Revenue Cycle Decoded

What will healthcare revenue cycle roles look like in the next 5–10 years? In this episode, we break down how automation, AI, and evolving healthcare demands are changing the landscape — and what that means for coders, billers, patient access reps, and revenue cycle professionals.You’ll learn:What skills are becoming essential in modern RCM rolesHow technology is reshaping traditional job functionsWhy strategic and analytical thinking are the future of revenue cycle careersHow to position yourself for long-term successIf you’re curious about career growth in the revenue cycle or wondering how to stay relevant in a tech-driven future, this episode is for you.👉 Explore our online courses: https://www.revenuecycledecoded.com💬 Join the conversation: Revenue Cycle Boot Camp Facebook Group

If you’ve been applying to medical coding or billing jobs and hearing crickets, the problem might not be your skills—it could be your resume format.In this episode, we’re talking about how to optimize your resume for Applicant Tracking Systems (ATS) so it actually gets seen by a real person. Whether you're a new medical coder, medical biller, or revenue cycle job seeker, this is your reality check and roadmap for writing a resume that works in today’s job market.You’ll learn:What an ATS is and why it matters for your job searchThe top resume mistakes that lead to automatic rejectionHow to choose the right keywords for healthcare and revenue cycle rolesSimple formatting tips that help your resume pass the ATS scanHow to tailor your resume for each job without starting from scratchThis episode is especially for entry-level professionals and career changers trying to land their first role in medical coding, billing, or healthcare revenue cycle management.Want more support on your career journey?Join my Facebook group Revenue Cycle Boot CampExplore the courses on Revenue Cycle DecodedFree ATS checkers:Jobscan.coTeal

Ever wonder why some medical claims sail through processing while others get stuck in denial limbo? Understanding the life cycle of a claim is the key to getting paid faster and avoiding costly rejections.In this episode, I break down each stage of the claim process—from patient registration to final reimbursement—so you can identify problem areas, streamline your workflow, and improve revenue cycle efficiency. Whether you're a medical biller, coder, revenue cycle manager, or practice administrator, this knowledge is essential for faster payments and fewer headaches.✔️ The full journey of a claim from submission to reimbursement✔️ The importance of clean claim submission for faster payment✔️ What happens in payer adjudication and how claims get approved✔️ Tips for reducing revenue loss and improving cash flowIf claim denials and reimbursement delays are hurting your bottom line, this episode will give you the knowledge you need to take control of your revenue cycle.🎓 Want to master front end denials? Check out my Front End Denials Decoded course.#RevenueCycle #MedicalBilling #MedicalCoding #HealthcareFinance #ClaimDenials #RCM #HealthcareRevenue #CleanClaims #DenialManagement #HealthcareAdministration

🚨 The TRUTH About Remote Medical Coding & Billing Jobs (Entry-Level Reality Check!) 🚨🔎 Thinking about a career in medical coding or billing? Hoping for a remote job right out of the gate? You NEED to hear this first! Many new coders and billers enter the field expecting to work from home immediately, but the reality is very different.In this video, I’ll break down:✅ Why remote jobs are RARE for entry-level coders & billers✅ Why it’s so hard to land your first job in medical coding✅ What employers are REALLY looking for (and why they want experience)✅ How to increase your chances of getting hired—even without experience!🔹 If you’re struggling to get a medical coding or billing job, you’re not alone! I’ll also share tips to help you break into revenue cycle roles and start your career the right way.📌 Don’t forget to LIKE 👍, SUBSCRIBE 🔔, and COMMENT 💬 with your biggest job search struggle! I’m here to help you succeed in medical coding and revenue cycle management.🚀 Resources to Help You Get Started:📌 My Revenue Cycle Boot Camp Courses 📌 Join My Revenue Cycle Boot Camp Facebook Group for support, networking, education and collaboration🎯 Who Is This Video For?✔ New medical coders & billers struggling to find a job✔ Anyone considering a career in revenue cycle management✔ Healthcare professionals looking to transition into coding or billing✔ Students and recent graduates of medical coding programs#MedicalCoding #MedicalBilling #RemoteMedicalCoding #MedicalCodingJobs #EntryLevelMedicalCoding #MedicalBillingJobs #HowToBecomeAMedicalCoder #MedicalCodingCareer #RevenueCycleManagement #HealthcareCareers #RemoteJobs

