LAMAR FLINTROY
Fort Worth
Summary
Results-driven Lead Billing Specialist with 12+ years of experience in medical billing, collections, and revenue cycle management across behavioral health, therapy services, neurology, podiatry, and hospital billing. Proven track record in reducing A/R aging, recovering multimillion-dollar revenue, and ensuring payer compliance. Skilled in denial resolution, appeals, payer relations, and financial reporting. Adept at training and leading teams, optimizing billing workflows, and leveraging EMR and clearinghouse platforms to improve clean claim rates and cash flow.
Overview
5
5
years of professional experience
Work History
Lead Billing Specialist – Outpatient Commercial / Behavioral Health
PAM Health
06.2024 - Current
- Lead billing and collections for multiple outpatient/behavioral health facilities, ensuring accurate coding and compliance.
- Trained and mentored staff; streamlined workflows to improve efficiency and reduce claim rejections.
- Presented monthly KPIs and denial trends to executive leadership, driving policy and workflow updates.
- Contributed to improving overall financial health of the organization by effectively managing client accounts receivable balances due over time periods set forth by senior leadership team.
- Developed monthly reports on revenue generation, helping management identify areas for improvement.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Coordinated pre-authorizations and benefits verification for therapy services, improving approval turnaround time.
- Supervised team members, providing training and support to enhance productivity and service quality.
- Managed billing processes to ensure accuracy and compliance with healthcare regulations.
- Implemented process improvements that streamlined billing workflows, reducing turnaround time for claims processing.
- Collaborated with cross-functional teams to resolve discrepancies in patient accounts and improve collections.
- Conducted regular audits of billing records, ensuring adherence to internal policies and external requirements.
- Analyzed billing data to identify trends and recommend adjustments for enhancing revenue cycle management.
- Developed training materials and conducted sessions for staff on new billing procedures and software updates.
- Led initiatives to optimize the use of billing software, improving user experience and operational efficiency.
- Manage billing for behavioral health levels of care (PHP, IOP, OP) by ensuring timely submission and accurate coding according to service intensity and duration.
- Monitor payer policies and update workflows for evolving regulations affecting PHP, IOP, and OP billing, including documentation and utilization review requirements.
Accounts Receivable Specialist (Contract)
Noremac Reimbursement Solutions
03.2024 - 04.2024
- Processed and reconciled high-volume claims across multiple government and commercial payers.
- Researched denied/underpaid claims, prepared appeals, and reduced outstanding A/R by X%.
- Audited files for coding accuracy and compliance; maintained updated patient records in EMR.
Accounts Receivable Director – Behavioral Health & Family Medicine
Sierra Sage Recovery Services
04.2023 - 03.2024
- Directed billing and A/R operations for PHP, IOP, OP, and family medicine services.
- Increased collections from $1M to $4M within one year through improved denial recovery and payer follow-ups.
- Oversaw payer audits and utilization reviews, ensuring compliance and reducing risk of reprocessing.
- Supervised internal billing staff and vendors, aligning team goals with revenue KPIs.
Medical Assistant / Billing Coordinator
Marilyn Strada PhD, LLC
12.2020 - 09.2022
- Reconciled A/R, GL, and EOBs across Medicare, Medicaid, and commercial claims.
- Managed appeals and coding updates, processing 300+ codes daily with accuracy.
- Supported neuropsychologist with patient intake, scheduling, and reporting.
Education
Bachelor's Degree - Criminal Justice
University of Las Vegas
Las Vegas, NV01.2026
Associate of Arts - General Studies
College of Southern Nevada
Henderson, NVSkills
- Revenue Cycle Management (RCM) Medical Billing & Collections Denial Management & Appeals
- Payer Contract Knowledge (Medicare, Medicaid, Commercial) CPT/HCPCS/ICD-10 Coding
- Claims Submission (UB-04, CMS-1500) Compliance & Audit Readiness A/R Reporting & Reconciliation
- Patient Financial Services (PFS) Team Leadership & Training KPI & Financial Analysis
- ECW, AdvancedMD, WebPT, Therabill, WellSky, Office Ally, Trizetto, ClaimRemedi, Inovalon, Availity, HealthTrust, Cobblestone, Smartsheets, UHC & Novitas Portals
- HIPAA compliance
- Claims processing
- Insurance verification
- Denial management
- Medical billing expertise
Timeline
Lead Billing Specialist – Outpatient Commercial / Behavioral Health
PAM Health
06.2024 - Current
Accounts Receivable Specialist (Contract)
Noremac Reimbursement Solutions
03.2024 - 04.2024
Accounts Receivable Director – Behavioral Health & Family Medicine
Sierra Sage Recovery Services
04.2023 - 03.2024
Medical Assistant / Billing Coordinator
Marilyn Strada PhD, LLC
12.2020 - 09.2022
Associate of Arts - General Studies
College of Southern Nevada
Bachelor's Degree - Criminal Justice
University of Las Vegas
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