Amesha Washington
Revenue Cycle Operations Leader
Atlanta,GA
Work Preference
Summary
- 20+ years of Healthcare Revenue Cycle experience across multi-specialty healthcare organizations
- 10+ years leading AR and Denial Management teams of up to 27 staff members
- Reduced denial trends by 18–22% through root-cause analysis and workflow improvements
- Increased appeals resolution success by approximately 25% through process redesign and team training
- Improved accounts receivable performance by reducing AR aging by 12–15 days through targeted follow-up strategies
- Expertise in payer reimbursement strategy, denial analytics, and revenue recovery operations
Overview
22
22
years of professional experience
Work History
Senior Manager, Denial Management Operations
Northside Hospital
Atlanta, GA
12.2019 - Current
- Lead denial management operations supporting 27 revenue cycle professionals responsible for appeals, payment posting, and reimbursement recovery.
Utilize MedMetrics, Cerner, NexGen, Availity and payer portals to analyze claim denials and identify payer trends that reduced denial volume by 18–22%.
Implemented denial categorization by payer, denial code, and service line to strengthen reporting visibility and identify revenue leakage.
Improved appeal success rates by 25% through enhanced documentation review and escalation strategies for high-value claims.
Partner with coding, front-end, and authorization teams to correct upstream issues including authorization gaps and modifier errors to improve first-pass claim accuracy.
Monitor KPIs including denial trends, reimbursement recovery, and resolution timelines while presenting operational insights to revenue cycle leadership.
Supervisor, Revenue Cycle Follow–Up Operations
HealthPartners
Saint Paul, MN
01.2014 - 07.2019
- Led insurance follow-up operations across multiple specialty clinics hospital facilities supervising staff responsible for denial resolution and payer escalation.
Managed performance metrics including appeal success rates and claim resolution timelines improving reimbursement turnaround times.
Implemented KPI tracking and productivity benchmarks that improved staff efficiency and claims resolution performance.
Utilized Epic EMR systems and payer portals to analyze claim denials and implement workflow improvements that reduced denial rates by approximately 20%.
Supervisor, Accounts Receivable Operations
HealthPartners
Saint Paul, MN
01.2004 - 01.2014
- Directed accounts receivable operations responsible for payer follow-up and insurance collections across multiple service lines.
- Managed revenue cycle operations using Althea Healthcare Systems before supporting the transition to Epic during system implementation.
- Monitored AR aging and payer reimbursement performance implementing follow-up strategies that reduced AR days by 12–15 days.
- Improved reimbursement recovery by prioritizing high-value claims and strengthening follow-up workflows.
- Investigated complex payer disputes and coordinated resolution with insurance representatives and internal billing teams.
Skills
- Revenue recovery operations
- Process Improvement
- Payer Reimbursement Strategy
- Team Leadership & Development
- Data Analysis & Reporting
- Process Improvement
- Payer Reimbursement Strategy
- Team Leadership & Development
Education
Bachelor of Science - Healthcare Administration
Metropolitan State University
Saint Paul, MNAssociate of Science - Nursing (LPN Track)
Saint Paul Community College
St. Paul, MNWork Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse
Timeline
Senior Manager, Denial Management Operations
Northside Hospital
12.2019 - Current
Supervisor, Revenue Cycle Follow–Up Operations
HealthPartners
01.2014 - 07.2019
Supervisor, Accounts Receivable Operations
HealthPartners
01.2004 - 01.2014
Associate of Science - Nursing (LPN Track)
Saint Paul Community College
Bachelor of Science - Healthcare Administration
Metropolitan State University