Revenue Cycle Specialist Resume Sample

Revenue cycle specialists ensure the financial integrity of health care facilities. Their main duties include ensuring compliance with relevant laws, creating and implementing policies, training new staff, processing medical financial records, collecting overdue payments and verifying patients’ insurance information.

For many, writing a resume can be daunting. If you are working on your own, it is easy to become overwhelmed with the amount of information you need to include and how best to present yourself.

The sample resumes below provide great examples of how to write an effective resume.

The Best Revenue Cycle Specialist Resume Samples

These are some examples of accomplishments we have handpicked from real Revenue Cycle Specialist resumes for your reference.

Revenue Cycle Specialist Resume Sample 1

Processed invoices with accuracy to ensure reimbursement of medical services claims.
Resolved account discrepancies to guarantee payment for beneficiaries.
Reviewed insurance claim submissions, conducted research for additional information, and processed remaining charges for immediate reimbursement.
Examined insurance reimbursements in accordance with guidelines for policy interpretation and standards of care to determine the appropriate payee.
Provided oversight during revenue cycle functions by conducting independent assessment of staff performance; recognized as Administrator of quarter-end close process by peers and management team since 2010.

Revenue Cycle Specialist Resume Sample 2

Coordinate and control billing and collection for multiple healthcare providers.
Manage PPO contract, organize monthly meetings with tenured physicians, train new hire physicians on revenue cycle management.
Create special procedures to update electronic data in practice management software; maintain physician permissions for patient files access during the implementation of network server upgrades.
Explained by co-workers as being competent at managing the day to day business operations within my department.
Am remarkable at explaining complex financial issues in plain language through simple, clear charts so that accounting ramifications are easily understood rather than explained verbally.

Revenue Cycle Specialist Resume Sample 3

Reviewed accounts for proper coding by coordinating with other hospital members.
Identified potential payment problems before claim submission by researching insurance benefits, coverage, and regulations.
Analyzed financial data to verify patient responsibility balance by verifying medical treatment information, adjusting claims, and billing detailed statements.
Improved cash flow through effective problem resolution including sending detailed letters of explanation to payers or providers due to incorrect coding, denied claims, missing information on remittance advice notes (RAN), etc.
Expedited collections by identifying EoR issues before submitting an appeal; then tracked the status of the appeals until payment was received.

Revenue Cycle Specialist Resume Sample 4

Met and exceeded revenue and productivity quotas; consistently generated 20% more leads than team members.
Reduced length of time to process billing records, ultimately leading to resolution of underpayments and overpayments totaling $6,400 in 2013.
Assisted with the installation of a new Elixr EDI platform that cut processing times from six days to two hours for insurance payers using the system. Led efforts that resulted in increase from 35 transactions per month to over 300 per week within three months’ time.
Collaborated with software vendor to identify opportunities for change requests during the development phase resulting in optimization of web-based processes prior to deployment. Streamlined support ticket maintenance by 25%.
Provided customers with prompt and efficient billing follow-up, resulting in an increase in overall customer satisfaction. Maintained standard of excellence for patient service in their roles.

Revenue Cycle Specialist Resume Sample 5

Provided accurate and correct billing of medical, dental, mental health services for patients to ensure that providers were paid.
Increased revenue generation by identifying accounts in-house rather than ending in a collection agency, which saved time and a settlement loss of at least ten percent.
Maintained a high accuracy rate when inputting patient demographic data, insurance information, and contact numbers into the system.
Conducted audits on existing records for compliance with regulations ensuring that all procedures were followed.
Promptly communicated resolution of problems through written reports highlighting issues that needed to be addressed immediately or would require further investigation.

Revenue Cycle Specialist Resume Sample 6

Work with client to collect $220,000 in delinquent accounts receivable.
Recovered $15,000 in refunds and credits through research and credit reporting activities.
Provided audit support on the review of annual financial statements and internal control over compliance for each division.
Enhanced the quality; reduced cycle time; and increased efficiency of accounts payable disbursements by 20%.
Analyzed customer account data to make business decisions such as revenue growth strategies, assessing future risk levels, and optimizing collections strategies.

Revenue Cycle Specialist Resume Sample 7

Reconciled and reviewed billing, accounts receivable, and collections reports to ensure that charges were correct, accurate, and timely.
Monitored data collection process that assessed utilization of patient care services for maximum revenue generation. Proactively identified errors in coding to maximize reimbursement based on contractual requirements.
Verified provider eligibility to obtain Medicare certification which allowed physicians access to hospital privileges. Negotiated dispute resolution between providers and coder appeals board members by researching the United States Constitution for constitutional interpretations related to medical decision making principles.
Researched workload volume trends for efficient processing of invoices related to paid out-of-pocket deductible health care expenses using a multipurpose system.
Tracked down health care reimbursements that had not been properly processed for claims reimbursement.

Revenue Cycle Specialist Resume Sample 8

Processed claims and payments to maximize profits while minimizing risk of outside legal action.
Reviewed billing statements for accuracy and eligibility; ensured timely processing of reimbursements for medical supplies, equipment, and services.
Prevented losses from bad debt by expediting collection on delinquent accounts quicker than industry standards.
Aided in expansion plans with three new acquisitions, by reducing total cost of operations through review of overhead reconditioning costs.
Improved customer satisfaction scores within the insurance company by providing detailed responses to patient complaints about improper reimbursement policies.

Revenue Cycle Specialist Resume Sample 9

Conducted over $4,000,000 in payments and legal reimbursements through the management of work flow and record keeping for various payments.
Became a key contributor to significant advances in revenue cycle performance through departmental projects.
Oversaw reduction of accounts receivable from 92 days to 42 days by forecasting and establishing payment plans with long-standing patients.
Collaborated with team members on medical billing betterment strategies; recognized as one of ten employees contributing the most towards medical billing improvement within the department.
Established new revenue cycle policies that increased payments and decreased write-offs by 15% within six months; recognized as a key contributor to improved financial results across ambulatory care.

Revenue Cycle Specialist Resume Sample 10

Spearheaded a revenue cycle initiative resulting in a 75% success rate in achieving medical contract compliance.
Achieved all personal and departmental goals, setting the standard for quality and customer service across the organization.
Authored 14 articles on revenue cycle management that were published by five national health care organizations.
Entered into an agreement with a start-up business based on shared values; successfully merged operations within one year of open enrollment.
Recognized as an “Employee of the Year” after surpassing strong monthly metrics and implementing new workflows to improve financial reporting accuracy and client satisfaction. Elevated client retention rates (from 55% to 80%) after streamlining communication to reduce client inquiry rates by 50%.

Wrap Up

To work as a revenue cycle specialist, you require a bachelor’s degree in finance or its equivalent and certification by the American Association of Healthcare Administrative Management (AAHAM). Revenue cycle specialists must demonstrate analytical skills, financial skills, organizational skills, communication skills, problem-solving skills, integrity and accuracy.

Resumes are a crucial aspect of any job search. In order to make a good first impression, it is important that your resume be formatted and written professionally. To create the perfect resume, think about what skills and qualities you want your future employer to see.

Hope these samples gave you an idea of what your resume should look like and some tips on how to make sure that your resume stands out from the rest.

Contents