Summary
Overview
Work History
Education
Skills
Timeline
Generic

Debra Lyle

Nashville,TN

Summary

Revenue cycle management professional prepared to leverage robust experience in optimizing financial operations and enhancing revenue streams. Known for strong team collaboration and results-driven approach, ensuring adaptable solutions to evolving challenges. Possesses key skills in healthcare finance, process improvement, and leadership, valued by employers for reliability and flexibility.

Overview

20
20
years of professional experience

Work History

Revenue Cycle Manager

Integrated Oncology Network (ION)
06.2024 - Current
  • Monitored and guided revenue cycle operations.
  • Implemented process improvements, ensuring accurate charge capture and coding compliance.
  • Provided staff training on revenue cycle management best practices, increasing productivity across the department.
  • Completed financial reporting and analysis for billing revenue cycle.
  • Managed cross-functional teams to improve overall revenue cycle operations.
  • Streamlined workflows to minimize claim rejections and maximize reimbursement rates from insurance providers.
  • Analyzed complex data sets to derive actionable insights for improving internal processes related to revenue cycle management.
  • Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
  • Created new VOB/AUTH/Denial team for 15 clinics supporting 17 associates
  • Traveled to sites to foster relationships with associates in the field.
  • Managed all VOB/AUTH denials for 15 clinics.
  • Managed all VOB/AUTH efficiencies for 15 clinics
  • Onboarded all new associates

Revenue Cycle Manager

Acadia Healthcare
08.2022 - 06.2024
  • Monitored and guided revenue cycle operations.
  • Implemented process improvements, ensuring accurate charge capture and coding compliance.
  • Provided staff training on revenue cycle management best practices, increasing productivity across the department.
  • Completed financial reporting and analysis for billing revenue cycle.
  • Streamlined workflows to minimize claim rejections and maximize reimbursement rates from insurance providers.
  • Improved revenue cycle efficiency by streamlining processes and implementing best practices.
  • Manages AR for 7 clinics equaling 3.5 million dollars
    · Help IT in creating new billing episodes for each clinic
    · Handle all HR issues with my 6 colleagues
    · Manage all credentialing issues for WI clinics
    · Handle all training of any new colleagues
    · Created and maintained tracker for WI Medicaid Credentialing issues
    · Gather and add data bi-weekly for Director AR Calls
    · Keep team focused on areas of AR that will make the most impact in collections
    · Manage all HR issues with staff
    · Review data to determine monthly write offs

Quality Assurance Global Coordinator

SAVISTA
02.2017 - 07.2022
  • Managed the onboarding process for new hires in various international locations, ensuring a smooth transition and acclimation to company culture.
  • Analyzed performance metrics to identify areas for improvement in global operations, subsequently implementing targeted action plans.
  • Developed and executed strategies for international projects, resulting in successful completion within budget and timeline constraints.
  • Facilitated cross-cultural communication among team members by offering language support services and resources.
  • Lead an international team of 15 employees in India
  • Enhanced global collaboration by streamlining communication channels and implementing efficient project management tools.
  • Managed a diverse team of professionals, promoting skill development and fostering a positive work environment.
  • Implemented cultural sensitivity training for staff members, improving overall workplace inclusivity and productivity.
  • Entered data, generated reports, and produced tracking documents.
  • Trained new staff on job duties, company policies, and safety procedures for rapid onboarding.

Accounts Receivable Manager

Clinical Revenue Management Services
11.2014 - 02.2017
  • Maintained accurate financial records by regularly reconciling accounts receivable ledgers.
  • Ensured timely payments from clients through effective communication and proactive followups.
  • Posted customer payments by recording cash, checks, and credit card transactions.
  • Verified discrepancies and resolved clients' billing issues
  • Analyzed aging reports and provided recommendations for improving collections efforts.
  • Managed a 16-million-dollar project
    · Learned new system of oncoming business to work old AR and to train new staff on systems
    · Handled all HR issues
    · Hired new associates
    · Created word and power point documents to illustrate where extra work was needed to increase revenue

System Patient Access Supervisor

St Thomas Health
07.2007 - 02.2014

Successfully integrated 22 associates from 3 hospital campuses to the revenue cycle office in the metro center
· Took Preservice collections from 75k for fiscal year 2007-2008 to 1.4 million for fiscal year 2011-2012
· Held the lowest turnover rate for the revenue cycle office
· Successfully began using a new system for calculating residuals
· Managed the inpatient verification of benefits for all three campuses
· Managed payroll
· Set up meetings with provider representatives
· Selected the best associates to be trainers for new staff
· Managed all websites for eligibility and prior authorizations
· Resolved issues with Doctors’ offices regarding insurance or pre-authorizations
· Resolved patient questions regarding residual or prior balance amounts
· Helped Director and VP with special projects

Lead Financial Counselor

Centennial Medical Center
01.2005 - 01.2007
  • Optimized resource allocation through strategic planning initiatives aimed at maximizing ROI on investments made by the organization.
  • Implemented rigorous quality control measures, ensuring all work produced met the highest standards of accuracy and compliance.
  • Ensured compliance with all relevant regulations by staying up-to-date on changes in laws and best practices within the financial industry.
  • Acted as a liaison between clients and various internal departments, ensuring timely resolution of any issues while maintaining consistent communication throughout the process.
  • Mentored junior staff members enabling them to grow professionally by sharing knowledge gained from years of industry experience as a Lead Financial Counselor.
  • Reduced customer complaints by proactively addressing concerns before they escalated, fostering trust in our services.
  • Fostered a positive work environment by promoting open communication channels among team members, resulting in increased collaboration and productivity levels.
  • Initiated process improvements that led to increased efficiency in daily operations, minimizing errors and maximizing revenue potential.

Education

Master of Arts - Forensic Psychology

Argosy University
Orange, CA
05.2019

Bachelor of Science - Psychology

Argosy University
Orange, CA
05.2017

High School Diploma -

Ogallala Senior High School
Ogallala, NE
05.1989

Skills

  • Revenue performance
  • Denial Resolution
  • Healthcare Industry Knowledge
  • Billing cycle expertise
  • Account Monitoring
  • Data Analytics
  • Claims Management
  • Account resolutions
  • Medical Billing
  • Procedure optimization
  • Willing to Learn
  • Teamwork and Collaboration
  • Problem-Solving
  • Time Management

Timeline

Revenue Cycle Manager

Integrated Oncology Network (ION)
06.2024 - Current

Revenue Cycle Manager

Acadia Healthcare
08.2022 - 06.2024

Quality Assurance Global Coordinator

SAVISTA
02.2017 - 07.2022

Accounts Receivable Manager

Clinical Revenue Management Services
11.2014 - 02.2017

System Patient Access Supervisor

St Thomas Health
07.2007 - 02.2014

Lead Financial Counselor

Centennial Medical Center
01.2005 - 01.2007

Master of Arts - Forensic Psychology

Argosy University

Bachelor of Science - Psychology

Argosy University

High School Diploma -

Ogallala Senior High School
Debra Lyle