Results-driven Senior Revenue Consultant specializing in Revenue Integrity, process optimization, and compliance auditing. Demonstrated success in minimizing errors by over 80% and fostering team synergy for strategic revenue oversight. Reduced Timely filing denials to 15%.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Senior Revenue Consultant
6 Colors Billing and Collections
Remote
02.2014 - Current
Drafted and presented analyses on industry trends, motivating managers to create strategic business plans.
Streamline workflows, reducing errors and denials by over 80%.
Identify root causes of denials and payment interruptions, while implementing solutions, and SOPs.
Train staff on best practices, coding, and compliance.
Provides oversight of charge entry, payment posting, negotiation of contracts, and credentialing, and charge master updates.
Conducted regular audits of accounts receivable to ensure compliance with policies.
Revenue Integrity Manager
Renown Health
Reno
04.2024 - 12.2024
Managed ED/OR charge departments, as will as HB and PB charges, denials, and appeals.
Worked with other departments to complete billing, and month end close.Reporting
Oversee all aspects of billing, coding, claims submission, denial management, collections, and payment posting.
Monitor and improve KPIs such as denial rates, write-off’s, charge lag.
Assisted with CDM changes in pricing, CPT codes, HCPCS codes, and revenue codes for accuracy and compliance with all applicable charging and billing guidelines.
VP of Operations
Butterfly Medical Care
Shreveport
01.2019 - 10.2024
Oversaw budgeting, P&L, cost control, and resource allocation for operations.
Process Improvement: Champion continuous improvement and cost-reduction initiatives.
Lead and motivate a diverse team of managers and employees, fostering a collaborative and high-performing work environment.
Human Resources Manager, along with credentialing, contract management, and vendors.
Establish and maintain strong relationships with key stakeholders, including vendors, customers, and internal teams.
ContinuServe Softech India Pvt. Ltd at Team Lead – AR (Cash apps, Billing & Collections)ContinuServe Softech India Pvt. Ltd at Team Lead – AR (Cash apps, Billing & Collections)