Experienced call center auditor specializing in remote healthcare environments. Expert in monitoring agent interactions, ensuring regulatory compliance, and implementing quality assurance processes that enhance patient satisfaction and operational efficiency.
Trained new staff on revenue cycle processes and best practices effectively.
Facilitated communication between departments to streamline revenue cycle operations.
Revenue Cycle Specialist
Ensemble Health Partners
07.2022 - 05.2025
Managed patient accounts, ensuring compliance with regulations and policies.
Assisted in the implementation of new billing software to enhance workflow efficiency.
Collaborated with other departments to resolve customer inquiries regarding billing issues.
Processed patient billing and collections efficiently for timely revenue generation.
Customer Service Representative
BestNest Inc.
01.2019 - 07.2022
Generating marketing prospects that created business growth in wholesale division
Assisted customers with orders, product questions, and warranty support
Market Research Analyst
Burke Inc.
01.2017 - 01.2019
Assist in global research needs working directly with clients of a major healthcare provider to provide feedback about their experiences
Skilled at dealing with the most sensitive clients and situations
Type communication with clients verbatim
General Manager
Monroe Dry Cleaning
01.2014 - 01.2017
Overseeing all administrative and daily operations
Organized scheduling, staffing, reviews, and human resource operations for 30 employees in 4 stores
Medical Billing Representative
BioRx
01.2013 - 01.2014
Assess and resolve denied insurance claims
Adhere to insurance payers for appeals and errors processing claims
Submitted manual claims for payment resolution on accounts
Reimbursement Specialist
Consolidated Health Care Services Inc.
01.2009 - 01.2013
Processed electronic claims
Verification of insurance and follow up
Worked aged account receivables
Analyzed claims and worked through resolution
Skills
Versed in Epic, Meditech, Oracle, Artiva, Excel, Word, Outlook, Five9, & EIQ
Certified Revenue Cycle Representative (CRCR)
Compliance with FDCPA and HIPAA
Employee development
Effective problem solving
Strong analytical abilities
System testing pattern recognition
Empathetic communication
Customer conflict resolution
Professional Summary
Revenue Cycle and Healthcare Customer Service professional with 10+ years of experience in medical billing, collections, insurance verification, denial resolution, and patient account support. Consistently exceeds productivity and quality metrics. Experienced in high-volume, remote, and multi-client healthcare environments.
Customer Service and Scheduling for 65 Doctors at Loyola University Medical CenterCustomer Service and Scheduling for 65 Doctors at Loyola University Medical Center