Dynamic and motivated professional with a proven record of building relationships, initiating/managing projects from concept to completion, improving procedural efficiencies, and coaching individuals to reach their full potential. Adaptable and transformational leader with an ability to work independently/collectively with cross-functional teams to make critical decisions during challenging times or developed opportunities that optimize organizational strategy. Experienced in most widely used computer software, databases, and healthcare terminologies.
Overview
8
8
years of professional experience
Work History
Director of Revenue Management
Transition Home Health Care
06.2023 - Current
Integrated data analytics tools into daily operations to provide real-time insights into performance, identifying bottlenecks and areas for improvement with agility.
Improved revenue cycle efficiency by streamlining processes and implementing best practices.
Reduced denial rates through meticulous claims review and enhanced coding practices, ensuring maximum revenue capture.
Managed a team of medical records staff, promoting teamwork and consistently meeting departmental goals.
Improved revenue cycle management by closely monitoring outstanding claims and promptly addressing denials or discrepancies.
Championed technological advancements within the organization by staying current with industry trends related to billing and coding practices.
Participated in industry conferences and educational sessions to stay current on emerging trends, best practices, and regulatory changes affecting healthcare revenue cycle management.
Established strong relationships with insurance carriers to expedite claims processing and maximize reimbursement rates.
Achieved a high level of compliance by implementing strict adherence to regulatory guidelines, including HIPAA privacy rules.
Mentored junior staff members to develop their skills and advance within the organization''s revenue cycle management hierarchy.
Ensured timely claim submission by effectively managing coding workflows within the department.
Collaborated with cross-functional teams to identify areas for operational improvement within the revenue cycle process.
Boosted patient satisfaction by providing timely, accurate billing statements and addressing inquiries with professionalism and empathy.
Increased revenue by streamlining billing processes and implementing effective collection strategies.
Developed customized training programs for staff, resulting in increased efficiency and productivity within the department.
Revenue Recovery Manager
Amedisys Home Health
09.2021 - Current
Verified payroll, vendor payments, commissions and other accounting disbursements for accuracy and compliance
Reviewed historical records, current operational data and forecasting information to identify and capitalize on system enhancement opportunities
Improved overall financial reporting by streamlining control processes and reporting structures
Successfully negotiated $1.5M settlement with insurance company for AR greater than 720
Validated existing accounting management and reporting systems to assess quality and conformance, identify problems and implement corrective actions
Performed spending analysis and partnerships to refine policies and develop recommendations for improvement
Supervised staff of collectors, to ensure prompt response to customer concerns
Worked with legal resources and recovery teams to manage default issues
Successfully implemented new technologies and process automations to encourage continuous improvement
Cash Posting Manager
Amedisys Home Health
06.2016 - 09.2021
Perform month end close processes, timely and accurately.
Identified and onboard new vendors connection
Developed new policy and procedures to increase overall efficiency throughout department
Develops employees through coaching, mentoring, and formal/on job training. Monitor and evaluated employee performance by holding employees accountable for define goals and objectives and executing effective performance redirection when needed
Coordinating and supporting integration planning, tracking and processes for new acquisitions
Focus on the needs of customers by introducing higher standers of customer service and streamlining operations to increase effectiveness
Physical Therapist Assistant at Nurse Home Care/Community Home Health Services/Allegiance Home Health/Pinnacle/Preferred Home Care of Florida Home Health AgenciesPhysical Therapist Assistant at Nurse Home Care/Community Home Health Services/Allegiance Home Health/Pinnacle/Preferred Home Care of Florida Home Health Agencies