Results-driven Revenue Cycle Director with 9+ years of experience optimizing healthcare operations through statistical analysis, quality control, and process improvement. Proven ability to increase efficiency, minimize costs, and maximize revenue through data-driven strategies and automation. Recognized for innovation and leadership in revenue cycle management.
Overview
9
9
years of professional experience
Work History
Revenue Cycle Director
Pediatric Associates Family of Companies
02.2020 - Current
Led and managed the entire revenue cycle operations, overseeing billing, collections, insurance verification, and claims processing for the state of Texas.
Developed and implemented strategic initiatives on eCW to improve cash flow, reduce denials, and optimize reimbursement rates.
Ensured compliance with federal, state, and payer regulations, mitigating risks and avoiding revenue losses.
Directed a team of analysts and specialists, fostering a high-performance culture and improving team efficiency.
Partnered with IT and BI teams to enhance automation and analytics, streamlining revenue cycle reporting and decision-making.
Conducted financial performance analysis to identify revenue leakage and implement corrective measures.
Implemented training programs to ensure staff adherence to best practices in revenue cycle management.
Revenue Cycle / Process Improvement Specialist
Clinicas Mi Doctor - MDMG
06.2018 - 02.2020
Identified and recovered $1M+ in insurance underpayments, enhancing revenue collection.
Developed and managed the organization's 2019 & 2020 revenue budgets.
Led the integration of 21+ acquired practices into company revenue cycle processes, ensuring seamless financial operations.
Collaborated with BI developers to automate check-in processes, reducing insurance verification and collection errors by 15%.
Won 1st place in the company's 2019 Annual Innovation Challenge for process improvement initiatives.
Revenue Cycle Analyst
Clinicas Mi Doctor - MDMG
01.2017 - 06.2018
Managed claims processing across Medicare, Medicaid, private insurance, and self-pay, ensuring timely reimbursements.
Delivered accurate cash flow projections, addressing outstanding payer issues proactively.
Monitored and enforced revenue cycle KPIs, improving financial performance.
Automated 40+ reports using Tableau, reducing manual workload and increasing reporting efficiency.
Business Analyst Intern
Clinicas Mi Doctor - MDMG
01.2016 - 12.2016
Supervised and maintained 20+ operational KPIs to optimize healthcare processes.
Assisted in budget preparation and compliance, supporting financial stability.
Utilized statistical tools to determine best operational models, improving efficiency.
Education
Bachelor of Science - Industrial Engineering
Tecnológico De Monterrey
Mexico
Entrepreneurship Program
McGill University
Canada
Skills
Technical: Advanced proficiency in MS Office, Tableau, EClinicalWorks Intermediate in Power BI, AutoCAD, MiniTab
Analytical & Operational: Revenue Cycle Management, Data Analysis, Process Automation, Budgeting & Forecasting