Did you know that billing Qualified Medicare Beneficiary (QMB) patients incorrectly is a federal violation? Many healthcare providers unknowingly bill QMB patients for Medicare cost-sharing, putting their organizations at risk for compliance violations, audits, and even sanctions.In this episode, I break down everything you need to know about QMB—who qualifies, what providers can and can’t bill, and how to avoid the most common (and costly) mistakes.What You’ll Learn:✔️ What the Qualified Medicare Beneficiary (QMB) program is and who qualifies✔️ Why QMB patients cannot be billed for Medicare-covered services✔️ How to verify QMB eligibility before billing✔️ The biggest compliance mistakes providers make (and how to avoid them)✔️ What to do when Medicaid doesn’t pay the balance✔️ How to handle non-covered services and ABNs for QMB patientsIf you work in medical billing, coding, revenue cycle, or healthcare administration, you need to understand QMB rules to stay compliant and protect your organization from unnecessary risk.Prohibition on Billing Qualified Medicare BeneficiariesMore CMS information on the QMB Program 🎓 Want to strengthen your healthcare insurance knowledge? Enroll in my course Introduction to Healthcare Insurance to gain a solid foundation in Medicare, Medicaid, and payer rules.📌 Join the Revenue Cycle Boot Camp Facebook GroupHave you ever had a QMB billing issue? Drop a comment below—I’d love to hear your experience!#RevenueCycle #MedicalBilling #QMB #MedicareMedicaid #HealthcareFinance #RCM #HealthcareBilling #MedicareBilling #DenialManagement #HealthcareCompliance

Awkward Patient Billing Conversations? Here’s How to Make Them Easy!Talking to patients about their medical bills can feel uncomfortable—but avoiding the conversation only makes things worse. In this video, I’ll show you how to break down complicated billing language, set clear expectations, and confidently navigate tough patient conversations without frustration.What You’ll Learn:✅ How to explain medical bills in simple, patient-friendly terms✅ Why high deductibles and out-of-pocket costs make upfront conversations essential✅ What to do when a patient finds an error on their bill✅ How to handle difficult billing conversations with empathy and confidenceHaving better billing conversations leads to more patient trust, fewer disputes, and improved collections—so let’s make it easy!💬 Got a challenging billing situation? Share your experiences in the comments—I’d love to hear how you’ve handled tricky conversations!Whenever you're ready, here's how I can help...👥 Join my Revenue Cycle Boot Camp Facebook Group – Connect with other revenue cycle professionals, get support, and share insights. 📚 Explore my revenue cycle courses– Build confidence and skills with my step-by-step training. #MedicalBilling #RevenueCycle #PatientCommunication #HealthcareFinance #RCM

📌 Step-by-Step Guide to Managing Claim Rejections 📌 Are claim rejections slowing you down? In this episode, you'll learn how to identify, fix, and prevent claim rejections in your revenue cycle process. Perfect for new billers and AR staff looking to master clean claim submissions! What you’ll learn:✅ The difference between claim rejections and denials✅ Common rejection reasons and how to fix them✅ Actionable strategies to prevent future rejections 🎓 Ready to reduce rejections and boost your revenue cycle? Enroll in my Front End Denials Decoded course today! Get support, collaboration, education, and career development tips when you join the Revenue Cycle Boot Camp Facebook group. #ClaimRejections #RevenueCycle #RCM #BillingTips #FrontEndDenials #PracticeManagement #Insurance

