Experienced leader with strong background in guiding teams, managing complex projects, and achieving strategic objectives. Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Known for collaborative approach and commitment to excellence.
Professional enrollment specialist with strong track record in data analysis and process improvement within enrollment settings. Proven ability to optimize enrollment procedures and enhance data accuracy, leading to improved operational efficiency. Committed to team collaboration and adapting to evolving organizational needs, known for reliability and results-oriented mindset.
Seasoned Business Analyst offering 22 years of administrant industry success. Expert on business and systems requirements, user acceptance testing and end-user training. Accomplished at leveraging past lessons to inform future decision-making.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Business and Payer Enrollment Analyst
Rochester Regional Health
11.2022 - 07.2025
Provide accurate and timely enrollment services in a prompt, professional, efficient and courteous manner, displaying STARS behavior.
Offers efficiency and solutions to ensure the accuracy of provider data and verification while maintaining files in payout enrollment software.
Review and validate professional qualifications of providers to guarantee completion of provider applications.
Monitored compliance with regulatory requirements related to enrollments.
Collect and submit all applications in a timely and supporting documentation needed for submission.
Prepare and maintain reports.
Developed training materials for staff on enrollment procedures and best practices.
Conducted audits of enrollment records to ensure compliance and accuracy.
Led initiatives to optimize enrollment strategies, improving overall efficiency.
Mentored junior analysts, fostering a collaborative team environment.
Presented findings and recommendations to senior leadership for strategic decision-making.
Maintained detailed and accurate records between multiple databases and programs.
Conducted financial screening and documentation gathering for providers to determine qualification for payment programs.
Reduced processing time for applications through effective prioritization and organization of workflow.
Utilized advanced analytics tools to identify patterns in historical enrollments, informing data-driven decision-making processes for future enrollment strategies.
Improved data accuracy by conducting thorough audits on enrollment records and addressing discrepancies.
Business Office Manager
Villa of Hope Behavioral Outpatient Clinic
06.2021 - 11.2022
Oversaw daily operations to ensure compliance with regulatory standards and organizational policies.
Developed and implemented efficient administrative processes to enhance clinic workflow and patient service.
Managed billing, coding, and insurance verification processes to optimize revenue cycle management.
Trained and mentored office staff on best practices in patient care coordination and administrative support.
Collaborated with clinical teams to improve communication and streamline patient intake procedures.
Analyzed operational data to identify trends, leading to improved decision-making and resource allocation.
Facilitated cross-departmental meetings to align strategic goals and enhance overall clinic performance.
Implemented electronic health record systems to improve documentation accuracy and accessibility for staff.
Managed financial operations for the business, ensuring accurate budgeting and timely invoice processing.
Updated reports, managed accounts, and generated reports for company database.
Resolved financial discrepancies and customer billing issues with timely attention.
Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
Enhanced customer satisfaction by addressing inquiries promptly and resolving issues professionally.
Coordinated staff schedules, adjusting workloads to maximize productivity and meet deadlines.
Oversaw inventory management, maintaining optimal levels of supplies while minimizing costs.
Improved workflow efficiency by streamlining office processes and implementing new software solutions.
Oversaw recruitment and onboarding process for new employees, ensuring smooth integration into company culture and workflow.
Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
Oversaw appointment scheduling and itinerary coordination for both clients and personnel.
Revenue Cycle Supervisor
RADNET MANAGEMENT INC
10.2019 - 05.2021
Led revenue cycle team to optimize billing processes and enhance cash flow efficiency.
Streamlined patient insurance verification process, reducing claim denials by implementing best practices.
Analyzed financial reports to identify trends, driving strategic decision-making for revenue enhancement initiatives.
Monitored key performance indicators, ensuring alignment with organizational goals and regulatory standards.
Reviewed contracts with third-party payers to ensure optimal reimbursement rates were negotiated effectively.
Served as a subject matter expert on reimbursement regulations, maintaining up-to-date knowledge of industry best practices and compliance requirements.
Analyzed financial data for trends and opportunities, providing valuable insights for management decisionmaking.
Coached and mentored team members for professional growth, resulting in enhanced job performance and higher employee satisfaction.
Improved overall cash flow by identifying underperforming areas within the billing process, addressing issues proactively.
