Cindy Wainwright-Brown
Azle
Summary
Revenue Cycle Director with extensive experience in healthcare operations across multiple facilities. Expertise in optimizing revenue, managing denial trends, and implementing operational efficiencies to enhance cash flow and compliance. Proven track record in leading multidisciplinary teams to achieve performance metrics and improve patient service outcomes.
Overview
28
28
years of professional experience
Work History
Director of Revenue Cycle
Riceland Healthcare
10.2003 - Current
- Manage the company’s end-to-end revenue cycle processes, including payer A/R, billing and collections, and insurance underpayment recovery activities.
- Focused on revenue cycle management for diverse healthcare settings, including hospitals and clinics.
- Successfully created and implemented a Central Business Office for a Critical Access Hospital, Rural Health Clinic, Imaging Companies, and Surgery Center.
- Negotiated managed care and commercial insurance contracts resulting in improved reimbursement rates.
- Reduced A/R days and improved collections through process redesign, denial management initiatives, and productivity tracking.
- Established organization-wide policy and procedures for revenue cycle operations and compliance.
- Oversee a high-performing team, managing them to consistently meet company performance metrics, ensuring they employ best-in-class practices across 11 facilities.
- Supervised client account management, billing, payment posting, collections, and banking activities to enhance operational effectiveness.
- Identified improper denial and rejection trends, collaborating with payers and cross-functional teams to streamline claims projects.
- Identifies, analyzes, and resolves workflow issues.
- Established committee structures to enhance communication, operational coordination, and improve patient service outcomes.
- Act as primary escalation contact for problem solving issues, and quality issues between the HIM and Admissions department.
- Supports departmental growth and development by recruiting, selecting, hiring, training, developing, and retention of staff.
- Led complete EMR conversion projects resulting in successful Meaningful Use compensation from both Medicare and Medicaid.
- Prepares daily and monthly reports for reconciliation of billing, accounts receivable and daily cash receipts.
- Designed electronic filing systems for remittance advice, EOB management, and reconciliation reporting.
- Prepared quarterly Medicare credit balance reports and conducted month-end financial trend analysis.
- Named Employee of the Year in 2015.
Project Manager
Coast-To-Coast Consulting
03.1998 - 10.2003
- Provided healthcare revenue cycle consulting services to hospitals and healthcare organizations across the United States. Specialized in solving billing, collections, coding, compliance, and staffing challenges related to Medicare and Texas Medicaid reimbursement.
- Managed multi-site consulting projects and supervised teams of 18–21 personnel.
- Promoted to Project Lead overseeing large-scale consulting assignments nationwide.
- Conducted operational assessments and implemented strategies that improved billing and collections processes.
- Developed payer-specific billing procedures that reduced denials and enhanced collections.
- Reduced client A/R days through implementation of standardized billing procedures and workflow redesign.
- Assisted facilities with electronic billing implementation and claim rejection reduction strategies.
- Identified and corrected electronic billing issues, leading to a significant reduction in upfront claim rejections.
- Trained hospital staff on Medicare compliance and reimbursement processes.
- Served as Medicare Trainer for Baylor University Medical Center for 22 months.
- Developed Medicare compliance training and physical therapy billing tracking programs.
- Named Consultant of the Month – January 1999.
Education
A.A. - ACCOUNTING
SEMINOLE STATE COLLEGE
SEMINOLE, OKLAHOMAHIGH SCHOOL DIPLOMA -
SEMINOLE, OKLAHOMASkills
- Revenue Cycle Management (RCM)
- Denial Management & Appeals
- Denial management
- Billing operations
- Billing collections
- CMS Compliance expert
- Medicaid compliance
- Insurance Contract Negotiation
- Medical coding expertise
- Charge master experience
- UB-04 & CMS-1500 Billing
- EMR implementations
- Trubridge
- Centriq
- Waystar
- E-clinicals
- Change hc
- Fiss
- Availity
- Tmhp
- E-solutions
- Meditech
- Excel
- Word
- Outlook
Accomplishments
- Successfully created and implemented a Central Business Office for a Critical Access Hospital, Rural Health Clinic, Imaging Companies, and Surgery Center.
- Led complete EMR conversion projects resulting in successful Meaningful Use compensation from both Medicare and Medicaid.
- Negotiated managed care and commercial insurance contracts resulting in improved reimbursement rates.
- Reduced A/R days and improved collections through process redesign, denial management initiatives, and productivity tracking.
- Established organization-wide policy and procedures for revenue cycle operations and compliance.
- Implemented committee structures to improve communication, operational coordination, and patient service outcomes.
- Designed electronic filing systems for remittance advice, EOB management, and reconciliation reporting.
- Responsible for quarterly Medicare credit balance reporting and month-end financial trend analysis.
- Named Employee of the Year in 2015.
- Promoted to Project Lead overseeing large-scale consulting assignments nationwide.
- Reduced client A/R days through implementation of standardized billing procedures and workflow redesign.
- Identified and corrected electronic billing issues that significantly reduced upfront claim rejections.
- Served as Medicare Trainer for Baylor University Medical Center for 22 months.
- Developed Medicare compliance training and physical therapy billing tracking programs.
- Named Consultant of the Month – January 1999.
References
Available upon request.
Timeline
Director of Revenue Cycle
Riceland Healthcare
10.2003 - Current
Project Manager
Coast-To-Coast Consulting
03.1998 - 10.2003
A.A. - ACCOUNTING
SEMINOLE STATE COLLEGE