Summary
Overview
Work History
Education
Skills
Certification
References
Timeline
Generic

Allison Lowder

Sumter,SC

Summary

Seeking a challenging role in revenue cycle project management where I can utilize my extensive experience and expertise to optimize revenue generation, enhance operational efficiency, and ensure compliance with billing regulations.

Dedicated and results-driven healthcare revenue cycle management professional with over a decade of experience in optimizing billing processes, reimbursement strategies, and financial operations within the healthcare industry. Proven track record of success in streamlining revenue cycle workflows, reducing denials, and maximizing revenue capture for various healthcare organizations.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Revenue Cycle Manager

Mcleod Occupational Health, LLC
01.2021 - Current
  • Maintained oversight of all billing operations including coding, charge entry, payment posting, collections and appeals.
  • Implement revenue optimization strategies to maximize revenue.
  • Collaborate with physicians, clinical staff, project managers and finance team to resolve issues and ensure efficiency.
  • Developed strategies for improving the collection process, reducing bad debt, and increasing customer and patient satisfaction.
  • Prepared monthly reports summarizing account activity including aging analysis and outstanding balance summaries.

Revenue Cycle Director/Credentialing Specialist

Tandem Health SC
05.2015 - 09.2023
  • Managed a team of billing specialists and provided guidance and direction to on billing and collections processes, insurance regulations, and coding practices.
  • Conducted ongoing assessments to improve efficiency and prevent denials.
  • Developed and implemented departmental policies and procedures to ensure accuracy of revenue cycle operations.
  • Collaborated with other departments to ensure compliance.
  • Monitored accounts receivable balances to ensure timely payment from third-party payers.
  • Completed physician application packages, including obtaining all necessary documents.
  • Reviewed and updated provider enrollment applications to ensure accuracy and completeness of information.

Billing Specialist/Office Manager

Carolina Family Practice
05.2014 - 11.2015
  • Reviewed medical records to ensure accuracy of billing information and patient data.
  • Calculated billing charges, prepared and submitted claims to insurance companies.
  • Monitored accounts receivable activity to ensure timely payment of invoices.
  • Answered customer inquiries regarding billings, payments, account status.

Education

Bachelor of Arts - Psychology

Clemson University
05.2011

High School Diploma -

Crestwood High School
06.2008

Skills

  • Billing cycle performance
  • Claims Management
  • Revenue optimization
  • Revenue metrics analysis
  • Compliance Assessment
  • Quality Assurance
  • Critical Thinking
  • Client Relationship Management
  • Intuit QuickBooks
  • Insurance Negotiation
  • Physician enrollment
  • Re-credentialing request follow up

Certification

Certified Professional Coder (CPC), AAPC, 04/2013

References

References available upon request.

Timeline

Revenue Cycle Manager

Mcleod Occupational Health, LLC
01.2021 - Current

Revenue Cycle Director/Credentialing Specialist

Tandem Health SC
05.2015 - 09.2023

Billing Specialist/Office Manager

Carolina Family Practice
05.2014 - 11.2015

Bachelor of Arts - Psychology

Clemson University

High School Diploma -

Crestwood High School
Certified Professional Coder (CPC), AAPC, 04/2013
Allison Lowder