Results-oriented DME and Revenue Cycle professional with specialized expertise in CMS guidelines, claims auditing, and document management. Proven track record of reducing billing errors and optimizing workflows within Brightree and Net Health systems. Experienced in building and leading high-volume documentation departments (15+ staff) and managing complex financial records. Seeking a remote Senior Documentation or Compliance role to leverage expertise in denial management and process improvement.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Documentation Manager (DME)
CURITEC
The Woodlands, TX
06.2023 - Current
Built the Documentation Department from the ground up. Restructured a generalized operations team into three specialized departments to streamline workflows and improve accountability.
Promoted from Order Entry Specialist to Manager within 6 months due to exceptional performance and process knowledge.
Direct the documentation lifecycle for a team of 15 staff, ensuring 100% adherence to CMS guidelines and reducing billing lag time.
Serve as the primary auditor for Medicare ADR requests; successfully identified and resolved documentation trends to decrease insurance denials.
Manage a daily volume of 100+ orders, verifying medical necessity, provider signatures, and insurance eligibility prior to billing.
Developed signature logs for facility providers to ensure audit-readiness and proper verification practices.
Utilize Brightree and Net Health to generate reporting metrics, optimizing workflow efficiency for both remote and on-site staff.
DME Order Entry Specialist
CURITEC
The Woodlands, TX
01.2023 - 06.2023
Processed wound care orders, ensuring proper coding and strict adherence to CMS coverage guidelines.
Coordinated with field representatives and providers to obtain critical patient documentation for billing accuracy.
Payroll Specialist
TK PAYROLL
Conroe, TX
07.2021 - 03.2023
Managed end-to-end payroll processing, ensuring accurate calculation of overtime, vacation, and sick leave.
Researched and resolved complex payroll errors, managing federal/state tax payments, Social Security, and Medicare deductions.
Utilized QuickBooks to process deductions and generate direct deposits and paper checks for associates.
Bookkeeping Assistant
LONE STAR TAX RESOLUTION
Conroe, TX
04.2021 - 02.2023
Established and maintained QuickBooks accounting systems to reflect accurate financial records for business clients.
Managed month-end, quarterly, and year-end closing processes, including updating ledgers and journals.
Tracked business expenses and reconciled bank statements to ensure financial transparency.
Insurance Specialist
KEPPLE AND ASSOCIATES, INC.
Houston, TX
02.2022 - 12.2022
Processed eligibility and benefit verification requests, tracking pending authorizations to prevent revenue loss.
Resolved discrepancies in insurance payments by collaborating directly with carriers and finance departments.
Managed denials and extension requests, ensuring timely follow-up to secure payment.
Education
Associate’s Degree - undefined
Lone Star College
Texas
01.2022
Skills
DME Software: Brightree, Net Health, MyAbility, esMD/ERMD
Financial & Office: QuickBooks (Intuit), Microsoft Office Suite (Excel, Word), Google Drive/Docs, Adobe Acrobat