Strategic healthcare operations and revenue cycle leader with 8 years of experience enhancing financial and administrative performance in specialty medical practices. Expertise in revenue cycle management, insurance verification, claims submission, and denial resolution. Focused on improving reimbursement outcomes, streamlining workflows, and leading high-performing teams to drive operational efficiency and revenue growth.
Overview
10
10
years of professional experience
Work History
Revenue Cycle & Healthcare Operations Lead
Allergy & Asthma Center of Texas
Celina, USA
01.2017 - Current
Lead full-cycle billing and revenue operations for a high-volume specialty medical practice, overseeing insurance verification, charge capture, claims submission, payment posting, denial management, and accounts receivable follow-up.
Serve as primary subject matter expert for complex payer policies, reimbursement issues, appeals, and denial resolution involving commercial insurance, Medicare, and specialty medications.
Identify root causes of denials and reimbursement delays, implementing workflow improvements that improve claim accuracy and accelerate collections.
Analyze reimbursement trends, payer performance, and billing metrics to support revenue optimization and operational decision-making.
Partner with providers and leadership to resolve billing challenges, improve workflows, and support strategic practice growth.
Supervise front office operations including scheduling, intake, patient collections, and service escalation while maintaining high standards for patient experience.
Develop internal process documentation and training resources to improve staff performance, consistency, and compliance.
Train and mentor front office staff on payer requirements, workflow efficiency, and billing best practices.
Act as escalation point for complex patient billing concerns, balancing collections, service recovery, and financial transparency.
Education
Bachelor of Science - Communication Sciences and Disorders
The University of Mississippi
Oxford, MS
Skills
Revenue management
Claims Management
Denial Resolution
Appeals management
Authorization management
Revenue Integrity
Accounts Receivable
Payment Posting
Payer Relations
Patient Access
Practice Operations
Workflow improvement
KPI analysis
Financial analysis
Process enhancement
Staff Training
HIPAA Compliance
Systems And Software
Intelligent Medical Software (IMS)
Availity / Availity Essentials
OpenEdge
Microsoft Office Suite
EMR/EHR Platforms
Payer Portals
Revenue Cycle Reporting Tools
Microsoft Teams
Timeline
Revenue Cycle & Healthcare Operations Lead
Allergy & Asthma Center of Texas
01.2017 - Current
Bachelor of Science - Communication Sciences and Disorders