Eric Raleigh
Chicago,IL
Summary
With over 7 years of experience as a revenue cycle manager in the digital health and provider billing sector, I am passionate about delivering quality, efficiency, and innovation in revenue cycle functions. I have overseen all aspects of client implementation, claims configuration, billing system management, vendor relationships, policy creation and revision, KPI reporting, claims data analysis, and client relationship management. I have a strong background in medical billing, coding, credentialing, authorizations, pricing, claims and process improvements.
Overview
9
9
years of professional experience
Work History
Revenue Cycle Manager - Consultant
Vida Health
04.2023 - 02.2024
- Monitored and guided all revenue cycle functions
- Oversaw client implementations and configurations
- Managed billing system and vendor relationships
- Policy creation and revision
- KPI Reporting
- Claims data analysis
- Managed client and payor relationships
- Conducted billing runs and claims follow up
- Worked cross functionally with key stakeholders
- Conducted quality analysis on claims and reconciled payments
Revenue Cycle Manager
Omada
04.2022 - 04.2023
- Monitored and guided revenue cycle operations.
- Completed financial reporting and analysis
- Oversaw client implementations and configurations
- Managed billing system and vendor relationships
- Policy creation and revision
- Managed client and payor relationships
- Claims data analysis
- KPI reporting
- Worked cross functionally with key stakeholders
- Conducted billing runs and claims follow up
- Conducted quality analysis on claims and reconciled payments
- Worked closely with developers to enhance proprietary billing systems
Code Review / Nurse Audit Manager
ISG Value
01.2020 - 03.2022
- Monitored and guided a team of coders and nurses
- Provided medical reviews for the auto insurance industry
- Oversaw new client configurations and implementations
- KPI reporting
- Spearheaded daily leadership meetings
- Conducted quality analysis on team production
- Policy creation and revision
- Worked cross functionally with key stakeholders
- Process improvements and enhancements
- Managed client and vendor relationships
Revenue Cycle Manager
Associates In Nephrology
08.2017 - 01.2020
- Monitored and guided all revenue cycle functions
- Managed billing system and vendor relationships
- Conducted daily billing runs and claims follow up
- Claims data analysis
- Managed payor relationships
- Reconciled payments and patient accounts
- Maintained exceptional customer service standards
- Policy creation and revision
- Worked cross functionally with key stakeholders
- Worked closely with developers to enhance systems
Lead Claims Analyst
University Of Washington Physicians
08.2015 - 07.2017
- Monitored and guided fellow claims analysts
- Worked closely with Epic analysts on implementations and system enhancements
- Maintained and oversaw claim edit work queues and KPI's
- Conducted system testing and claims analysis
- Policy creation and revision
- Conducted team meetings
Education
No Degree - Graphic Design
The Art Institute of Phoenix
Phoenix, AZ05.2005
Skills
- Data Analysis
- Quality Assurance
- Client Relationship Management
- Data trending
- Staff Management
- System configurations
- Client and system implementations
- Medical coding and billing
- Process improvements
- Claims subject matter expert
Timeline
Revenue Cycle Manager - Consultant
Vida Health
04.2023 - 02.2024
Revenue Cycle Manager
Omada
04.2022 - 04.2023
Code Review / Nurse Audit Manager
ISG Value
01.2020 - 03.2022
Revenue Cycle Manager
Associates In Nephrology
08.2017 - 01.2020
Lead Claims Analyst
University Of Washington Physicians
08.2015 - 07.2017
No Degree - Graphic Design
The Art Institute of Phoenix
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