Revenue Cycle Specialist with strong expertise in analyzing financial data and improving billing and collection processes. Known for fostering team collaboration and driving results, adaptable to changing needs, ensuring seamless coordination. Skillset includes revenue cycle management, financial reporting, data analysis, and process optimization, combined with proactive and reliable approach to achieving organizational goals.
Overview
7
7
years of professional experience
Work History
Revenue Cycle Analyst
Resolute Practice Solutions
02.2025 - Current
Manage $250K–$500K+ in monthly AR inventory across multiple facilities.
Resolve 40–60+ claims daily including denials, underpayments, and rejections.
Achieve 85–95% denial resolution rate through root cause analysis and corrective workflows.
Reduced AR >90 days by 18% through structured denial recovery and AR follow-up strategies.
Increased quarterly collections by 50% by optimizing corrected claims, payer escalation, and coding accuracy.
Submit 20+ appeals weekly with high success rates.
Run facility-level AR reports and track KPIs including aging, denial trends, and reimbursement performance.
Present monthly AR status, denial trends, and financial risks to executive leadership.
Conduct coding and billing training for staff and physicians to improve documentation and reduce denials.
Manage corrected claims, COB issues, eligibility discrepancies, and appeals lifecycle.
Support Clinical Documentation Improvement (CDI) initiatives to enhance reimbursement accuracy.
Revenue Cycle Specialist
A&P Quality Care Medical
11.2022 - 02.2025
Manage $100K+ in patient AR balances and improve collection rates by 15–25%.
Generate AR and patient collection reports to monitor outstanding balances.
Train staff on billing workflows, insurance procedures, and AR resolution strategies.
Address patient inquiries regarding billing, insurance coverage, and financial responsibility.
Medical Billing Coordinator
Texas State Optical
05.2022 - 11.2022
Supervised front desk operations and improved patient workflow efficiency.
Increased team performance by 35% through structured training programs.
Reduced billing errors by 20% and ensured compliance with billing regulations.
Managed claim submissions and reporting for leadership review.
Collaborated with clinical staff to ensure accurate coding for optimal reimbursement rates.
Assisted in training new hires on billing software and procedural best practices.
Insurance & AR Specialist
Austin Retina Associates
03.2021 - 05.2022
Managed 30–50+ denial accounts daily and improved reimbursement through appeals.
Verified insurance eligibility and reduced eligibility-related denials..
Provided exceptional customer service, assisting patients in understanding their insurance benefits and financial responsibilities.
Consistently exceeded performance benchmarks, processing a high volume of claims accurately within designated timeframes.
Improved resolution rates through targeted follow-up strategies on outstanding accounts receivable.
Payment Posting Specialist
Abeo Billing
06.2020 - 03.2021
Processed $50K+ in weekly payments with 98%+ accuracy.
Reconciled accounts and resolved payment discrepancies.
Followed up with payers on rejected and unpaid claims.
Maintain comprehensive documentation of all payment posting activities for audit purposes.
Identified trends in payer denials and collaborated with other departments to resolve recurring issues proactively.
Medical Office Specialist
Westlake Eye Specialists
05.2019 - 06.2020
Managed scheduling, EHR systems, and front office operations.
Handled patient communication and administrative workflows.
Coordinated patient scheduling and check-in processes to enhance front office efficiency.
Processed insurance verifications to confirm eligibility before patient appointments.
Managed multi-line phone system, professionally handling incoming calls while simultaneously attending to in-person visitors at the reception desk.