Kimberly Tuvey
Wall Township,NJ
Summary
Results-driven Revenue Cycle and Denial Management professional with 8+ years of experience optimizing reimbursement, reducing claim denials, and improving accounts receivable performance across Medicare, Medicaid, Commercial, No-Fault, and Workers' Compensation payers. Proven success leading teams, streamlining workflows, resolving complex payer issues, and driving revenue cycle efficiency while ensuring regulatory compliance. Recognized for analytical problem-solving, operational leadership, and delivering measurable financial results.
Overview
1
1
Certification
8
8
years of professional experience
Work History
Denial Management II
J&S Stark Billing and Consulting
06.2019 - 05.2026
- Reduced claim denials and increased collections through root cause analysis, appeals management, and process improvements.
- Managed complex payer disputes, underpayments, reconciliations, and revenue recovery initiatives.
- Directed revenue cycle operations including claims management, denial resolution, accounts receivable, payment posting, and reimbursement optimization.
- Managed complex payer disputes, underpayments, reconciliations, and revenue recovery initiatives to resolve issues and optimize revenue.
- Analyzed financial trends and prepared reports to inform operational and strategic decision-making.
- Served as subject matter expert on Medicare, Medicaid, Workers' Compensation, No-Fault, commercial payer requirements, and revenue cycle best practices.
- Established workflow enhancements that improve efficiency, reduce errors, and strengthen financial performance.
- Implemented workflow enhancements to streamline processes, minimize errors, and enhance financial performance.
Patient Account Representative
Med Metrix
12.2017 - 05.2019
- Managed insurance verification, claims follow-up, payment processing, and account resolution to enhance overall revenue cycle efficiency.
- Investigated billing discrepancies and resolved claim issues while coordinating with payers to ensure maximized reimbursement.
- Maintained accurate account documentation to ensure compliance with confidentiality and privacy standards, supporting regulatory requirements.
- Maintained accurate account documentation while ensuring compliance with confidentiality and privacy standards.
Education
Bachelor of Arts - Accounting
New Jersey City University
Jersey City, NJ01-2028
Associate of Arts - Business Administration
Brookdale Community College
Lincroft, NJ06-2012
Skills
- Revenue Cycle Management
- Denial Management
- Medical Billing & Claims Processing
- Accounts Receivable Management
- Reimbursement Optimization
- Insurance Verification & Authorizations
- Medicare, Medicaid, Workers' Compensation & No-Fault Billing
- Revenue Recovery
- Regulatory Compliance (HIPAA)
- Financial Reporting & Analysis
- Process Improvement
- Team Leadership
- Cross-Functional Collaboration
- Practice Management Systems (Clinicient, OPS, Medical Manager)
- Microsoft Office Suite
Certification
CPR Certified 2026-2028
Accomplishments
- Improved reimbursement outcomes through denial management and appeals resolution.
- Streamlined billing and collection workflows to improve operational efficiency.
- Led staff development initiatives that enhanced team performance and service quality.
- Strengthened payer relationships to accelerate claim resolution and revenue recovery.
- Supported revenue cycle operations across Medicare, Medicaid, Commercial, Workers' Compensation, and No-Fault payers.
Timeline
Denial Management II
J&S Stark Billing and Consulting
06.2019 - 05.2026
Patient Account Representative
Med Metrix
12.2017 - 05.2019
Associate of Arts - Business Administration
Brookdale Community College
Bachelor of Arts - Accounting
New Jersey City University