Summary
Overview
Work History
Education
Skills
Timeline
Generic

Joy Teague

Allen

Summary

Dynamic healthcare professional with a unique dual background as a licensed Physical Therapist Assistant and seasoned Revenue Cycle Manager, offering a rare blend of clinical expertise and financial strategy. Proven ability to lead cross-functional teams, optimize reimbursement processes, and ensure compliance with CMS, Medicare, and Medicaid regulations. Adept at conducting settlement reviews, preparing cost reports, and analyzing reimbursement trends to drive revenue growth and regulatory alignment. Skilled in audit response, supplemental program tracking, and data-driven decision-making. Brings a holistic understanding of patient care and backend operations—making for a powerful asset in navigating complex reimbursement landscapes.

Overview

6
6
years of professional experience

Work History

Physical Therapist Assistant

Health-Pro Heritage
05.2024 - Current
  • Maintained meticulous daily documentation of patient care activities, ensuring accuracy, timeliness, and adherence to legal and ethical standards—skills directly applicable to preparing Medicare bad debt logs and cost report workpapers.
  • Independently structured and managed scheduling workflows to ensure timely completion of therapy visits and compliance with treatment protocols, demonstrating strong organizational and time management abilities essential for monthly settlement reviews and regulatory tracking.
  • Collaborated with multidisciplinary teams—including physicians, nurses, and therapists—to ensure coordinated care and regulatory alignment, mirroring the cross-departmental communication required to support MAC auditor inquiries and VP-level reimbursement initiatives.
  • Educated patients and families on care strategies and compliance-related practices, showcasing the ability to translate complex healthcare information into actionable guidance—an asset when analyzing Medicaid eligibility documentation and reimbursement regulations.
  • Monitored patient progress and adjusted treatment plans based on evolving needs and outcomes, reflecting a data-driven approach to identifying aberrations and implementing solutions—key to conducting settlement reviews and calculating financial impact of reimbursement changes.
  • Specialized in managing care for geriatric patients with cognitive impairments, requiring high attention to detail and adaptability—skills that support nuanced compliance reviews such as ALOS assessments for LTACHs and 60% rule evaluations for IRFs.

Outpatient Collections and Billing Manager

PAM Health
05.2023 - 05.2024
  • Directed a team of 15 billing and collections professionals, ensuring adherence to regulatory timelines and internal protocols that support accurate reimbursement and compliance with Medicare and Medicaid guidelines.
  • Oversaw daily operations with a focus on optimizing revenue capture and aligning billing practices with evolving reimbursement regulations and payer requirements.
  • Acted as primary liaison to Senior Leadership, Facility CEOs, and clinical teams to address inquiries related to Medicare bad debt, Medicaid eligibility documentation, and reimbursement discrepancies.
  • Collaborated with cross-functional stakeholders to prepare responses for MAC auditor inquiries, ensuring timely and accurate documentation aligned with CMS standards.
  • Conducted monthly settlement reviews to identify aberrations in reimbursement trends; developed and presented impact summaries to leadership with actionable recommendations for resolution.
  • Analyzed changes in reimbursement regulations and calculated financial implications, proactively adjusting billing strategies to maintain compliance and maximize revenue
  • Supported compliance reviews for PAM hospitals, including ALOS assessments for LTACHs and 60% rule evaluations for IRFs, ensuring adherence to federal and state requirements.
  • Tracked and accounted for state supplemental payment programs, integrating updates into financial reporting and reimbursement forecasting.
  • Prepared and analyzed Medicare bad debt logs and supporting workpapers for cost report submissions, ensuring accuracy and completeness of financial documentation.
  • Leveraged advanced analytical tools to monitor KPIs and identify trends impacting collections and reimbursement; implemented data-driven strategies to enhance financial performance and regulatory compliance.

Resilient Health Care

Revenue Cycle Manager
01.2020 - 05.2024
  • Oversaw end-to-end revenue cycle operations—including registration, insurance verification, charge capture, and claims submission—with a focus on aligning processes to evolving reimbursement regulations and payer requirements.
  • Conducted in-depth data analysis to evaluate reimbursement trends and identify financial impact of regulatory changes, leading to targeted strategies that improved reimbursement rates and contributed to an 80% increase in gross profit.
  • Directed staff training on revenue cycle compliance, ensuring adherence to CMS guidelines and payer-specific documentation standards—skills directly applicable to Medicare bad debt log preparation and Medicaid eligibility review.
  • Investigated over 1,000 unpaid claims, identifying discrepancies between billing and EMR systems; resolved outstanding issues and recovered over $50,000 in reimbursements, demonstrating precision in audit response and documentation integrity.
  • Led initiatives to identify systemic issues in claims processing and reimbursement, applying root-cause analysis to uncover aberrations and implement corrective actions—experience that translates directly to monthly settlement reviews and impact reporting.
  • Collaborated across departments to proactively address reimbursement concerns, facilitating cross-functional communication and supporting VP-level inquiries from MAC auditors.
  • Maintained awareness of payer updates and supplemental payment programs, integrating changes into revenue cycle workflows and financial forecasting.
  • Prepared detailed documentation and support workpapers for cost report purposes, ensuring accuracy and compliance with federal and state reimbursement requirements.

Education

Bachelor of Science - Kinesiology

University of North Texas
Denton
05-2014

Associate of Science - Physical Therapist Assistant

Weatherford College
Weatherford, TX
05-2017

Skills

  • Leadership
  • Revenue Optimization
  • Compliance
  • Audit Support
  • Financial Analysis
  • Cost Reporting
  • Data Analytics
  • Collaboration

Timeline

Physical Therapist Assistant

Health-Pro Heritage
05.2024 - Current

Outpatient Collections and Billing Manager

PAM Health
05.2023 - 05.2024

Resilient Health Care

Revenue Cycle Manager
01.2020 - 05.2024

Bachelor of Science - Kinesiology

University of North Texas

Associate of Science - Physical Therapist Assistant

Weatherford College

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