Summary
Overview
Work History
Education
Skills
Timeline
Generic

ALISA DUBOSE

Roseville,MN

Summary

Healthcare finance and operations leader with 10+ years of experience in Medicaid billing, revenue cycle management, and administrative oversight for CFSS, FMS, CDCS, and mental health programs. Recognized for reducing claim denials by 95% and lowering held claim rates from 20% to 4%. Experienced in leading and mentoring cross-functional teams of 50+ employees, including billing, payroll, and administrative staff. Skilled in KPI dashboarding, process improvements, and hands-on use of MN–ITS, MCO/MSHO portals, Availity, TruBridge RCM, and Procentive, with strong knowledge of DHS rules and Medicaid credentialing requirements.

Overview

12
12
years of professional experience

Work History

Director of Client Fiscal Services

Accra
01.2020 - Current
  • Lead Medicaid billing operations for CFSS, FMS, CDCS, and mental health programs, managing claims submission, reconciliation, and compliance.
  • Mentor and manage 50+ employees across billing, payroll, and administrative teams, fostering collaboration and accountability.
  • Implemented CFSS billing processes and Medicaid credentialing for caregivers and practitioners.
  • Maintain KPI dashboards tracking AR aging, denial trends, pending claims, and payment performance; present insights to senior leadership.
  • Reduced claim denials by 95% through proactive monitoring and issue resolution.
  • Lowered held claim rates from 20% to 4% by improving eligibility checks and documentation before submission.
  • Oversee payroll processing, budget management, and departmental expenses aligned with fiscal goals.
  • Operate billing systems and payer portals, including MN–ITS, MCO/MSHO, Availity, TruBridge RCM, and Procentive.
  • Ensure DHS compliance and manage MPSE provider enrollment updates.

FMS Manager

Accra
01.2018 - 01.2020
  • Managed FMS billing for CDCS/CSG clients; ensured accurate and timely claim submission.
  • Streamlined communication with case managers, caregivers, and payers, improving claim resolution by 30%.
  • Delivered staff training on Medicaid billing and DHS compliance, reducing errors by 20%.
  • Collaborated with MCOs and state agencies for payment issue resolution.

Billing Specialist

Accra
01.2014 - 01.2018
  • Processed Medicaid claims through MN–ITS, Procentive, and MCO portals.
  • Resolved claim denials, recovering revenue and increasing collections by 15%.
  • Supported provider credentialing and MPSE enrollment updates.
  • Assisted with process updates to comply with state and federal billing changes.

Education

Bachelor of Science in Individualized Studies - Business Management & Organizational Behavior, Disabilities

Metro State University
Saint Paul, MN
05.2025

Skills

  • Revenue Cycle Management (RCM) Strategy
  • Medicaid & Waiver Billing (CFSS, FMS, CDCS, Mental Health)
  • Denials Prevention & Resolution
  • Practitioner & Caregiver Credentialing
  • DHS Rules, Policies & Compliance
  • MPSE Provider Enrollment & Tax ID Updates
  • KPI Dashboarding & Reporting
  • Payroll, Budgeting & Expense Oversight
  • Strategic planning
  • Verbal and written communication
  • Decision-making
  • Relationship building
  • Leadership & Mentorship (50 employees)
  • Staff Training & Process Optimization
  • Payer Platforms: MN–ITS, MCO/MSHO Portals, Availity, TruBridge RCM, Procentive
  • EVV Systems

Timeline

Director of Client Fiscal Services

Accra
01.2020 - Current

FMS Manager

Accra
01.2018 - 01.2020

Billing Specialist

Accra
01.2014 - 01.2018

Bachelor of Science in Individualized Studies - Business Management & Organizational Behavior, Disabilities

Metro State University
ALISA DUBOSE