📌 Top 10 Tips to Ensure Prior Authorizations Can Be Obtained 📌 Struggling with prior authorizations? This video is packed with actionable tips to streamline the process and reduce delays. Learn how to: ✅ Verify coverage and payer requirements,✅ Submit accurate and complete documentation,✅ Handle peer-to-peer reviews, and more! 🎓 Ready to master prior authorizations and the full revenue cycle? Join my Revenue Cycle Boot Camp Facebook Group. Become a Revenue Cycle Rockstar! Check out my courses at RevenueCycleDecoded.com. #PriorAuthorizations #RevenueCycleManagement #HealthcareFinance #RCM #RevenueCycleBootCamp #HealthInsurance #PracticeManagement

📌 Top 10 Revenue Cycle Myths That Are Costing Your Practice Money —Busted! 📌 Think you know everything about the revenue cycle? In this episode, I debunk 10 common myths that could be holding your organization back. Learn the truth about: ✅ Denials prevention and management,✅ The full scope of the revenue cycle,✅ The role of automation, and more! 🎓 Ready to busy more myths and master the revenue cycle? Join the Revenue Cycle Boot Camp Facebook Group Become a Revenue Cycle Rockstar!  Land your first job or advance your career.  Learn more at:  https://revenuecycledecoded.com Follow me on social media: YouTube: https://www.youtube.com/channel/UCg2DNvyiGvOhX2Ucv287xOQ Facebook: https://www.facebook.com/groups/revenuecycledecoded LinkedIn: https://www.linkedin.com/groups/14020141/ Twitter: https://twitter.com/RevCycleDecoded Podcast:  https://spotifyanchor-eb.app.link/e/HMsOWL4IyBb

📌 Top 10 Revenue Cycle Best Practices to Implement in 2025 📌 Ready to optimize your revenue cycle in 2025? In this episode, I talk about the top 10 best practices every revenue cycle professional needs to know, including:✅ Front-end accuracy,✅ Automation strategies,✅ Denials prevention and management,✅ Data analytics, and more! 🎓 Want to master the revenue cycle? Check out my Revenue Cycle courses! #RevenueCycle #RevenueCycleManagement #HealthcareFinance #RCM #RevenueCycleBootCamp Join the Revenue Cycle Boot Camp Facebook group for collaboration and career education.

🎥 Health Insurance Basics for Medical Practice and Patient Access Staff 🎥 Are you new to patient access and feeling overwhelmed by the complexities of health insurance? Don’t worry—you’re not alone! In this episode, we’ll break down the basics you need to know about health insurance to help you register patients with confidence and accuracy. What you’ll learn:✅ The differences between private/commercial insurance, Medicare, Medicaid, and self-pay patients.✅ How to verify insurance eligibility and avoid common registration errors.✅ Tips for explaining co-pays, deductibles, and financial responsibilities to patients. Mastering health insurance basics is the first step toward becoming a pro at patient registration and ensuring a smooth revenue cycle. 🎓 Want to take your skills to the next level? Enroll in my Introduction to Health Insurance course today! This comprehensive course will help you:✅ Understand the nuances of insurance types, policies, and coverage.✅ Confidently navigate patient registration challenges.✅ Build a foundation for success in your patient access career. 📌 Click here to learn more and enroll today: https://www.revenuecycledecoded.com/course/insurance-101 Become a Revenue Cycle Rockstar!  Land your first job or advance your career.  Learn more at: https://revenuecycledecoded.com Follow me on social media: YouTube: https://www.youtube.com/channel/UCg2DNvyiGvOhX2Ucv287xOQ Facebook: https://www.facebook.com/groups/revenuecycledecoded  LinkedIn: https://www.linkedin.com/groups/14020141/ Twitter: https://twitter.com/RevCycleDecoded Podcast:  https://spotifyanchor-web.app.link/e/HMsOWL4IyBb 👉 Don’t forget to like, comment, and subscribe for more tips on patient access and revenue cycle management! #HealthInsuranceBasics #PatientAccess #HealthcareTraining #Insurance101 #RevenueCycleManagement #MedicalPracticeManagement

