Results-driven expert with 20 years in healthcare, dedicating last 12 years to optimizing inpatient revenue cycle and management processes.
Overview
21
21
years of professional experience
Work History
Director Revenue Cycle
Optum360
Phoenix, AZ
01.2025 - Current
Analyzed data trends to identify opportunities for process improvements.
Regularly monitored performance indicators such as days in accounts receivable, clean claim rate, and denial rate in order to assess the effectiveness of current processes.
Oversaw all activities related to authorization, auth submission, follow-up, denial management, customer service inquiries, issues resolution
Evaluated existing workflows and identified areas where improvements could be made that would result in increased efficiency or reduced costs associated with the revenue cycle process.
Ensured adherence of HIPAA guidelines by staff members handling sensitive information related to the revenue cycle process.
Identified opportunities for cost savings within the revenue cycle process through improved workflow design or automation initiatives.
Analyzed and reported on billing cycle data to inform management.
Participated in revenue cycle processes, working to maximize profitability and increase revenue.
Monitored revenue and compared to targets to address variances and resolved actual-to-budget variances.
Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
Led initiatives to streamline communication between clinical and administrative teams.
Revenue Cycle Manager
Optum 360
Phoenix, AZ
01.2021 - 12.2024
Managed revenue cycle operations and ensured compliance with regulations.
Collaborated with billing teams to streamline invoicing processes.
Analyzed financial data to identify trends and inform decision-making.
Implemented technology solutions to optimize revenue cycle performance.
Participated in revenue cycle processes, working to maximize profitability and increase revenue.
Generated reports detailing key metrics such as days in accounts receivable, denial rate.
Collaborated with physicians, clinical staff, payers and other stakeholders to resolve issues related to medical billing.
Analyzed and reported on billing cycle data to inform management.
Developed strategies to reduce denials, improve accounts receivable, and enhance revenue cycle performance.
Revenue Cycle Supervisor
Optum360
Mesa, Arizona
03.2013 - 12.2020
Coordinated staff schedules to ensure adequate coverage and support.
Trained new employees on operational procedures and company policies.
Monitored compliance with health regulations and internal standards.
Implemented process improvements for streamlined service delivery.
Facilitated communication between departments to resolve operational issues.
Reviewed performance metrics to identify areas for operational enhancement.
Patient Care Coordinator
Dignity Health
Chandler, AZ
01.2007 - 02.2013
Managed authorizations to other facilities, home health agencies, skilled nursing facilities, long term acute care based on resident and family needs, preferences and resources.
Liaised with patients, physicians, therapist, nurses and registration to provide outstanding patient care.
Participated in case conferences with multi-disciplinary team to discuss client care planning and progression.
Documented information in EMR system.
Protected patient data in alignment with HIPAA privacy protocols.
Certified Nursing Assistant
Dignity Health
Chandler, AZ
01.2005 - 01.2007
Rendered hands-on nursing care under direct RN supervision, adhering to medical center policies and procedures.
Conducted routine checks on standard patient vitals, including blood pressure, blood sugar and heart rate.
Exhibited compassionate care and communication regarding issues surrounding death and dying.
Maintained accurate, timely flow of information by completing thorough patient records and updating healthcare team on patient status.
Documented activities and recorded information in EMR system.
Education
Certified Nursing Assistant - Nursing
Maricopa Community Colleges - Mesa Community College
Mesa, AZ
12-2004
Bachelor of General Studies - Bachelor of General Studies
Arizona State University
Tempe
12-1999
Skills
Revenue cycle management
Data analytics
Process improvement
Regulatory compliance
Health information systems
Timeline
Director Revenue Cycle
Optum360
01.2025 - Current
Revenue Cycle Manager
Optum 360
01.2021 - 12.2024
Revenue Cycle Supervisor
Optum360
03.2013 - 12.2020
Patient Care Coordinator
Dignity Health
01.2007 - 02.2013
Certified Nursing Assistant
Dignity Health
01.2005 - 01.2007
Certified Nursing Assistant - Nursing
Maricopa Community Colleges - Mesa Community College
Bachelor of General Studies - Bachelor of General Studies