Erika Nelson
Converse,TX
Summary
Applied expertise in medical claims and billing to address organizational challenges effectively.
Overview
12
12
years of professional experience
Work History
Revenue Cycle Specialist
Brave Health
Converse, TX
11.2025 - Current
- Analyzed revenue cycle processes to identify and resolve discrepancies in billing and collections
- Implemented process improvements to enhance accuracy in claims submissions and reduce denials
- Trained and mentored junior staff on best practices for revenue cycle management
- Collaborated with clinical teams to ensure compliance with regulatory requirements in billing procedures
RCM Analyst – San Antonio Market
Tenet Baptist Medical Network
San Antonio, TX
01.2024 - 11.2025
- Analyzed and identified root causes of payer rejections and reimbursement delays.
- Evaluated billing and accounts receivable reports to identify discrepancies and optimize cash flow.
- Evaluated workflow and operational procedures within billing department to enhance efficiency.
RCM Support Specialist
Peripheral Vascular Associates
San Antonio, TX
05.2019 - 01.2024
- Identified key insights from billing and accounts receivable reports, contributing to enhanced financial accuracy. Drove efforts to recognize denial trends, facilitating strategic improvements in revenue management.
- Conducted thorough investigations of non-payment issues with insurance companies, facilitating resubmissions and filing re-determinations as necessary.
- Streamlined insurance data organization and established effective partnerships with insurance firms.
- Facilitated effective communication with customers by thoroughly addressing inquiries and concerns to enhance overall service experience.
Office Supervisor- Medical Billing Specialist
Smithson Valley Family Medicine
Spring Branch, TX
09.2013 - 05.2019
- Assisted customers with billing inquiries and resolved disputes effectively. Supported employee scheduling and workload assignments to optimize team performance.
- Conducted thorough investigations to ensure accurate billing for insurance companies and patients using appropriate billing codes.
- Managed billing and coding processes for insurance companies on behalf of multiple physicians.
- Delivered exceptional customer service by addressing concerns with empathy and professionalism.
- Facilitated communication between patients, hospitals, and insurance companies regarding patient information.
- Assisted customers in receiving exceptional service. Verified insurance benefits for clients. Provided guidance on benefits and financial options.
Education
Medical Billing Coding
Four D College
Victorville, CA09.2010
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Victor Valley College
Victorville, CA06.2006
Skills
- Claims review
- Claims processing proficiency
- HIPAA compliance
- Professionalism and ethics
Timeline
Revenue Cycle Specialist
Brave Health
11.2025 - Current
RCM Analyst – San Antonio Market
Tenet Baptist Medical Network
01.2024 - 11.2025
RCM Support Specialist
Peripheral Vascular Associates
05.2019 - 01.2024
Office Supervisor- Medical Billing Specialist
Smithson Valley Family Medicine
09.2013 - 05.2019
Medical Billing Coding
Four D College
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Victor Valley College