Chrystal Fields
Greenwich,CT
Summary
Executive-level Revenue Cycle and Behavioral Health Billing Leader with extensive experience overseeing multi-site, high-volume operations (2,500+ claims weekly) and driving reimbursement strategy, denial prevention, and KPI-driven performance. Expert in behavioral health reimbursement, telehealth billing compliance, payer contracting, and regulatory requirements for Medicare, Medicaid, and commercial payers. Known for building scalable revenue cycle infrastructures and leading high-performing remote and hybrid teams that strengthen cash flow, accelerate collections, and ensure audit-ready compliance. Trusted advisor to senior leadership, skilled in data-driven strategy design, payer engagement, and technology-enabled process improvements that increase clean claim rates, reduce A/R days, and support sustainable growth across behavioral health, OB/GYN, and pain management.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Revenue Cycle Manager – Mental Health (Remote)
Mindful Holistic Counseling
White Plains, NY
09.2015 - 01.2026
- Primary billing and revenue cycle contact for a growing mental health practice, managing day-to-day operations, financial performance, and communication with leadership. Supported behavioral health providers with clear explanations of billing, claim status, and payer requirements
- Directed enterprise-wide revenue cycle operations for a high-growth behavioral health organization, overseeing billing strategy, financial performance, and operational scalability across telehealth and outpatient services.
- Led end-to-end claims lifecycle management for high-volume operations (2,500+ claims weekly), ensuring compliance with CMS, Medicaid, and commercial payer regulations while optimizing reimbursement accuracy and speed.
- Established and monitored key revenue cycle KPIs, including A/R aging, denial rates, clean claim rates, and reimbursement trends; delivered executive-level reporting and actionable insights to drive financial performance and strategic decision-making.
- Designed and implemented standardized, scalable billing workflows aligned with behavioral health coding, payer requirements, and authorization protocols, improving operational efficiency and revenue predictability.
- Directed denial prevention and appeals strategy, significantly improving clean claim rates, accelerating cash flow, and reducing revenue leakage.
- Partnered with executive and clinical leadership to align documentation practices with reimbursement requirements, strengthening compliance and maximizing revenue capture.
- Oversaw remote revenue cycle infrastructure, ensuring SLA adherence, operational accountability, and high performance across distributed teams and vendor partners.
- Served as the executive liaison for payers, vendors, and internal stakeholders, resolving escalated billing issues and strengthening strategic payer relationships.
- Delivered financial forecasting, trend analysis, and revenue optimization recommendations to executive leadership, supporting organizational growth, budgeting, and long-term planning.
- Drove continuous improvement initiatives, leveraging data analytics, process optimization, and cross-functional collaboration to enhance revenue integrity and operational excellence.
Billing Coordinator
Planned Parenthood
Hawthorne, NY
05.2007 - 09.2015
- Owned the full revenue cycle process for five OB/GYN locations, supporting both clinical teams and patients.
- Managed end-to-end medical billing, from eligibility verification through claim submission, posting, and collections.
- Submitted claims electronically and via payer portals
- Posted charges, payments, and adjustments accurately
- Performed AR follow-up and collections professionally
- Maintained HIPAA compliance and patient confidentiality
- Worked with Medicare, Medicaid, and commercial carriers
- Processed patient records and documentation with a high level of productivity and accuracy in a high-volume environment.
Medical Biller
Northeastern Anesthesia
Mt. Kisco, NY
06.2005 - 05.2007
- Provided full-cycle billing support for pain management services. Supported 40 accounts in a pain management setting, gaining a strong operational understanding of a busy medical facility
- Verified insurance eligibility and patient coverage
- Submitted claims and tracked payment status
- Posted payments and reconciled accounts
- Followed up on outstanding balances and claims
- Provided patient financial counseling
Education
Bachelor of Science - Business Management
Long Island University
Greenvale, NYSkills
Revenue Cycle Management
- Behavioral Health and Mental Health Billing Full-cycle and claims management KPI tracking Billing audits and workflow analysis Revenue trend reporting and risk identification Advanced excel reporting and risk identification
Insurance Verification & Patient Registration
- Insurance eligibility verification Benefits verification Telehealth coverage validation Patient demographics accuracy Financial responsibility communication Prior authorization coordination
Medical Coding & Claims Management
- CPT coding ICD-10 coding Telehealth modifiers (95, GT, POS 02, POS 10) Charge capture Claims submission (837 EDI) Clearinghouse management Documentation review
Accounts Receivable & Denial Management
- AR follow-up and collections Appeals preparation Denial analysis and correction Insurance claim resolution EOB interpretation Underpayment identification Payment plan coordination Medical necessity reviews
Payment Posting & Reconciliation
- ERA/EOB posting Contractual adjustments Payment reconciliation Revenue tracking Audit-ready documentation
Compliance & Regulatory Knowledge
- HIPAA compliance CMS billing guidelines Medicare & Medicaid billing Commercial insurance policies Telehealth billing compliance Post-billing and compliance verification
Technical Systems & Tools
- eClinicalWorks EPIC Therapy Notes Simple Practice Office Ally ADS Medics Premiere IDX Availity Insurance Portals Clearinghouses and Practice Management Systems Microsoft Excel, Word, Outlook, Teams Google Workspace Telehealth Billing Platforms
Operational & Team Leadership
- Remote team leadership and workflow accountability Cross-functional collaboration with clinical and executive leadership Vendor and clearing house oversight Performance coaching and process improvement Scalable infrastructure development Operational leadership and team collaboration Stakeholder communication and provider support
Accomplishments
- Successfully managed 2,500+ claims weekly with high accuracy and efficiency
- Reduced claim denials through proactive eligibility verification and coding accuracy
- Improved revenue cycle performance through AR follow-up and appeals management
- Extensive experience working remotely with telehealth providers
- Experienced in leading and participating in team meetings, staff development, and program evaluation
Certification
- CRCP- Certified Revenue Cycle Professional American Association of Healthcare Administrative Management, Mt. Laurel, NJ
- HIPAA Compliance Certified
Languages
English
Timeline
Revenue Cycle Manager – Mental Health (Remote)
Mindful Holistic Counseling
09.2015 - 01.2026
Billing Coordinator
Planned Parenthood
05.2007 - 09.2015
Medical Biller
Northeastern Anesthesia
06.2005 - 05.2007
Bachelor of Science - Business Management
Long Island University
Additional Strengths
- Telehealth billing expertise
- Multi-payer billing experience
- Behavioral health billing specialization
- Strong analytical and problem-solving skills
- Excellent communication with providers, patients, and insurers
- Highly organized and detail-oriented