Healthcare revenue-cycle and home-infusion operations professional with 25 years of experience in DME and home infusion. Expertise includes credentialing, billing, authorizations, referrals, appeals, audits, payer relations, revenue-cycle management, and operational transitions. Experienced in software implementation, clean-claim workflows, state-bid processes, and identifying growth opportunities. Known for strong payer and provider regulatory knowledge, problem-solving, and collaboration with executive leadership.
Returned during critical transition to help maintain continuity. Guided transition from Change Healthcare clearinghouse to Waystar. Coordinated software conversion from CRP+ to Caretend and managed billing cycle and workflow alignment.
Successfully navigated and executed the Change of Ownership (CHOW) process for a medical pharmacy, ensuring 100% compliance with State Board of Pharmacy and DEA regulations.
Coordinated with former State Representatives to solve issues with medical insurance companies that were non-compliant.
AI-Powered Performance Ad Certification