Revenue Cycle Specialist Resume Guide

Passionate revenue cycle specialist with 8+ years of experience in medical billing and coding. Proven track record of increasing the financial performance of practices by improving collections, reducing denials, and streamlining processes. As part of XYZ team, achieved a 30% reduction in accounts receivable over six months. Looking to join ABC Healthcare as their next Revenue Cycle Specialist to continue creating best-in-class revenue cycles for patients and providers alike.

Professional revenue cycle specialist with 8+ years of experience in healthcare revenue management. Skilled at analyzing patient and insurance information, verifying coverage eligibility, and accurately entering data into the system. At XYZ Hospital achieved a 25% improvement in accounts receivable collections within 6 months. Recognized for excellent customer service skills when dealing with patients/clients regarding billing issues or discrepancies.

Accomplished revenue cycle specialist with 8+ years of experience in healthcare billing, coding, and reimbursement. At XYZ Hospital, spearheaded the implementation of a new revenue cycle system that resulted in an 11% increase in collections. Skilled at identifying errors and discrepancies to ensure accurate reimbursements from payers. Proven record of providing excellent customer service while adhering to HIPAA regulations.

Dependable revenue cycle specialist with 6+ years of experience in healthcare billing and coding. Proven ability to identify issues, implement solutions, and maximize revenue collection for clients. At XYZ Medical Group achieved a 15% increase in average monthly cash collections by streamlining processes between the front end and back end teams. Looking to join ABC Medical Group as their next Revenue Cycle Specialist.

Amicable revenue cycle specialist with 5+ years of experience in medical billing, coding and insurance claims. At ABC Medical Center, increased revenue by 21% through careful review of invoice accuracy and training staff on proper claim filing procedures. Possesses strong communication skills to work collaboratively with clients and providers while providing accurate information regarding financial services.

Driven revenue cycle specialist with 5+ years of experience in healthcare settings. Proven ability to analyze financial data, identify discrepancies and errors, process payments, reconcile accounts receivable balances, and maximize revenue for the organization. Seeking a new role at ABC Medical Center that will challenge me to utilize my extensive knowledge in medical billing systems and coding practices.

Well-rounded revenue cycle specialist with 6+ years of experience in healthcare settings. Seeking to leverage extensive knowledge of medical billing processes and procedures, as well as strong problem-solving skills, to help ABC Health optimize their revenue cycle. At XYZ Hospital, improved collections by 15% within five months through process improvement initiatives.

Proficient revenue cycle specialist with over 10 years of experience in the medical field. Expertise in insurance billing, coding and collections for both government payers and commercial insurers. Demonstrated success improving payment turnaround times by 40%. Seeking to leverage my expertise to ensure accurate revenue cycles at XYZ Medical Center.

• Reported on data from billing, payment processing and accounts receivable systems to identify inefficiencies and areas of improvement; successfully reduced revenue cycle times by 33%.
• Spearheaded implementation of new coding system that streamlined processes across the entire organization, resulting in an increase in overall profits by $6 million within 8 months.
• Documented all transaction activity on a daily basis while adhering to established policies & procedures for accounts receivables management; improved accuracy levels to 99% over 5 weeks.
• Updated patient records with relevant information concerning their payments and insurance coverage as needed; saved the department 10 hours per month on administrative tasks due to automation initiatives implemented.
• Successfully resolved any discrepancies between medical claims submitted & payments received through regular follow-ups with insurance companies or other payers involved; achieved collection rate of 95% and increased cash flow into practice significantly within 3 months.

• Reduced accounts receivable by 22% over 3-month period by accurately submitting insurance claims, managing denials and conducting follow-ups with payers.
• Competently maintained an organized filing system for all patient records & accounts to ensure accurate billing cycles and timely payments were made.
• Compiled monthly financial summaries of revenue cycle performance metrics such as cash collections, net collection rates and days in AR; identified areas needing improvement in order to maximize reimbursement opportunities.
• Coordinated closely with physicians, nurses, coders and other healthcare professionals on a daily basis to answer questions related to coding accuracy or payment delays; successfully resolved 95% of customer queries within 24 hours of receiving them.
• Advised management team on best practices related to optimizing the revenue cycle process including cost containment strategies that resulted in $7k savings annually across departments.

