Luchima B Gwynn
Miami,FL
Summary
Detail-oriented Revenue Cycle Specialist with over six years of experience in claims processing, billing compliance, and data analysis. Expert in resolving discrepancies and analyzing payment trends to enhance financial performance. Skilled in optimizing processes and training team members to improve operational efficiency in healthcare settings.
Overview
11
11
years of professional experience
Work History
Revenue Cycle Specialist
HSA Of America
Miami, Florida
02.2024 - Current
- Processed patient claims to ensure timely and accurate reimbursement.
- Reviewed and corrected billing discrepancies, ensuring compliance with industry standards.
- Collaborated with healthcare providers to resolve claim denials efficiently.
- Utilized billing software to track and manage revenue cycle activities.
- Analyzed patient accounts to identify payment trends and proactively address potential issues.
- Provided training on revenue cycle procedures for new team members.
- Communicated with insurance companies to clarify coverage and payment details.
- Collaborated with other departments to resolve customer inquiries regarding billing issues.
- Researched discrepancies on unpaid invoices and reconciled them.
- Reached out to responsible companies and individuals to collect on outstanding debts.
- Monitored accounts receivables daily to determine appropriate follow-up action needed.
- Assisted with the development of new processes for billing, coding, collections, and reimbursements.
- Conducted audits of medical records to ensure compliance with payer requirements.
- Built and strengthened client relationships to form long-lasting, profitable bonds.
Revenue Cycle Analyst
Blue Med Consultana
Hollywood, Florida
03.2020 - 01.2025
- Resolved denied claims by investigating reasons for denial and taking appropriate corrective actions.
- Conducted audits of patient accounts in order to identify any potential inaccuracies or inconsistencies that may lead to lost revenue.
- Prepared data analysis on charge entry errors, underpayments, and denials using Excel and Access, identifying trends to mitigate revenue loss.
- Evaluated system changes impacting revenue cycle operations including workflow optimization opportunities.
- Developed automated email process to inform account holders of payment due dates, resulting in reduction in late payments.
- Supported project initiatives to enhance financial performance of services, contributing to overall profitability.
- Produced accounting reports and delivered recommendations to improve revenue standing based on comprehensive data analysis.
Revenue Cycle Specialist
Epic Recovery Center
Saint Augustine, Florida
05.2015 - 01.2020
- Processed patient claims to ensure timely and accurate reimbursement.
- Reviewed and corrected billing discrepancies, ensuring compliance with regulatory standards.
- Ensured all regulatory requirements were met when submitting claims for payment.
- Communicated with insurance companies to clarify coverage and payment details.
- Assisted in auditing claims for accuracy and completeness regularly.
- Analyzed patient accounts for payment trends and potential issues.
- Identified and recommended process improvements within the revenue cycle to streamline operations.
- Assisted with the development of new processes for billing, coding, collections, and reimbursements.
- Trained new team members on revenue cycle procedures, enhancing team knowledge and efficiency.
- Reached out to responsible companies and individuals to collect on outstanding debts.
- Conducted audits of medical records to ensure compliance with payer requirements.
Education
Associate of Arts - Fashion Marketing
Art Institute of Fort Lauderale
Fort Lauderdale, FL10-2014
Some College (No Degree) - Behavioral Sciences
Long Island University
Brooklyn, NY05-2005
Skills
- Claim processing
- Coordinating documents
- Claims review
- Revenue management
- Denial management
- Insurance verification
- Collecting payments
- Debt collection
- Accounts management
- HIPAA compliance
- Process improvement
- Insurance collaboration
- Coordinating documents
- Patient registration
- Time management
- Multitasking
- Problem solving
- Team collaboration
- Adaptability
- Active listening
- Active listening
- Multitasking
- Adaptability
Timeline
Revenue Cycle Specialist
HSA Of America
02.2024 - Current
Revenue Cycle Analyst
Blue Med Consultana
03.2020 - 01.2025
Revenue Cycle Specialist
Epic Recovery Center
05.2015 - 01.2020
Associate of Arts - Fashion Marketing
Art Institute of Fort Lauderale
Some College (No Degree) - Behavioral Sciences
Long Island University