the billing process, addressing issues proactively.
Revenue Cycle Manager
Spectrum Eye Institute
05.1999 - 06.2019
- Monitored and guided revenue cycle operations.
- Implemented process improvements, ensuring accurate charge capture and coding compliance.
- Provided staff training on revenue cycle management best practices, increasing productivity across the department.
- Completed financial reporting and analysis for billing revenue cycle.
- Managed cross-functional teams to improve overall revenue cycle operations.
- Streamlined workflows to minimize claim rejections and maximize reimbursement rates from insurance providers.
- Analyzed complex data sets to derive actionable insights for improving internal processes related to revenue cycle management.
- Maintained a thorough understanding of regulatory requirements, ensuring compliance throughout all aspects of the revenue cycle.
- Conducted regular audits to identify areas for improvement in the revenue cycle process.
- Increased cash flow through timely resolution of payer denials and underpayments.
- Established strong relationships with payers, improving communication and resolving disputes more effectively.
- Served as a liaison between the organization''s leadership team members and payers during contract negotiations, securing favorable terms for reimbursement rates.
- Reduced days in accounts receivable by implementing more efficient follow-up procedures with payers.
- Negotiated with insurance companies to maximize reimbursements, ensuring financial stability for healthcare facility.
- Developed and implemented training programs for new hires, leading to more competent and effective billing team.
- Enhanced revenue by optimizing claims submission process, ensuring timely and accurate billing.
- Established and checked coding procedures, monitored reports and updated internal files.
- Performed banking, business administration and financial tasks.
- Checked payroll, vendor payments, commissions and other accounting disbursements for accuracy and compliance.
- Supported financial director with special projects and additional job duties.
- Streamlined billing processes, significantly reducing errors and enhancing revenue cycle efficiency.
Education
Business Administration And Management
Rasmussen University
Romeoville, ILSkills
- HCPCS coding
- HIPAA compliance
- Verbal and Written Communication
- Healthcare Reimbursement
- Microsoft Excel Expertise
- Cash flow management
- Account monitoring
- Billing Cycle Expertise
- Denial Resolution
- Revenue Performance
- Claims Management
- Account resolutions
- Data analytics
- Collections experience
- Financial Management
- Data Interpretation
- Athena
- Epic
- Account reconciliation
- Data-driven decision making
- Audit Coordination
- Process Improvement
- Budgeting and Planning
- Accounts Receivable
- Accounts Payable
- Month end close
- Healthcare Industry
- Medical Billing
Certification
- Certificate in Business Administration.-Rasmussen College
Timeline
Revenue Cycle Analyst
University of Chicago Physician's Group
10.2023 - Current
Revenue Cycle Supervisor
Comprehensive Cancer Center
06.2018 - 09.2022
Revenue Cycle Manager
Spectrum Eye Institute
05.1999 - 06.2019
Business Administration And Management
Rasmussen University
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