Allison Glass
Prime Healthcare Services
Dallas,TX
Work Preference
Work Type
Full Time
Location Preference
RemoteHybrid
Location:
Dallas, TX
Open to relocation:
Yes
Minimum Desired Compensation
$45000/yr
14
years of professional experience
Revenue-focused analyst and claims leader who combines financial modeling, KPI tracking, and audit discipline to improve billing accuracy and operational performance. Brings hands-on experience with reporting tools, EHR systems, and cross-functional problem solving to support faster decisions and stronger revenue cycle outcomes.
Work History
Financial Analyst, Corporate Finance
4 Months- Conducted advanced data analysis using Epic and Power BI to uncover actionable trends and patterns, directly influencing strategic decisions.
- Developed dynamic dashboards and visualizations in Power BI to present key metrics and insights to cross-functional stakeholders.
- Maintained detailed Excel-based models and reports for forecasting, performance monitoring, and KPI tracking.
- Transformed complex datasets into executive-ready reports, informing leadership decisions and facilitating process improvements.
- Partnered with IT to implement automated reporting solutions, reducing manual workload and improving operational efficiency by 59%.
- Led data-driven discussions with stakeholders, translating technical findings into easily understood, actionable recommendations.
- Assisted in building predictive models using machine learning techniques, improving forecasting accuracy and risk analysis capabilities.
EDI Claims Managers
3 Years 8 Months- Increased reimbursement rates by 91% by proactively resolving denials and appeals in collaboration with insurance providers.
- Reduced claim rejections from 87% to 32% through auditing, staff retraining, and the implementation of standardized billing procedures.
- Streamlined billing processes by using a new software, automating claims submission and payment posting, boosting efficiency by 93%.
- Led 24 specialists and examiners in full-cycle billing operations, enhancing departmental productivity through effective management.
- Cut accounts receivable backlog by 78% through strategic follow-up and refined collections practices, significantly improving cash flow.
- Transitioned the organization to an EHR system, improving data accuracy and billing turnaround time while enhancing overall efficiency.
- Monitored KPIs to evaluate team productivity and identify opportunities for cost savings, achieving a 48% expense reduction.
- Collaborated with cross-functional teams and vendors to resolve billing discrepancies, streamlining processes and optimizing revenue cycle operations.
Customer Service Manager
2 Years 4 Months- Proficiently led and developed a high-performing team by setting clear expectations, conducting regular performance evaluations, and facilitating ongoing training activities, resulting in increased operational efficiency and employee engagement.
- Tracked KPIs to monitor team performance and communicate goals, facilitating targeted improvement initiatives aligned with organizational objectives.
- Oversaw scheduling, leave management, and resource planning, maintaining smooth operations and full coverage during critical periods.
- Analyzed daily call activity to optimize team coverage, ensuring responsiveness to demand fluctuations.
- Trained staff on scheduling, call handling, and service standards.
- Addressed patient concerns with effective communication and empathetic listening, enhancing patient satisfaction and trust.
- Documented service requests in electronic health record systems.
Patient Service Representative
8 Months- Handled high-volume inbound/outbound calls, providing support and resolving inquiries to strengthen patient relationships.
- Verified insurance coverage and collected payments, clarifying benefits and financial responsibilities to enhance patient understanding.
- Facilitated patient registration for surgeries and diagnostic tests, ensuring accurate data entry and smooth check-in processes.
- Updated patient records and insurance information, reducing administrative errors and ensuring timely claims processing.
Claims Examiner
5 Years 5 Months- Investigated claims issues, including damage assessments, record reviews, and discrepancies, reducing claim resolution time by over 30%.
- Identified potential fraud or abuse, partnering with anti-fraud organizations and internal compliance teams to uphold organizational integrity.
- Analyzed daily insurance claims from Blue Chip, Blue Card, RAP, FSS, and Premier systems to ensure accuracy and compliance.
- Processed and submitted CMS-1500 and UB-04 forms, ensuring accurate billing based on insurance regulations and payer requirements.
- Collaborated with finance, clinical, and operations departments to resolve complex issues, enhancing overall claim cycle efficiency.
- Monitored claims processing trends and submitted performance insights to management, identifying areas for system optimization.
- Provided training and support to new claims processors, helping standardize procedures and improve accuracy across the department.
Education
Bachelor of Arts - Healthcare Administration
Skills
Revenue analysis
Team leadership
Auditing
Microsoft Office Suite (Word
Excel
PowerPoint
Access
Outlook)
Epic
Practice Velocity
Artiva
M87tech
OneSource
Salesforce
NetSuite
Adobe Acrobat
QuickBooks
Power BI
Oracle
SharePoint
Financial modeling
Claims processing
KPI tracking
Billing compliance
Predictive modeling
Timeline
Financial Analyst, Corporate Finance
Prime Healthcare Services
01.2024 - 05.2024Read More
EDI Claims Managers
Parallon, HCA Healthcare
02.2020 - 10.2023Read More
Customer Service Manager
Optum Care Medical Group
10.2017 - 02.2020Read More
Patient Service Representative
Conifer Health Solutions
07.2016 - 03.2017Read More
Claims Examiner
Health Care Service Corporation
08.2010 - 01.2016Read More
University of Arizona
Bachelor of Arts from Healthcare Administration
Read More