English Perez
Rowlett,TX
Summary
Results-driven Revenue Cycle Management Professional with expertise in financial performance optimization. Proficient in data analysis and process improvement, leveraging technology to enhance operational efficiency. Skilled in identifying inefficiencies and implementing strategic solutions to maximize revenue streams.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Senior Revenue Cycle Consultant
6 COLORS BILLING & COLLECTIONS, LLC
02.2014 - Current
- Increased revenue by optimizing front and back-office workflows.
- Standardized revenue cycle processes to enhance performance metrics consistency.
- Developed revenue projections for new anesthesia site proposals, ensuring accuracy.
- Collaborated with Business Development for precise revenue projection data acquisition.
- Supported budgeting and forecasting efforts to improve financial planning accuracy.
- Created operational tools to detect current and future performance challenges.
VP of Operations-Consultant
BUTTERFLY MEDICAL CARE Formerly Urgent EMS
01.2019 - 12.2025
- Ensured accurate billing through implementation of RCM system and clean claims.
- Supervised billing department, managing account operations and communication with insurers.
- Conducted analysis to correct issues, ensuring RCM department met performance targets.
- Resolved claim denials by identifying root causes and facilitating prompt resubmissions.
- Verified eligibility and authorization to maintain compliance with billing requirements.
- Negotiated agreements with major insurance plans for optimal service rates.
Revenue Integrity Manager
Renown Health
04.2024 - 12.2024
- Reduced days in accounts receivable by retraining front desk staff.
- Enhanced revenue cycle understanding to align with strategic goals and priorities.
- Identified process improvement opportunities to boost operational efficiency.
- Implemented innovations to maximize cash flow and improve claim recovery rates.
- Increased employee morale through a comprehensive rewards and recognition program.
- Led operational teams to improve patient care and service delivery efficiency.
Revenue Cycle Director/Compliance Officer (Contract)
TWELVE CLANS UNITY HOSPITAL
05.2023 - 10.2023
- Enhanced revenue cycle efficiency by developing and maintaining charge-master.
- Collaborated with teams to identify billable medical services for insurance claims.
- Ensured compliance and timely processing by partnering with insurance representatives.
- Addressed payer-specific issues swiftly to secure timely payment posting.
- Facilitated team engagement in revenue cycle through effective meeting leadership.
- Produced meaningful reports and metrics for revenue cycle team distribution.
Consultant/Clinic Manager
NORTH TEXAS KIDNEY CARE
10.2017 - 01.2019
- Increased revenue by developing innovative client strategies, boosting business growth.
- Enhanced claim accuracy by training billing team, ensuring clean submissions and research.
- Streamlined collections by overseeing payment posting, improving patient service efficiency.
- Established efficient co-pay protocols and SOPs for new patient processes.
- Optimized denied claims appeal process, maintaining clean AR buckets and payment postings.
- Improved financial analysis through ongoing contract compliance review and performance adjustments.
Education
Bachelor of Science - Biology
CONCORDIA COLLEGE ALABAMA
SELMA, AL12.1984
High School Diploma -
TEMPLE HIGH SCHOOL
Temple, TXBachelor of Science - Health Care Administration
Fordham University
Bronx, NY11-2027
Skills
- Claims processing
- Software implementation
- HIPAA
- Denial management
- Data analytics
- Revenue cycle management
- Auditing procedures
- Medical billing
- Collections management
- Payment posting
- Revenue forecasting
- Healthcare consulting
- EDI transactions
- Payer contracting
- Credentialing support
- Charge capture
- Revenue performance
- Billing cycle expertise
- Account monitoring
- Cash flow management
- Claims management
- Account resolutions
- Clinical team guidance
- Procedure optimization
- Budgetary analysis
- Charging methodologies
- Revenue optimization
- Billing cycle performance
- Revenue quotas
- Revenue metrics analysis
- Teamwork
- Time management
- Problem-solving
- Critical thinking
- Excellent communication
- Bookkeeping and reconciliation
- Organizational skills
- Team collaboration
Certification
2011 Certification -Attorney J. Thompson, CPA in Forensic Claims Auditor
Timeline
Revenue Integrity Manager
Renown Health
04.2024 - 12.2024
Revenue Cycle Director/Compliance Officer (Contract)
TWELVE CLANS UNITY HOSPITAL
05.2023 - 10.2023
VP of Operations-Consultant
BUTTERFLY MEDICAL CARE Formerly Urgent EMS
01.2019 - 12.2025
Consultant/Clinic Manager
NORTH TEXAS KIDNEY CARE
10.2017 - 01.2019
Senior Revenue Cycle Consultant
6 COLORS BILLING & COLLECTIONS, LLC
02.2014 - Current
Bachelor of Science - Biology
CONCORDIA COLLEGE ALABAMA
High School Diploma -
TEMPLE HIGH SCHOOL
Bachelor of Science - Health Care Administration
Fordham University