Efficient Revenue Cycle Analyst highly skilled in procedure optimization and revenue metrics analysis to increase financial performance. Aiming to utilize 3 years of account monitoring to drive profit and contribute immediate value.
Overview
15
15
years of professional experience
Work History
Revenue Cycle Implementation Specialist
BrightSpring Health Services
09.2020 - Current
Enrolled over 350 providers for ERA and over 30 providers for electronic billing in calendar year 2023.
Delivered exceptionally high level of professionalism and support to each client, upholding company's commitment to service.
Explained complex, technology-related issues in basic, understandable terms to clients.
Suggested solutions to developing problems during project so that correct modifications could be made.
Focused solutions on industry-specific workflow, client base and protocols, tailoring implementations to client needs.
Aided senior leadership in authoring data capturing reports to identify issues and determine solutions.
Documented specialized data and requirements to address business demands.
Implemented training initiatives by incorporating industry trends and collaborating with senior leaders.
Identified discrepancies to devise and initiate cost-effective solutions.
Created user accounts and assigned permissions.
Broke down and evaluated user problems, using test scripts, personal expertise, and probing questions.
Generated reports to track performance and analyze trends.
Offered assistance in implementing and developing training programs.
Denial Management Specialist
BrightSpring Health Services
09.2018 - 09.2020
Optimized customer experience by delivering superior services and effectively troubleshooting issues.
Collected, arranged, and input information into database system.
Educated staff on organizational mission and goals to help employees achieve success.
Developed and updated tracking spreadsheets for process monitoring and reporting.
Evaluated customer needs and feedback to drive product and service improvements.
Evaluated staff performance and provided coaching to address inefficiencies.
Helped meet changing demands by recommending improvements to business systems or procedures.
Generated reports detailing findings and recommendations.
Scheduler
Baptist Health Medical Group dba Louisville Cardiology Group
08.2010 - 09.2018
Generated department orders and accompanying documentation.
Completed logs and reports detailing production data such as volume, materials used and quality assurance results, helping management make accurate operational decisions.
Oversaw and verified adherence to government regulations by maintaining sensitive data and complying with international laws.
Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.
Verified insurance coverage and eligibility for medical services prior to scheduling appointments to prevent billing issues.
Managed complex calendars for multiple medical practitioners, verifying accuracy of all appointments.
Collaborated with healthcare staff to verify alignment of appointment scheduling with clinic protocols.
Coordinated with other departments to facilitate seamless operation and excellent patient care.
Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
Assisted with medical coding and billing tasks.
Placed new supply orders, managed inventory and restocked clerical spaces.
Eligibility Specialist
Meritain Health
05.2009 - 01.2010
Resolved discrepancies with client applications to verify eligibility.
Communicated with people from various cultures and backgrounds on application process.
Processed and certified documents for accuracy and compliance with government regulations.
Assisted clients with accurate eligibility form, application and document completion.
Developed extensive fact-checking and research skills by continuously reviewing different programs and options.
Education
Master of Business Administration - Project Management
Indiana Institute of Technology
Ft. Wayne, IN
01.2023
Bachelor of Science - Human Resources Leadership
Sullivan University
Louisville, Kentucky
12.2009
Skills
Issue Resolution
Implementation Management
Process Improvement
Training Development
Business Analysis
Problem Solving
Cross-functional Collaboration
Requirements Gathering
Performance Metrics
Application Support
User Training
Report Preparation
Account Administration
Timeline
Revenue Cycle Implementation Specialist
BrightSpring Health Services
09.2020 - Current
Denial Management Specialist
BrightSpring Health Services
09.2018 - 09.2020
Scheduler
Baptist Health Medical Group dba Louisville Cardiology Group
08.2010 - 09.2018
Eligibility Specialist
Meritain Health
05.2009 - 01.2010
Master of Business Administration - Project Management
Indiana Institute of Technology
Bachelor of Science - Human Resources Leadership
Sullivan University
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