💡 Step-by-Step Guide to Managing Denied Claims 💡 Denied claims can be a challenge, but with the right approach, they’re entirely manageable. In this video, learn how to identify, categorize, and resolve denied claims effectively—and get tips for preventing them in the future! What’s included in this video: 1️⃣ Detailed steps for handling administrative, medical necessity, authorization, and technical denials2️⃣ Real-life examples of common denials and solutions3️⃣ Actionable strategies to reduce front-end denials Resources: ⁠CARCs⁠ ⁠RARCs⁠ 🎓 Take your skills to the next level! Enroll in my ⁠Front End Denials Decoded course⁠ to master denial prevention and boost your revenue cycle performance. #DeniedClaims #RevenueCycle #BillingTips #RCM #FrontEndDenials #HealthcareFinance #ClaimDenials #MedicalBilling #AccountsReceivable #PracticeManagement Follow me on social media:  ⁠YouTube⁠  ⁠Facebook⁠  ⁠LinkedIn⁠ ⁠Twitter⁠ ⁠Podcast⁠

💡 The Ethical Dilemma of Revenue Cycle: Balancing Profit and Patient Care 💡 Healthcare revenue cycle professionals are at the intersection of two critical priorities: financial sustainability and patient-centered care. How do we find the balance? In this episode, we'll explore key challenges—like pricing transparency, compassionate collections, and denial prevention—and discuss strategies to align revenue goals with the mission of care. What you’ll learn in this video:1️⃣ How revenue cycle practices impact patient trust and access to care2️⃣ Key challenges in balancing profit with patient care3️⃣ Practical solutions for compassionate billing, denial prevention, and more 💬 Join the conversation: How do you navigate the ethical challenges of revenue cycle management? Let’s discuss in the comments! #RevenueCycle #HealthcareEthics #PatientCare #RCM #HealthcareFinance #CompassionateCare Learn to manage and prevent those pesky front-end denials and earn 2 CEUs from AAPC:  https://www.revenuecycledecoded.com/course/front-end-denials-decoded   Follow me on social media:   YouTube: https://www.youtube.com/channel/UCg2DNvyiGvOhX2Ucv287xOQ Facebook: https://www.facebook.com/groups/revenuecycledecoded LinkedIn: https://www.linkedin.com/groups/14020141/ Twitter: https://twitter.com/RevCycleDecoded

📚 Insurance Terminology 101: Patient Access Staff Training Welcome to Patient Access Training! Patient access staff play a vital role in the healthcare experience and knowledge of insurance terminology is a key part of the job. In this episode, I break down important insurance terms you’ll use every day, like co-pays, deductibles, coinsurance, in-network vs. out-of-network providers, balance billing, contractual allowances, the No Surprises Act, and maximum out-of-pocket limits. Learn how to:✅ Understand common insurance terminology✅ Clearly explain financial responsibilities to patients✅ Build trust by simplifying complex concepts #PatientAccess #RevenueCycleTraining #InsuranceBasics #HealthcareTraining #RCM #InsuranceTerminology #FrontOffice #PracticeManagement Want to learn more? Check out my Revenue Cycle Boot Camp! Follow me on social media:  YouTube Facebook LinkedIn Twitter  Podcast

