ANGELA KUNZ
Revenue Cycle Specialist
Shoreham,NY
Summary
Detail-oriented Revenue Cycle Specialist with over 9 years of experience in hospital revenue cycle management. Expertise includes insurance follow-up, claims resolution, denials and appeals, and accounts receivable management across various payer types. Proven success in optimizing reimbursement outcomes and maintaining high accuracy in dynamic healthcare settings.
Overview
23
23
years of professional experience
Work History
FINANCIAL SERVICES ASSOCIATE
NYU Langone Health
Mineola, NY
01.2018 - Current
- Managed revenue cycle operations for 150–500 patient accounts within Epic work queues, supporting timely reimbursement and account resolution.
- Performed insurance follow-up across commercial insurance, Medicare, Medicaid, Managed Medicaid, Workers’ Compensation, and No-Fault accounts.
- Managed payer accounts including Fidelis Care, Blue Cross Blue Shield, and additional commercial and government payers.
- Resolved outstanding balances on aging accounts, enhancing accounts receivable and reimbursement outcomes.
- Resolved claim issues, payment discrepancies, and reimbursement delays by contacting insurance carriers through payer portals and phone communication.
- Handled denied claims and appeals by preparing supporting documentation, submitting formal appeals, and conducting payer follow-up.
- Corrected claims, submitted adjustments and voids, and ensured accurate claim processing according to payer requirements.
- Reviewed remittances and payment activity to identify underpayments, overpayments, and account discrepancies.
- Trained team members on Epic processes and departmental workflows while maintaining HIPAA compliance.
- Key Achievement: Recognized as a Top Performer with 100% Quality and 100% Productivity scores and consistently exceeded productivity expectations by resolving 60+ patient accounts daily.
- Resolved patient account inquiries, explaining billing details and payment responsibilities clearly.
- Verified insurance coverage, eligibility, and benefits for outpatient and inpatient services.
- Reviewed account activity, identified discrepancies, and corrected registration or billing errors.
- Balanced multiple priorities simultaneously while maintaining focus on delivering high-quality service to all patients.
- Demonstrated exceptional attention to detail when reviewing client accounts, identifying errors or discrepancies early on.
- Supported colleagues by sharing expertise and collaborating on complex cases, fostering a positive work environment.
- Provided excellent customer service, addressing concerns promptly and proactively anticipating patient needs.
MEMBER SERVICES ASSOCIATE
Fidelis Care
Rego Park, NY
01.2014 - 01.2018
- Assisted members with insurance inquiries on eligibility, benefits, coverage, and healthcare services to ensure understanding and satisfaction.
- Verified eligibility and explained benefits while maintaining accurate member documentation to support effective service delivery.
- Resolved member complaints through thorough research and follow-up, coordinating with internal departments to enhance member experience.
- Utilized Facets to access member information and support accurate account management.
- Maintained knowledge of healthcare regulations, insurance policies, and procedures.
- Resolved member inquiries regarding eligibility, benefits, and plan coverage with accurate, timely responses.
- Processed enrollment updates, demographic changes, and service requests while maintaining clean member records.
- Coordinated with internal departments to escalate issues and expedite resolution for member concerns.
- Maintained service standards while adapting quickly to policy changes, workflows, and system updates.
- Streamlined membership enrollment process, making it more efficient and user-friendly for new clients.
OPERATIONS COORDINATOR
Pathway System Designs (IBEW Local 25)
Amityville, NY
10.2003 - 11.2013
- Coordinated dispatch operations for 15 technicians, optimizing personnel assignments to align with project requirements.
- Processed payroll for 15 employees, ensuring accuracy in employee and job records using QuickBooks.
- Created and tracked purchase orders, coordinating materials, schedules, and communication between field staff and office personnel to enhance workflow.
- Processed payroll for 15 employees and maintained accurate employee and job records using QuickBooks.
- Coordinated daily operations, aligning schedules, communications, and task priorities across project teams.
- Tracked work orders and documentation, ensuring accurate records for internal reviews and client updates.
- Supported field and office staff by resolving routine issues and maintaining workflow continuity.
- Organized project files, permits, and compliance documents to keep records current and accessible.
- Monitored deadlines and follow-ups, helping teams complete deliverables on schedule.
- Communicated with vendors, contractors, and internal stakeholders to confirm requirements and status updates.
- Prepared reports, correspondence, and operational materials with strong attention to detail.
- Collaborated with area managers to evaluate needs and optimize operational plans.
- Led successful projects from conception to completion, achieving objectives on time and within budget constraints.
- Developed strong relationships with clients, maintaining open lines of communication to promote loyalty and retention.
- Implemented troubleshooting, root cause analysis and issue resolution.
- Provided direction and guidance to internal teams in order to achieve targets.
- Oversaw day-to-day operations of large teams across several sites.
- Worked with vendors to make purchases and reconcile invoices.
- Negotiated contracts with vendors, securing competitive pricing for goods and services.
- Scheduled employees for shifts, taking into account customer traffic and employee strengths.
- Tracked employee attendance and punctuality, addressing repeat problems quickly to prevent long-term habits.
Education
High School Diploma -
Commack High School
Commack, NYSkills
- Revenue Cycle Operations
- Insurance Follow-Up
- Claims Resolution
- Denial Management
- Appeals Processing
- Accounts Receivable
- Payment Reconciliation
- Claims processing
- Payer Communication
- Patient Financial Services
- Epic Work Queues
- Coding Accuracy Review
- HIPAA Compliance
- Document management
- Account Resolution
- Commercial insurance knowledge
- Medicare
- Medicaid
- Managed Medicaid
- Workers’ Compensation
- No-Fault
- Supply management
- Scheduling coordination
- Project coordination
- Operations coordination
- Client relations
- Warehouse management
- Safety management
- Revenue optimization
Personal Information
Title: REVENUE CYCLE SPECIALIST
Healthcare Systems & Software
Epic, Sorian,Facets,Availity, Craneware,ePremis,Optum, HealthLogic
Additional Software: Microsoft,Excel,Word,Outlook, Webex
Timeline
FINANCIAL SERVICES ASSOCIATE
NYU Langone Health
01.2018 - Current
MEMBER SERVICES ASSOCIATE
Fidelis Care
01.2014 - 01.2018
OPERATIONS COORDINATOR
Pathway System Designs (IBEW Local 25)
10.2003 - 11.2013
High School Diploma -
Commack High School