India Cummings
Charlotte,NC
Summary
Healthcare reimbursement and insurance operations professional with over 10 years of experience supporting revenue cycle functions, insurance billing, claims research, collections, payment reconciliation, and regulatory compliance. Certified Coding Specialist (CCS-P) with expertise in healthcare reimbursement processes, denial resolution, account analysis, medical documentation, and insurance operations. Proven ability to identify discrepancies, improve workflows, collaborate across departments, and ensure accurate financial and claims-related outcomes. Seeking to leverage healthcare, insurance, and leadership experience in a Revenue Cycle Manager or Claims Examiner role.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Accounting Technician / Claims Research Analyst
Blue Cross Blue Shield of South Carolina
Columbia, SC
02.2024 - Current
- Verify and validate premium payment disbursement requests to ensure accuracy, completeness, and compliance with program requirements.
- Research and analyze insurance-related payment transactions and claim records to identify discrepancies and support resolution efforts.
- Review supporting documentation and provide audit support for internal and external stakeholders.
- Collaborate with cross-functional teams to improve processing workflows and reduce errors.
Junior Accountant
Nomad Health
02.2022 - 01.2024
- Reconciled healthcare-related payments and analyzed financial transactions to ensure accuracy and compliance.
- Investigated discrepancies and partnered with internal teams to resolve billing and payment issues.
- Maintained detailed financial records and supported operational reporting requirements.
Collections Manager
Help at Home
03.2019 - 12.2021
- Managed insurance collections involving Medicaid, VA, and long-term care claims.
- Researched claim denials and coordinated rebilling, appeals, and payment resolution activities.
- Conducted A/R aging analysis and implemented strategies that reduced outstanding receivables.
- Collaborated with payers and internal stakeholders to maximize reimbursement and improve collections performance.
Assisted Living Manager
Sprenger Healthcare
11.2018 - 03.2019
- Oversaw daily operations, regulatory compliance, admissions, and staff supervision.
- Managed resident documentation and coordinated care planning with healthcare providers and families.
Business Office Manager
Christian Care Center / Lakebridge A Waters Community
10.2014 - 07.2015
- Managed insurance billing, Medicare, Medicaid, Managed Care, VA, and Hospice accounts.
- Verified insurance eligibility and coordinated reimbursement activities.
- Oversaw patient trust accounts, financial reporting, collections, and month-end processes.
Education
Bachelor of Science - Healthcare Management
Austin Peay State University
Skills
- Microsoft Excel
- Revenue Cycle Systems
- Reimbursement
- Claims Documentation
- Medical Coding
- Financial Analysis
- Accounts Receivable
- Reporting & Auditing
Certification
Certified Coding Specialist – Physician-Based (CCS-P)
CORE COMPETENCIES
- Revenue Cycle Management
- Insurance Claims Research
- Denial Management & Appeals
- Medical Coding (ICD-10-CM, CPT, HCPCS)
- Accounts Receivable Management
- Healthcare Reimbursement
- Insurance Verification
- Regulatory Compliance
- Audit Support
- Payment Reconciliation
- Process Improvement
- Medical Records Review
- Customer Service
- Team Leadership
- Healthcare Operations
- HIPAA Compliance
Timeline
Accounting Technician / Claims Research Analyst
Blue Cross Blue Shield of South Carolina
02.2024 - Current
Junior Accountant
Nomad Health
02.2022 - 01.2024
Collections Manager
Help at Home
03.2019 - 12.2021
Assisted Living Manager
Sprenger Healthcare
11.2018 - 03.2019
Business Office Manager
Christian Care Center / Lakebridge A Waters Community
10.2014 - 07.2015
Bachelor of Science - Healthcare Management
Austin Peay State University