Detail-oriented Medical Billing and Administration professional with over 14 years of experience in revenue cycle operations and compliance within behavioral health and community healthcare. Expertise in full-cycle billing, A/R management, denial resolution, and payer compliance for Medicaid, Medicare, and commercial plans. Partnered with leadership on reporting and audits to enhance reimbursement accuracy and organizational performance.
Overview
10
10
years of professional experience
Work History
Medical Billing & Collections Lead / Medical Administration
Holy Comforter St-Cyprian Community Action Group
Washington, USA
01.2023 - 01.2025
Managed full-cycle billing operations including claims submission, denial management, appeals, payment posting, and reconciliations for 600+ claims per month.
Reduced billing discrepancies and supported improved reimbursement accuracy through consistent A/R follow-up and payer communication, lowering A/R over 90 days by approximately 25%.
Prepared monthly billing, collections, and deposit reports to support leadership decision-making.
Supported medical administration and compliance oversight by monitoring program operations and ensuring alignment with DC regulatory requirements.
Oversaw payroll processing, including deductions, bonuses, and reconciliation, maintaining accurate financial documentation.
Utilized provider performance and billing data to support quality assurance, audits, and staff training initiatives.
Billing & Collections Specialist
Foundation for Contemporary Mental Health
Washington, USA
01.2019 - 01.2023
Maintained accurate accounts receivable and ensured timely submission of claims to Medicaid, Kaiser, and the Department of Behavioral Health.
Posted payments, resolved denials, processed appeals, and corrected claims to minimize outstanding balances.
Oversaw authorizations and maintained treatment plan documentation to ensure payer compliance.
Reconciled dosing and service records using AMS to prevent billing variances and compliance issues.
Created invoices for out-of-network and self-pay clients, facilitating weekly deposits and financial reporting.
Billing Supervisor
The Surgery Center of Chevy Chase
Chevy Chase, USA
01.2015 - 01.2017
Oversaw coding, denial management, appeals, and A/R follow-up, enhancing cash flow and decreasing aging accounts.
Supervised billing and collections staff, ensuring timely and accurate claims submission and payment posting.
Developed and enforced billing policies aligned with payer contracts and regulatory standards.
Led month-end closing and reconciliations, producing audit-ready documentation.
Education
Medical Terminology, Billing & Coding -
University of The District of Columbia
Washington, DC
Recovery Coach Certification -
CCAR / NAADAC
Washington, DC
Skills
Epic EHR
Meditech EHR
Change Healthcare
Zirmed
Dr Cloud EHR
Encoder Pro
Citrix EHR
ADP Payroll
Microsoft Office
Claims management
Denial resolution
Payment posting
Financial reporting
Compliance oversight
Accounts receivable management
Team leadership
Customer relationship management
Process improvement
Problem solving
Attention to detail
Goal oriented
Effective communication
Regulatory compliance
Debt recovery expertise
Compliance awareness
Empathy and tactfulness
Skip tracing proficiency
Strong negotiation skills
New hire training
System maintenance
Insurance policies
Skip tracking
Decision-making
Billing practices
Teamwork orientation
Account reconciliation
Collection agency relations
Payment acceptance
Delinquency prevention
Data entry efficiency
Outbound calling
Credit reporting
Professionalism and ethics
Goal-oriented mindset
Records maintenance
Account review
Financial management
Records management
References
References available upon request.
Timeline
Medical Billing & Collections Lead / Medical Administration