• Presented billing and collection solutions to healthcare providers, resulting in an increase of revenue collected by $15,000 in the last quarter.
• Assessed current billing practices for errors or inconsistencies and implemented strategies for more efficient workflow processes; decreased turnaround time from 90 days to 60 days on average.
• Structured payment plans tailored to individual patients’ financial circumstances with a focus on maintaining positive relationships; improved customer satisfaction ratings by 15%.
• Confidently managed over 1,500 accounts daily while meeting strict deadlines and regulatory requirements; reduced delinquency rates by 22%.
• Utilized medical coding software systems such as ICD-10 & CPT codes accurately when entering patient information into databases; streamlined data entry process leading to faster reimbursement timescales of up to 20% quicker than industry standards.

• Expedited the revenue cycle process by 15% through streamlining patient billing operations and enhancing payment tracking procedures.
• Efficiently monitored accounts receivable, identified discrepancies in claims submissions and resolved issues with insurance companies to ensure timely payments for over 500 patients per month.
• Monitored payer reimbursement trends and recommended changes to coding processes that improved collection rates by 8%.
• Improved accuracy of claim adjudication processing up to 95%, ensuring all bills were correctly coded before submission and reducing the need for follow-up appeals by 7%.
• Audited existing systems & policies, implemented innovative solutions that resulted in a 4% increase of total collections within six months while decreasing denials rate from 17%-12%.

• Reconciled patient billing as well as insurance payments, resulting in an accuracy rate of 98% and a $50,000 increase in revenue for the hospital.
• Analyzed monthly financial data to identify discrepancies between actual charges and reimbursements from private insurers; identified overpayments which resulted in cost savings of $15,000 per quarter.
• Independently reviewed patient medical records to ensure accurate coding was used prior to submitting claims; eliminated incorrect coding errors by 65%.
• Achieved 100% compliance with all federal/state regulations pertaining to reimbursement practices; maintained up-to-date knowledge on healthcare reform laws and their implications on revenue cycle operations.
• Mentored junior colleagues on proper techniques for collecting delinquent accounts receivables while ensuring patient satisfaction at all times; improved team productivity by 8 hours per week overall.

• Formulated and implemented innovative strategies to optimize revenue cycle operations, resulting in a 10% increase in monthly collections.
• Generated and analyzed financial reports on billing discrepancies, coding errors and reimbursement trends; identified potential areas of improvement with the help of data analytics software and reduced losses by $7000.
• Prepared accurate patient statements for all assigned accounts using specialized billing systems; minimized costly delays due to incorrect invoices or late payments through enhanced accuracy rates of 98%.
• Thoroughly reviewed insurance claims prior to submission while keeping up-to-date knowledge on changes within healthcare regulations; decreased denials rate by 12%.
• Revised existing payment plans as needed according to updated information from patients ensuring that hospital policies are followed at all times; improved customer satisfaction scores from 78% – 82%.

• Investigated and corrected over 1,000 billing discrepancies resulting in an additional $6,000 of revenue captured.
• Developed and implemented new procedures that streamline the entire revenue cycle process by 30%.
• Consistently monitored accounts to ensure accuracy and timeliness of payments; reduced overdue balances from 10% to 5%.
• Demonstrated a comprehensive understanding of medical coding guidelines when submitting claims for reimbursement, leading to successful reimbursements totaling $45,000+ in one month alone.
• Represented the company at various healthcare conferences with clients on best practices regarding hospital billing procedures; facilitated collaborations between internal teams which ultimately increased net income by 15%.

Bachelor’s Degree in Business Administration
Educational Institution XYZ
Nov 2011

Certified Revenue Cycle Specialist
American Association of Professional Coders
May 2017