Proven Revenue Cycle Specialist with a track record of enhancing financial performance at Sanford Health Care Center, demonstrating expertise in claims processing and exceptional communication skills. Mastered insurance collaboration and denial management, significantly improving cash flow and patient trust through strategic negotiations and efficient billing practices.
Overview
4
4
years of professional experience
Work History
Revenue Cycle Specialist
Sanford Health Care Center
11.2023 - Current
Maximized reimbursements by staying current on payer requirements and maintaining strong relationships with insurance providers.
Reduced outstanding account balances by implementing effective collection strategies.
Analyzed financial reports to identify trends and areas for improvement in revenue cycle operations.
Managed portfolio of high-risk accounts, effectively reducing bad debt write-offs through proactive communication and negotiation tactics.
Improved cash flow with diligent follow-up on pending claims and appeals processes.
Streamlined revenue cycle process for improved efficiency and faster payment collection.
Assisted patients in understanding complex billing statements, leading to increased trust between patients and healthcare providers.
Coordinated patient payment plans, balancing compassion with firmness to ensure timely payments while preserving positive patient relationships.
Collaborated with cross-functional teams to improve overall financial performance of organization.
Maintained clear documentation of all activities related to unpaid claims or denied services.
Provided regular updates on billing status to upper management through detailed reports.
Reached out to insurance companies to verify coverage.
Increased revenue by identifying and resolving billing errors in a timely manner.
Identified and resolved payment issues between patients and providers.
Customer Support Specialist
QualDerm Partners, LLC
11.2022 - Current
Provided timely assistance to customers via phone, email, and live chat channels, ensuring a high level of professionalism at all times.
Managed a high volume of inbound calls while maintaining excellent call quality standards and adhering to established procedures.
Utilized CRM systems effectively to track customer interactions, document detailed case notes, and access relevant account information quickly when needed.
Developed strong relationships with clients, resulting in repeat business and positive feedback.
Researched and resolved billing discrepancies to enable accurate billing.
Monitored customer accounts to identify and rectify billing issues.
Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Organized waiting lists for high-demand services, ensuring timely access for priority cases or cancellations.
Scheduling/Payroll Support Specialist
Jefferson City Health And Rehabilitation
05.2021 - 11.2022
Served as a knowledgeable resource for employees seeking clarification on payroll-related matters, addressing concerns promptly and professionally.
Collaborated with Human Resources to manage employee data changes, ensuring accurate record-keeping for all personnel.
Prepared detailed reports for management review, highlighting key trends and areas for improvement in the payroll process.
Enhanced payroll accuracy by meticulously reviewing timesheets and resolving discrepancies.
Improved the accuracy of time and attendance data by working closely with managers to address discrepancies and ensure proper documentation was submitted.
Increased schedule adherence through consistent monitoring and real-time adjustments as needed.
Collaborated with management to identify staffing needs and allocate resources accordingly, optimizing workforce utilization.
Assisted in employee onboarding by developing comprehensive training schedules tailored to individual learning needs.
Assisted HR department in determining staffing needs by analyzing business growth and seasonal trends, ensuring the right personnel were hired and trained as needed.
Resolved scheduling conflicts promptly, minimizing disruptions to daily operations.
Medical Assistant
Planned Parenthood Of Tennessee
02.2021 - 05.2021
Taught patients about medications, procedures, and care plan instructions.
Sanitized, restocked, and organized exam rooms and medical equipment.
Obtained client medical history, medication information, symptoms, and allergies.
Collected and documented patient medical information such as blood pressure and weight.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
Documented vital signs and health history for patients in clinic and hospital environments.
Completed clinical procedures and gathered patient data for interpretation by physician.
Called and faxed pharmacies to submit prescriptions and refills.
Education
MBA - Healthcare Management
Purdue University - Global
Remote, IN, USA
11.2025
Bachelor of Science - Healthcare Administration
Purdue University - Global
Remote, Lafayette, IN
04.2025
Skills
Claims review
Claims Processing Proficiency
HIPAA Compliance
Professionalism and Ethics
Timeline
Revenue Cycle Specialist
Sanford Health Care Center
11.2023 - Current
Customer Support Specialist
QualDerm Partners, LLC
11.2022 - Current
Scheduling/Payroll Support Specialist
Jefferson City Health And Rehabilitation
05.2021 - 11.2022
Medical Assistant
Planned Parenthood Of Tennessee
02.2021 - 05.2021
MBA - Healthcare Management
Purdue University - Global
Bachelor of Science - Healthcare Administration
Purdue University - Global
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