LaToya S Healy
Indianapolis,IN
Summary
Results-driven Revenue Cycle Manager experienced in healthcare revenue cycle, evaluating department operations, process improvement, and team-building. Successful background in increasing revenue through optimizing and improving collection processes.
Overview
18
18
years of professional experience
Work History
Corporate Account Receivables Manager
Alacrity Solutions LLC
07.2022 - Current
- Checked payroll, vendor payments, commissions and other accounting disbursements for accuracy and compliance.
- Monitored and analyzed business performance to identify areas of improvement and make necessary adjustments.
- Leveraged data and analytics to make informed decisions and drive business improvements.
- Successfully managed budgets and allocated resources to maximize productivity and profitability.
- Maximized performance by monitoring daily activities and mentoring team members.
- Collaborated with C-level executives and stakeholders to develop long-term financial plans.
- Monitored budget and revenue trends, compiling reports for company leadership to inform decision-making.
- Implemented new accounting processes to decrease spending and work flow downtime.
Revenue Cycle Manager
Surgical Care Affiliates Inc.
01.2016 - 07.2022
- Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
- Monitored and guided revenue cycle operations.
- Supported clinical team members with revenue cycle procedures and addressed issues.
- Completed financial reporting and analysis for billing revenue cycle.
- Managed and motivated employees to be productive and engaged in work.
- Maximized performance by monitoring daily activities and mentoring team members.
Senior Medical Biller, Accounts Receivable Rep
Surgical Care Affiliates Inc.
06.2014 - 01.2016
- Billed medical claims for various hospital and nursing facilities.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Followed up with medical staff regarding missing information in patient records.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Monitored outstanding invoices and performed collections duties.
- Created, composed and maintained appeal response templates.
- Developed appeals functions, policies and procedures and documentation.
Senior Patient Account Representative
Medshield
01.2011 - 12.2013
- Worked with outside entities to resolve issues with billing, claims and payments.
- Posted payments and processed refunds.
- Contacted patients after insurance was calculated to obtain payments.
- Electronically submitted bills according to compliance guidelines.
- Reconciled statements with patient records.
- Verified patient insurance eligibility and entered patient information into system.
- Trained new staff on filing, phone etiquette and other office duties.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Developed lesson plans and instructional materials for new employees.
Senior Claims Representative
ACS Healthcare Solutions
02.2006 - 12.2010
- Developed and implemented strategies to improve claim processes.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Analyzed and addressed escalated claims to resolve issues quickly.
- Developed in-depth understanding of insurance policies and procedures to give accurate recommendations to suit clients' needs.
- Examined reports, accounts, and evidence to determine integrity and accuracy of information.
- Maintained confidentiality of patient finances, records, and health statuses.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Education
Bachelor of Science - Business Administration And Management
University of Indianapolis
Indianapolis, IN05.2021
Skills
- Team Building Leadership
- Client Relationship Management
- KPI Tracking
- Quality Assurance
- Recruitment
- Staff Development
- Customer Service
- Revenue Growth
- Relationship Building
Software/Systems
- NThrive
- STAR
- Cerner
- Tablaeu
- AMCAI
- Availity
- Surgi Source
- EPIC
- Emdeon
- Waystar/Zirmed
- HST Pathways
- Microsoft GP Dynamics
- Microsoft Office
- Kronos
- ADP
- Greenshades
Timeline
Corporate Account Receivables Manager
Alacrity Solutions LLC
07.2022 - Current
Revenue Cycle Manager
Surgical Care Affiliates Inc.
01.2016 - 07.2022
Senior Medical Biller, Accounts Receivable Rep
Surgical Care Affiliates Inc.
06.2014 - 01.2016
Senior Patient Account Representative
Medshield
01.2011 - 12.2013
Senior Claims Representative
ACS Healthcare Solutions
02.2006 - 12.2010
Bachelor of Science - Business Administration And Management
University of Indianapolis
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