🧠 Why Critical Thinking Skills are Critical in Revenue Cycle Management 🧠 AI seems to be taking over the world, including the healthcare world. Revenue cycle management is evolving, with more routine tasks being automated. But there’s one human skill that remains essential: critical thinking. In this episode, we’ll dive into why critical thinking is so valuable in revenue cycle management and how it can keep you indispensable in your career. In this video, you’ll learn: 1️⃣ How critical thinking helps you spot trends in complex data 2️⃣ Why problem-solving is essential in resolving claims and billing issues 3️⃣ The importance of balancing efficiency with compliance 4️⃣ How a human touch improves patient interactions 5️⃣ Why adaptability and strategic thinking keep you on top of industry changes 💡 Want to master these skills? Check out my Revenue Cycle Boot Camp to deepen your understanding and become a true asset in revenue cycle management! Don’t forget to like, comment, and subscribe for more healthcare career tips and revenue cycle insights! #RevenueCycle #CriticalThinking #HealthcareCareers #RevenueCycleManagement #RCM #AI Follow me on social media:  YouTube: https://www.youtube.com/channel/UCg2DNvyiGvOhX2Ucv287xOQ Facebook: https://www.facebook.com/groups/revenuecycledecoded LinkedIn: https://www.linkedin.com/groups/14020141/ Twitter: https://twitter.com/RevCycleDecoded Podcast:  https://spotifyanchor-web.app.link/e/HMsOWL4IyBb

Applying for a revenue cycle job? A strong cover letter is essential to making a great impression and showing why you’re the ideal candidate for the role. In this video, I share five insider tips to help you write a cover letter that stands out, tailored specifically for revenue cycle management roles. In this video, you’ll learn: 1️⃣ How to start with a powerful opening 2️⃣ Tips to highlight relevant experience in revenue cycle 3️⃣ Ways to showcase your problem-solving skills 4️⃣ Why empathy and communication are key in RCM 5️⃣ How to end with enthusiasm and a call to action 💡 Want to go even deeper? Check out my Revenue Cycle Boot Camp where I cover resume and cover letter strategies designed specifically for revenue cycle positions! Don’t forget to like, comment, and subscribe for more healthcare career tips and revenue cycle insights! #RevenueCycle #CoverLetterTips #HealthcareCareers #RCM #JobSearch #CareerAdvice Follow me on social media:   YouTube: https://www.youtube.com/channel/UCg2DNvyiGvOhX2Ucv287xOQ  Facebook: https://www.facebook.com/groups/revenuecycledecoded   LinkedIn: https://www.linkedin.com/groups/14020141/  Twitter: https://twitter.com/RevCycleDecoded   Podcast:  https://spotifyanchor-web.app.link/e/HMsOWL4IyBb

📊 How to Analyze Your Collections Report Like a Pro: A Step-by-Step Guide for Revenue Cycle Professionals 📊 In revenue cycle management, your collections report is more than just numbers—it’s a tool for improving collections and identifying trends. In this video, I’ll walk you through a structured approach to analyzing your collections report, from key metrics to actionable insights. In this video, you’ll learn: 1️⃣ How to calculate collection rate, adjustment rate, and outstanding balance rate 2️⃣ Tips for identifying payer-specific trends and aging patterns 3️⃣ Strategies for reporting key findings to management 4️⃣ Actionable next steps for improving collections 💡 Ready to go deeper? Check out the Revenue Cycle Boot Camp for a comprehensive guide to mastering collections and revenue cycle analytics! https://www.revenuecycledecoded.com/course/revenue-cycle-boot-camp Don’t forget to like, comment, and subscribe for more revenue cycle insights! #RevenueCycle #CollectionsReport #HealthcareFinance #RevenueCycleManagement #RCM #RevenueCycleBootCamp Follow me on social media:  YouTube: https://www.youtube.com/channel/UCg2DNvyiGvOhX2Ucv287xOQ  Facebook: https://www.facebook.com/groups/revenuecycledecoded  LinkedIn: https://www.linkedin.com/groups/14020141/ Twitter: https://twitter.com/RevCycleDecoded

