Dynamic Revenue Cycle Services Director with a proven track record in managing over 100 staff across multiple skilled nursing facilities. Focused on enhancing patient care and operational efficiency through strategic initiatives and compliance-driven policies.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Revenue Cycle Services Director of AR/ Billing Specialist
Comprehensive Health Care Solutions/ Wellsky
07.2021 - 05.2026
Managed over 100 staff members across 200 skilled nursing facilities.
Directed strategic initiatives to enhance patient care and operational efficiency.
Developed policies to ensure adherence to regulatory requirements in health care.
Recruited, trained, supervised, evaluated and mentored staff members.
Approved payroll, bonuses, and salary rates for all staff.
Collaborated directly with clients for billing processes and inquiries.
Collaborated with cross-functional teams to align organizational goals and priorities.
Submitted secondary claims and sent patient statements for outstanding balances.
Received inbound calls from patients and collected payments via credit card.
Medical Billing Specialist/ Office Manager
Arthur M Schueler Jr DO
Orange Park
08.2015 - 07.2021
Processed medical claims using specialized billing software.
Verified patient insurance information for accurate billing and reimbursement.
Reviewed patient accounts for accuracy and completeness.
Resolved billing discrepancies by communicating with patients and insurance companies.
Communicated with insurance companies regarding claim status.
Checked patients in, verified insurance eligibility, processed payments for copays and deductibles to ensure smooth patient flow.
Updated patient records in electronic health systems regularly.
Trained new staff on billing procedures and software usage.
Medical Billing Specialist
Parallon
Orange Park
07.2015 - 08.2015
Contacted insurance companies to verify claim statuses and resolve outstanding issues, ensuring timely reimbursements.
Process medical claims using advanced billing software systems.
Verify patient insurance information for accuracy and completeness.
Review and resolve billing discrepancies and denials efficiently.
Analyzed coding errors and initiated corrections as needed.
Maintained updated knowledge of industry billing procedures and guidelines.
Collaborated with finance teams to improve revenue cycle processes.
Recorded patient charges and payments in billing system.
Customer Service Representative- Full Time
Clay County Utility Authority
Middleburg
08.2011 - 02.2015
Engaged deeply with customers to understand and address their account needs.
Assisted customers with utility service inquiries and account management.
Resolved customer complaints while maintaining a professional demeanor.
Provided excellent customer service to resolve customer complaints in a timely manner.
Resolved customer issues promptly, fostering high satisfaction through knowledgeable and friendly service.
Educated customers on billing procedures and payment options effectively.
Collecting payments, transferring utility services, setting up new customer accounts, scanning documents into the system for backup.
Processed service requests and updates efficiently through internal systems.
Trained new staff on customer service protocols and system navigation.
Participated in team meetings to discuss service improvements and strategies.
Remained calm and professional in stressful circumstances and effectively diffused tense situations.
Built strong relationships with customers to encourage repeat business and loyalty.
Data Entry Clerk- Full Time
Multi Medical Specialties Billing Inc
Jacksonville
04.2011 - 08.2011
Entered patient data into billing systems accurately and efficiently.
Job duties include inputting patient demographics, billing and coding for multiple doctors, following up on claims, and posting payments.
Processed insurance claims and verified coverage information promptly.
Reviewed medical records for completeness and accuracy prior to billing.
Perform Standard procedures, answering phones and providing the caller with the best customer service.
Receptionist- Full Time
First Coast Allergy and Asthma
Jacksonville
08.2010 - 03.2011
Welcomed patients and visitors at the front desk to create a friendly atmosphere.
Managed multi-line phone system, directing calls to appropriate staff members.
Scheduled appointments, checked patients in and out, and prepared charts to ensure smooth patient flow.
Verified insurance, managed collections and accounts receivable, processed billing and coding, and filed insurance claims to maintain financial accuracy.
Waitress/ Bar Tender
Applebees
05.2009 - 08.2010
Handled customer orders, processed payments in the squirrel system, and ensured excellent service for every patron.
Provided friendly service to guests in a fast-paced restaurant environment.
Took accurate food and drink orders using POS systems for efficient processing.
Maintained cleanliness and organization of tables, dining area, and service stations.
Floor Secretary- Full Time
Orange Park Medical Center
Orange Park
04.2008 - 03.2009
Job duties include entering in doctor's orders, maintenance work orders and filing nurse’s requests for patients.
Scheduled and organized charts for induction and c-section patients in a timely manner.
Answered phones and addressed patient inquiries with professionalism and care.
Refund Clerk/ Customer Service Representative
Baptist Medical Center
Jacksonville
12.2006 - 04.2008
Performed credit balances for over payment by patients.
Performed duties of a receptionist.
Handled cash posting, patient billing transfers and deposits.
Daily I made phone contact with previous patients to discuss their bills and make payment arrangements in the WILMA program.
Office Temp
Clay County Public Works
Green Cove Springs
06.2005 - 09.2005
This position provided me the opportunity to strengthen my data entry and customer service skills.
Answered phone and assisted office staff with entering work orders and handling complaints.
Compiled several years of county documentation in a spreadsheet format.
Education
Diploma - Medical Insurance Billing and Coding
Fortis College
Orange Park, FL
01-2010
High School Diploma -
Clay High School
Green Cove Springs, FL
01-2005
Skills
CPT Coding
ICD-10
ICD-9
Medical Billing
Accounts Receivable
Insurance Verification
Medical Records
EMR Systems
Medical Terminology
Healthcare Compliance
Documentation analysis
Data management
Microsoft Excel
HIPAA
Medical Office Experience
Revenue Analysis
Revenue cycle management
Medical billing software
Certification
Medical Billing and Coding, 09/10, Present
Additional Information - Professional Skills
Basic knowledge of Microsoft Products (Word, Excel, and Works)
Use of 10-key Calculator
Operation of Fax Machine and Copier
Use of Meridian Phone Systems
EHR
Medisoft/Medical Manager, New Soft
Knowledge of CPT, ICD-9, HCPCS
Medical Terminology
Medicare/Medicaid and various private insurances
Multi-Tasking
Customer Service/Team Building
Timeline
Revenue Cycle Services Director of AR/ Billing Specialist