20 plus years of experience in Management with an in depth supporting and enhancing operations with a decisive leadership style and strategic approach to decision making. Knowledgeable business practices in the Revenue/AR Cycle industry. Dynamic Patient Accounting Revenue Manager with a strong focus on training, conflict resolution, and organizational excellence. Successfully implemented programs that enhanced staff performance and optimized departmental workflows.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Patient Accounting Revenue Manager
South Texas Health System-ROC
Edinburg, Texas
12.2021 - 02.2026
Managed staff schedules to optimize workflow across departments and promoting a positive work environment.
Developed training programs for new staff on hospital policies and procedures.
Resolved patient complaints by collaborating with Central Business Office and support teams, like Risk Management and Administration.
Monitored hospital KPI performance metrics such as Quality, Accuracy, Estimates and Productivity scores linked to financial results within Experian.
UKG timekeeping training and implementation with employees for accurate timesheets/payroll
Facilitated communication between different departments within the organization to ensure alignment on goals and objectives.
Recruited, hired and trained new Support Staff in Verification, Financial Counseling and Central Scheduling Departments.
Directed, supervised and evaluated clerical personnel inclusive of counseling/coaching.
Assessed need for additional staff, equipment and services based on historical data and seasonal trends.
Maintained awareness of government regulations, health insurance changes and financing options.
Key in implementing Talkdesk IVR, training including other UHS Hospitals.
Worked with Registration/Admitting Management to research and implement goals to reduce denials.
Ensured invoicing and accruals for Third Party Eligibility Agencies were accurate and timely.
Worked with Out of State Medicaid enrollment agency.
Assistant Director Revenue Cycle
South Texas Health System
Edinburg, TX
7/9/17 - 11.2021
Oriented, trained, and directed staff to achieve objectives.
Mentored new employees on industry practices and business operations.
Monitored team compliance with safety and health guidelines.
Handled incoming and outgoing mail, email and faxes.
Coached and guided direct reports on day-to-day operations and company policies and procedures.
Oversaw staff, financials and key performance indicators to manage business operations.
Developed department performance goals and methods for achieving milestones.
Generated reports to provide data for corrective actions and improvements.
Participation in Denials Meetings and Trained Denials Analyst.
Evaluated key business metrics and recommended adjustments to policies and procedures.
Reported Monthly Accruals
Update and Maintained Upfront Cash Goal
Developed Productivity Standards for Financial Counselors
Provided Education to Department Directors on Reconciling Charges
Revenue Cycle Manager
South Texas Health System
Edinburg, TX
4/10/11 - 7/8/17
Provided revenue cycle process support to all clinical personnel, including resolving procedure challenges.
Recommended offer acceptances and installment payment plans.
Analyzed and reported on billing cycle data to inform management.
Kronos-Payroll
Reconciliation Reporting and Training
Oversaw complete lifecycle of revenue operations.
Served as Liaison between CBO and Facilities facilitating customer complaints.
Work collaboratively with CBO and Corporate Foundations to communicate coding and reimbursement updates.
Denials Management Monthly Reporting with Leadership and Corporate
System Admin for Various payer Portals
Manager Patient Accounts
South Texas Health System
Edinburg, TX
8/3/09 - 4/9/11
Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
Directed work of team of 4 Financial Counselors handling Front End collections.
Oversaw Third Party Agencies, and all other accounting functions.
Patient Accounting Supervisor
South Texas Health System
Edinburg, Texas
9/2/07 - 8/2/09
Developed and maintained Policies and Procedures
Directed work of team of 4 Financial Counselors handling Front End collections.
Selected, trained, assigned, scheduled and coached employees and communicated job expectations.
Managed daily operations within Financial Counseling office by supporting continuous delivery of excellent services and care.
Utilized active listening skills to quickly resolve problems and escalated larger issues to Manager.
Supervisor
South Texas Health System
Edinburg, Texas
1/23/05 - 9/1/07
Led and motivated 6 employees through supervision, training and coaching on duties and daily operational activities.
Recruited well-qualified candidates to fill vacancies.
Facilitated peer-to-peer conflict resolution.
Initiated training and education programs for supporting healthcare staff.
Delivered consistent coaching and mentoring to improve job efficiency.
Managed CAshiers, Collectors and Financial Counselors
Payroll/Kronos Timekeeping for Staff- monitoring OT/Productivity
Oversight of Third Party Agency
Asst Financial Counselor
South Texas Health System
Edinburg, Texas
4/22/01 - 1/22/05
Assisted patients without healthcare coverage to find resources, services and assistance needed.
Advocated for patients by contacting insurance carriers and obtaining necessary benefits information.
Interviewed patients and families, answering questions regarding financial process during such sessions.
Documented all gathered information and details from discussions with patients and providers using TMHP, CEI.
Answered clients' questions regarding details of financial plans and strategies and explained data in easy-to-understand terms.
Interviewed clients to determine income, expenses, financial objectives and risk tolerance in order to develop successful financial plans.
Financial Counselor
HCA- Rio Grande Regional
McAllen, Texas
3/1/00 - 4/21/01
Assisted patients without healthcare coverage to find resources, services and assistance needed.
Interviewed patients and families, answering questions regarding financial process during such sessions.
Liaised between physician, patient and insurance carrier to verify that each party had necessary information.
Documented all gathered information and details from discussions with patients and providers using TMHP.
Financial Counselor
South Texas Health System
Edinburg, Texas
1997 - 2000
Assisted patients without healthcare coverage to find resources, services and assistance needed.
Interviewed patients and families, answering questions regarding financial process during such sessions.
Advocated for patients by contacting insurance carriers and obtaining necessary benefits information.
Liaised between physician, patient and insurance carrier to verify that each party had necessary information.
Education
Some College (No Degree) - General Curriculum
Pan American University
Edinburg
Skills
Training and development
Issue and conflict resolution
Systems and automation applications
Computer skills
Organizational skills
Time management
Languages
Spanish
Native/ Bilingual
Certification
ACA CAC Training - Certified from 2013 through 2015
STC Partnership
Contact for STC Student Practicum Hours. One Student was hired as a result of this collaboration as the Denials Analyst.