Dynamic Revenue Cycle Specialist with expertise in claims processing and a strong commitment to HIPAA compliance at Baylor Scott & White Healthcare. Proven ability to analyze data for process improvement and enhance team knowledge through effective training. Detail-oriented and collaborative, dedicated to optimizing healthcare documentation and patient support.
Overview
11
11
years of professional experience
Work History
Revenue Cycle Specialist
Baylor Scott & White Healthcare
Temple, TX
06.2018 - Current
Manage resident accounts in Epic and ensure balances are resolved accurately and efficiently.
Review and follow up on Medicaid and Medicare claims daily.
Complete specialized tasks including MRANS, preparing paper claims, logging, and mailing documentation.
Analyzed revenue cycle data to identify trends and areas for process improvement.
Collaborated with clinical teams to ensure accurate coding and billing practices.
Developed training materials to enhance understanding of revenue cycle operations among team members.
Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
Cashier & Server
McAlister’s Deli
Temple, TX
05.2021 - 08.2022
Processed customer transactions efficiently using point-of-sale systems.
Provided exceptional customer service, resolving inquiries and enhancing dining experiences.
Maintained cleanliness and organization of the cashier area to ensure operational efficiency.
Assisted in training new cashiers on procedures and best practices for customer engagement.
Health Plan Specialist
Fresenius Medical Care
Austin, TX
01.2017 - 06.2018
Developed and implemented health plan policies ensuring compliance with regulatory standards.
Analyzed patient data to enhance care coordination and optimize resource allocation.
Collaborated with cross-functional teams to streamline processes and improve service delivery.
Trained staff on health plan protocols, enhancing team knowledge and performance consistency.
Performed outbound welcome and wellness calls to health plan members.
Requested, received, and reviewed medical records and laboratory documentation.
Provided ongoing support to members newly diagnosed with ESRD.
Communicated with clinic staff regarding member needs and updates.
Cashier
HEB Grocery Store
Temple, TX
10.2015 - 07.2017
Processed customer transactions efficiently using point-of-sale systems.
Maintained accurate cash drawer balancing to ensure financial integrity.
Assisted customers with product inquiries and resolved issues promptly.
Collaborated with team members to optimize checkout workflow and reduce wait times.
Trained incoming employees in customer service processes.
Offered carry-out assistance and ensured a positive shopping experience.
Dietary Aide
ELM CROFT
Temple, TX
02.2015 - 08.2015
Prepared and served nutritious meals to residents, ensuring adherence to dietary guidelines.
Assisted in food inventory management, maintaining accurate records of stock levels.
Complied with sanitation and safety standards, promoting a hygienic kitchen environment.
Collaborated with culinary team to create appealing meal presentations for residents.
Trained new staff on dietary procedures and best practices for food service operations.
Improved meal delivery efficiency by reorganizing service workflows within the dining area.
Served meals to residents in accordance with established schedules and dietary procedures.
Kept all kitchen areas clean, tidy and free of hazards.
Washed plates, cups, serving, and eating utensils and kitchen equipment in commercial dishwasher.
Coordinated with other dietary aides and kitchen staff to ensure efficient workflow and timely delivery of meals, contributing to a smooth-running operation.
Enhanced kitchen efficiency by maintaining a clean and organized workspace, ensuring timely meal production and delivery.
Cleared tables and removed dishes, trays, and utensils from dining room to dishwashing area.
Followed all food safety regulations while preparing meals for patients.
Supported fellow team members during peak times by assisting with tasks such as dishwashing and restocking supplies, fostering a collaborative work environment.
Education
Certificate of Technical Studies - Certificate, Health Information Technology
Johns Hopkins University
Baltimore, MD
10-2023
Certificate of Technical Studies - Certificate, The Critical Role of IT Support Staff
Johns Hopkins University
Baltimore, MD
09-2023
Graduate Certificate - Medical Front Office & Electronic Health Records
Fisk University
Nashville, TN
05-2015
High School Diploma -
Penn Foster High School
Scranton
06-2014
Skills
Claims review
Claims processing proficiency
HIPAA compliance
Professionalism and ethics
Customer Service & Patient Support
Problem Solving
Detail-Oriented & Organized
Critical Thinking
Team Collaboration
Administrative Support
Healthcare Documentation
Medical billing expertise
Managing records
Coordinating documents
Records coordination
Timeline
Cashier & Server
McAlister’s Deli
05.2021 - 08.2022
Revenue Cycle Specialist
Baylor Scott & White Healthcare
06.2018 - Current
Health Plan Specialist
Fresenius Medical Care
01.2017 - 06.2018
Cashier
HEB Grocery Store
10.2015 - 07.2017
Dietary Aide
ELM CROFT
02.2015 - 08.2015
Certificate of Technical Studies - Certificate, Health Information Technology
Johns Hopkins University
Certificate of Technical Studies - Certificate, The Critical Role of IT Support Staff
Johns Hopkins University
Graduate Certificate - Medical Front Office & Electronic Health Records