Summary
Overview
Work History
Education
Skills
Certification
PROFESSIONAL ATTRIBUTES
Timeline
Generic

DIANE M. RICHARDSON

South Bound Brook

Summary

An experienced healthcare administration professional with 10+ years in revenue cycle management, claims processing, and insurance verification. Skilled in EHR systems, CPT/ICD-10 coding, and account reconciliation. Proficient in managing denials, posting payments, and maintaining HIPAA compliance. Strong background in coordinating with providers, payers, and patients to ensure accurate and timely billing. Familiar with Medicare, Medicaid, and private insurance guidelines. Detail-focused with proven ability to support daily administrative functions in clinical and billing environments.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Sr. Operations Analyst

Carecloud Inc.
08.2015 - 06.2025
  • Organize record filing systems, maintaining 100% accurate documentation for audits, compliance, and internal reference.
  • Coordinate with MTBC and Fox Rehab as the primary administrative liaison, resolving 90% - 95% of partnership support requests within 48 hours.
  • Reconcile over $20,000 in weekly client deposits, managing internal ticket tracking systems for administrative and support requests, ensuring timely follow-ups and closures.
  • Prepare comprehensive reports on inventory and office activity, and organize physical and e-files to improve data accessibility and minimize retrieval times.
  • Identify and escalate non-technical issues during system monitoring, improving overall operational response time.
  • Oversee unloading, inspection, sorting, and ticketing of shipments, ensuring on-time processing of products and efficient stockroom organization and inventory flow, reducing procurement delays by 15%-20%.
  • Managed multiple projects simultaneously while maintaining strict timelines and budgets for each initiative.
  • Optimized operational efficiency by streamlining processes and implementing best practices.
  • Spearheaded efforts to improve communication channels between departments, resulting in greater collaboration across the organization.

Accounts Receivable Clerk

McKesson Billing Company
04.2010 - 06.2014
  • Supported financial operations, posting A/R payments promptly, and driving improved cash flow for healthcare providers.
  • Ensured financial record integrity, reconciling patient accounts, leveraging EDI (Electronic Data Interchange), and automated systems to minimize errors.
  • Communicated directly with insurance companies and patients to resolve coverage discrepancies and expedite collections.

Medical Biller

Arbor Glenn Senior Living
01.2013 - 04.2013
  • Streamlined medical claims submission and insurance verification, boosting claim approval and using proper coding to ensure accurate reimbursements.
  • Maintained an organized billing system, reviewed monthly statements, and contributed to improving team performance by training new staff on efficient billing practices.
  • Reduced claim denials by managing appeals with Medicare/Medicaid and third-party insurers, enhancing revenue cycle management.

Billing Specialist

BAW Medical Management
09.2007 - 01.2012
  • Generated financial and A/R reports to support revenue cycle optimization and operational efficiency.
  • Communicated billing details with patients and explained procedures to address questions about payments and insurance coverage.
  • Managed accounts receivable for various insurance providers, following up on outstanding claims and facilitating payment collection.

Education

Bachelor of Administrative Studies - Business Administration

Strayer University
Washington, DC
01.2027

Skills

  • Administrative Support
  • Front & Back Office Coordination
  • Patient Account Management
  • Conflict Resolution
  • Customer Service Excellence
  • Scheduling & Calendar Management
  • Strong Verbal & Written Communication
  • Claims Submission & Processing
  • Insurance Verification
  • Patient Intake & Data Collection
  • Medicare/Medicaid Billing
  • Medical Coding
  • Denial Management & Resolution
  • Workflow Optimization
  • HIPAA Compliance & Confidentiality
  • Medical Record Filing
  • Operational excellence
  • Effective communication
  • Adaptability and flexibility

Certification

  • SAP Fico Power User Program Certification, Henry Harvin ERP Academy, Apr 2025
  • Hospital Admission Training, Carecloud Inc. - Somerset, NJ
  • Medical Billing Specialist Certification, Chubb Institute - North Brunswick, NJ, Jun 2007

PROFESSIONAL ATTRIBUTES

  • Cross-functional Collaboration: Demonstrated expertise in supporting clinical staff and administrative teams to streamline office operations and improve workflow procedures.
  • Regulatory Compliance & Documentation: Committed to aligning all administrative practices with healthcare regulations, audit standards, and office protocols.
  • Multi-Tasking & Time Management: Efficiently handle high-volume administrative workloads while meeting strict deadlines and maintaining seamless front and back-office coordination in fast-paced environments.

Timeline

Sr. Operations Analyst

Carecloud Inc.
08.2015 - 06.2025

Medical Biller

Arbor Glenn Senior Living
01.2013 - 04.2013

Accounts Receivable Clerk

McKesson Billing Company
04.2010 - 06.2014

Billing Specialist

BAW Medical Management
09.2007 - 01.2012

Bachelor of Administrative Studies - Business Administration

Strayer University

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