Enhanced revenue cycle efficiency by implementing strategic process improvements and workflow optimizations.
Oversaw patient registration processes, ensuring accurate demographic information was collected to facilitate smooth billing operations.
Managed accounts receivable aging, ensuring timely follow-up on outstanding balances and prompt resolution of discrepancies.
Streamlined billing procedures for increased accuracy, reducing errors and improving overall collections.
Monitored and guided revenue cycle operations.
Identified discrepancies between budgetary targets and actual revenue and expenses.
Built highly-efficient administrative team through ongoing coaching and professional development opportunities.
Medical Administration
University Of Rochester
08.2003 - 10.2019
Lead Charge Capture for Dept of Ophthalmology and Imaging Sciences
Supported the development of office policies and procedures by actively contributing ideas and insights on best practices in medical administration.
Improved patient satisfaction by streamlining medical administration processes and enhancing communication between departments.
Contributed to the development of a comprehensive policy manual outlining best practices in medical administration, standardizing procedures across multiple facilities.
Trained new staff members in medical administration policies and procedures, fostering a collaborative work environment focused on patient care.
Managed medication administration accurately and responsibly according to individualized care plans and regulatory guidelines.
Served as liaison between grade-level team and administration, effectively representing colleague concerns during meetings and decision-making processes.
Entered procedure codes and diagnosis codes into medical billing software.
Resolved issues related to insurance authorizations or medical necessity quickly, minimizing delays in service provision.
Provided expertise during internal audits, helping identify areas of potential risk or noncompliance within the medical coding process.
Managed benefits administration tasks such as enrollment processing, claims resolution, and employee assistance efforts.
Supported medical billing processes by providing accurate coding and documentation, resulting in prompt reimbursement from insurance companies.
Boosted overall productivity by staying current on industry best practices for medical clerical administration.
Participated in periodic training sessions to stay current on best practices within the field of medical administration.
Education
Studied Coursework in Sociology And Business - Sociology
LeMoyne College
Syracuse, NY
05.1996
High school or equivalent - HS Diploma
McQuaid Jesuit HS
Rochester, NY
06.1992
Skills
Spanish
English
Epic
Ophthalmology Experience
Medical Terminology
EMR Systems
Hospital Experience
Accounts Receivable
CPT Coding
Medical Billing
ICD-10
Insurance Verification
Medical Records
Leadership
Office Management
Medical Office Experience
Anatomy Knowledge
ICD-9
Medical Coding
Enrollment management
Policy interpretation
Report generation
Problem-solving
Time management
Attention to detail
Multitasking and organization
Clear communication
Team collaboration
Strategic thinking
Verbal and written communication
Decision-making
Client relationship management
Business process improvement
Operations management
Staff management
Strategic planning
Quality assurance
Microsoft Office Suite
Data analysis
Customer needs assessment
Workflow optimization
Internal auditing
Test case scenarios
Forecasting and planning
Workflow Analysis
Operational reporting
Financial advising
Data mapping
Business planning
Database management
Consulting
Operations analysis
Pivot tables
Process optimization
Web-based reporting tools
Search engine optimization
Needs assessments
Revenue development
Effective communication
Active listening
Excellent communication
Critical thinking
Organizational skills
Team leadership
Multitasking
Problem-solving abilities
Customer service
Teamwork and collaboration
Multitasking Abilities
Reporting and documentation
Human resources information systems (HRIS)
Cashflow processes
Certification
CMBS March 2015
CPR/AED June 2022 to Present
Certified Notary Public August 2023 to Present
Timeline
Business and Payer Enrollment Analyst
Rochester Regional Health
11.2022 - 07.2025
Business Office Manager
Villa of Hope Behavioral Outpatient Clinic
06.2021 - 11.2022
Revenue Cycle Supervisor
RADNET MANAGEMENT INC
10.2019 - 05.2021
Medical Administration
University Of Rochester
08.2003 - 10.2019
High school or equivalent - HS Diploma
McQuaid Jesuit HS
Studied Coursework in Sociology And Business - Sociology
Patient Care Technician at Rochester Regional Health, Rochester General HospitalPatient Care Technician at Rochester Regional Health, Rochester General Hospital
Government Payer Enrollment Coordinator at University of Maryland Medical SystemGovernment Payer Enrollment Coordinator at University of Maryland Medical System