🎧 Will AI Take Over Healthcare Revenue Cycle? Which Revenue Cycle Jobs Will Survive in the Era of AI 🎧 As artificial intelligence (AI) transforms revenue cycle management, many professionals are asking: What’s the future of healthcare revenue cycle? In this episode, we explore how AI is reshaping healthcare tasks, which revenue cycle jobs are likely to survive (and thrive!), and the critical human skills you’ll need to stay relevant in an AI-driven world. Here’s what you’ll learn in this episode: How AI is automating medical billing and coding tasks Which revenue cycle roles will remain indispensable, including denial management specialists, patient financial counselors, and compliance experts Why critical thinking, problem-solving, and empathy are key to future-proofing your career 💡 Join me for actionable insights and strategies to navigate the AI revolution in revenue cycle management. #RevenueCycle #MedicalBilling #AI #FutureOfWork #HealthcareCareers #RCM #HealthcareFinance Become a Revenue Cycle Rockstar!  Land your first job or advance your career.  Learn more at:  ⁠https://revenuecycledecoded.com⁠   Follow me on social media!  YouTube: ⁠https://www.youtube.com/channel/UCg2DNvyiGvOhX2Ucv287xOQ⁠   Facebook: ⁠https://facebook.com/revenuecycledecoded⁠  LinkedIn: ⁠https://www.linkedin.com/groups/14020141/⁠  Twitter: ⁠https://twitter.com/RevCycleDecoded⁠

🔍 Revenue Cycle Is More Than Just Billing: Discover the Full Scope of RCM! If you think Revenue Cycle Management (RCM) is just about billing, think again! In this episode, I'll break down the full revenue cycle process—from patient access to claims and collections—and show you how each stage plays a critical role in the financial health of a healthcare organization. Whether you’re new to healthcare or looking to deepen your understanding, this episode will give you an inside look at what truly drives an efficient, profitable revenue cycle. Don’t forget to subscribe for more insights into healthcare finance, RCM, and medical billing tips. --------------------------------------------------------------- Get Ahead of Front-End Denials – Before They Happen! Are denials cutting into your revenue? You’re not alone. 90% of all claim denials are preventable, and my Front-End Denials Decoded course shows you how. 🎯 Learn to: Identify and fix errors upfront Improve patient data collection Maximize revenue with smoother claims processing Implement an action plan to prevent denials Improve front office training Sign up now and protect your revenue with confidence. 🔗 Enroll here: https://lnkd.in/gyBzQgqT This program has the prior approval of AAPC for 2.0 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. --------------------------------------------------------------- 💬 Join the Conversation: What part of the revenue cycle do you find the most challenging? Share your thoughts on social media. Facebook ⁠⁠LinkedIn⁠ ⁠Twitter⁠ #RevenueCycle #HealthcareFinance #MedicalBilling #RCM #DenialManagement #RevenueCycleManagement #PracticeManagement -------------------------------------------------------------- Become a Revenue Cycle Rockstar! Land your first job or advance your career. Learn more at: https://revenuecycledecoded.com --------------------------------------------------------------

The future of revenue cycle management is being shaped by technological advancements, shifting payment models, and a greater focus on patient experience. As these trends continue to evolve, RCM professionals must be proactive in adapting to new tools, processes, and regulations. By staying informed and embracing innovation, you can position yourself—and your organization—for success in this dynamic field. The road ahead may be challenging, but it’s also full of opportunities for those who are ready to embrace change and lead the way in transforming revenue cycle management. Are you ready for what’s next? What trends are you seeing and how is your organization responding? Share in the comments! #RevenueCycle #HealthcareFinance #HealthcareTrends #AIinHealthcare #ValueBasedCare Become a Revenue Cycle Rockstar!  Land your first job or advance your career.  Learn more at:  https://revenuecycledecoded.com  Follow me on social media:  YouTube: https://www.youtube.com/channel/UCg2DNvyiGvOhX2Ucv287xOQ   Facebook: https://facebook.com/revenuecycledecoded   LinkedIn: https://www.linkedin.com/groups/14020141/   Twitter: https://twitter.com/RevCycleDecoded   Podcast:  https://spotifyanchor-web.app.link/e/HMsOWL4IyBb