Open To Work
Chameka Brooks
Washington,DC
Summary
Revenue Cycle expert with 10+ years of experience specializing in billing compliance, reimbursement analysis, and data-driven process design for diverse healthcare providers. Recovered over $85,000 in outstanding revenue by executing root cause analysis on denials and optimizing complex billing workflows. Maintained ~95% clean claim submission rates through strategic performance monitoring and strict adherence to Medicare and Medicaid guidelines. Leverage advanced data analysis in Epic systems to strengthen revenue integrity and implement scalable systems that minimize financial leakage.
Resourceful Account Manager with excellent client oversight, issue resolution, and relationship-building expertise. Maximized repeat business opportunities and utilized proven prospecting techniques to expand client base. High-level sales cycle knowledge and strong collaborative skills leading to optimum outcomes.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Account Manager & Billing Lead
Global Reimbursement Consultants LLC
Gaithersburg
01.2019 - Current
- Analyze accounts to identify underpayments and revenue leakage, utilizing EOB analysis to improve reimbursement accuracy by approximately 15% across assigned portfolios.
- Perform root cause analysis on denials to resolve billing discrepancies and optimize long-term denial management workflows for better collection performance.
- Utilize Epic EHR and advanced Excel for data analysis to identify operational efficiencies and support revenue cycle expansion initiatives.
- Manage end-to-end claims submission while ensuring alignment with CMS requirements, achieving a consistent 98% compliance rate for documentation accuracy.
- Ensure timely charge capture and revenue reconciliation, maintaining 100% billing compliance and reducing reconciliation errors for all assigned accounts.
- Lead cross-functional projects to diagnose workflow issues and implement scalable systems that improve end-to-end revenue cycle performance.
- Increased client satisfaction by building strong relationships and addressing their needs promptly.
- Conducted regular account reviews to identify areas for improvement and ensure continued success.
- Managed a diverse portfolio of accounts, ensuring timely communication and effective problem resolution.
- Successfully resolved escalated issues, preventing potential loss of valuable clients while maintaining positive relationships with all parties involved.
AR Manager
Delta Omicron Caduceus
Gaithersburg
01.2017 - 01.2021
- Recovered $85,000+ in outstanding revenue by identifying denial root causes and resolving billing discrepancies through structured process design.
- Spearheaded workflow optimization initiatives to improve billing accuracy and reduce processing delays across the accounts receivable department.
- Ensured 95% coding compliance with CPT/HCPCS and revenue codes, aligning departmental output with managed care plan requirements.
- Collaborated cross-functionally with providers and insurance companies via payer portals to resolve complex, non-routine medical billing issues.
- Tracked claim statuses and remittances to reduce days in AR by ~10 days through proactive performance monitoring and follow-up.
- Managed post-launch performance monitoring for new billing initiatives to ensure sustained reduction in accounts receivable aging.
- Reduced A/R aging by consistently monitoring outstanding invoices and following up with clients.
- Streamlined invoice processing by automating manual tasks, increasing efficiency within the department.
Pharmacy Technician
CVS Pharmacy
Beltsville
01.2012 - 01.2016
- Resolved insurance denials and prior authorization issues, facilitating a ~20% improvement in reimbursement turnaround times for pharmacy claims.
- Identified and communicated process gaps in pharmacy billing to improve workflow efficiency and support collection performance.
- Streamlined prescription processing with accurate data entry and verification of patient information.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
- Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
Education
Bachelor’s Degree - Cyber Security
Southern New Hampshire University
Hooksett, NH05.2027
Associate’s Degree - Healthcare Administration
Ultimate Medical Academy
Clearwater, FL05.2015
Skills
- Revenue cycle optimization
- Project & Process Management: Project Management, Process Design, Workflow Optimization, Scalable Systems, Transformation Strategy, Root Cause Analysis
- Data Analytics & Reporting: Data Analysis, Excel (Advanced), Performance Monitoring, Reimbursement Analysis, EOB Analysis
- Healthcare Systems & Compliance: Epic Resolute (HB/PB), EHR Systems, Billing Compliance, CPT / HCPCS, Payer Portals (Availity, Navinet), Regulatory Compliance
- Compliance with HIPAA standards
- Accounts receivable management
- Analyzing claims
- Financial counseling
- Account management
- Goals and performance
- Documentation and reporting
Certification
Medical Office Billing Specialist
Accomplishments
- Supervised team of 5 staff members.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Account Manager & Billing Lead
Global Reimbursement Consultants LLC
01.2019 - Current
AR Manager
Delta Omicron Caduceus
01.2017 - 01.2021
Pharmacy Technician
CVS Pharmacy
01.2012 - 01.2016
Bachelor’s Degree - Cyber Security
Southern New Hampshire University
Associate’s Degree - Healthcare Administration
Ultimate Medical Academy