Summary
Overview
Work History
Education
Skills
Certification
Revenue Cycle Analyst
Timeline
Generic
Lydia Hines

Lydia Hines

Bedford,OH

Summary

Over 10 years of experience in the healthcare revenue cycle industry, delivering measurable results. Extensive knowledge of private insurance, managed care, Medicaid, and Medicare processes. Proven ability to analyze and resolve denials, identify trends, and perform root cause analysis. Strong proficiency in revenue cycle applications, cash applications, and financial reconciliations.

Revenue Cycle Specialist with strong expertise in analyzing financial data and improving billing and collection processes. Known for fostering team collaboration and driving results, adaptable to changing needs, ensuring seamless coordination. Skillset includes revenue cycle management, financial reporting, data analysis, and process optimization, combined with proactive and reliable approach to achieving organizational goals.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Revenue Cycle Analyst Lead

Cardinal Health
09.2019 - Current
  • Monitored and analyzed financial cycles to enhance revenue outcomes
  • Identified and resolved revenue cycle inefficiencies, implementing system-wide improvements
  • Ensured compliance with revenue management protocols and best practices
  • Processed claims across Medicaid, Medicare, managed care, and private pay sources

Accounts Receivable Billing Specialist

Recovery Resources
08.2017 - 09.2019
  • Investigated and resolved claim denials, ensuring account accuracy and timely resubmission
  • Processed prior authorizations, appeals, and reconciliations of settlement accounts
  • Managed credentialing processes from initial application to completion
  • Applied payments from insurance carriers and private clients

Remote Claims Specialist

Showcase Staffing
02.2017 - 08.2017
  • Conducted insurance follow-ups, denial research, and corrections
  • Filed appeals and processed prior authorizations to secure revenue

Medicaid Billing Specialist – Long-Term Care

Richter Healthcare Consultants
04.2016 - 01.2017
  • Managed insurance verification, claims submission, and denial management for long-term care accounts
  • Provided monthly performance reports to long-term care administrators
  • Ensured timely and accurate billing across multiple payers

Billing Specialist

Cleveland HeartLab Inc.
10.2012 - 04.2016
  • Researched and resolved denied claims and delinquent accounts
  • Liaised with insurance providers to resolve unpaid accounts
  • Processed claims for Medicaid, Medicare, managed care, and private insurance

Education

Certificate - Coding

DeVry University
Illinois
08.2024

Bachelor of Science - Healthcare Administration

University of Phoenix
Phoenix, AZ
06.2013

Skills

  • Critical Thinking & Problem-Solving
  • Revenue Cycle Optimization
  • Claims Auditing & Denial Management
  • Contract Review & Billing Processes
  • Account Reconciliation & Reporting
  • Proficiency in Tableau, OnBase, PointClickCare, and McKesson
  • HIPAA compliance
  • Verbal and written communication
  • Healthcare reimbursement
  • Claim submission
  • Denial management
  • Claims processing
  • Medicaid regulations
  • Insurance billing

Certification

Certified Coding Associate (CCA)

Revenue Cycle Analyst

"Solving reimbursement challenges one claim at a time."

Timeline

Revenue Cycle Analyst Lead

Cardinal Health
09.2019 - Current

Accounts Receivable Billing Specialist

Recovery Resources
08.2017 - 09.2019

Remote Claims Specialist

Showcase Staffing
02.2017 - 08.2017

Medicaid Billing Specialist – Long-Term Care

Richter Healthcare Consultants
04.2016 - 01.2017

Billing Specialist

Cleveland HeartLab Inc.
10.2012 - 04.2016

Certificate - Coding

DeVry University

Bachelor of Science - Healthcare Administration

University of Phoenix
Lydia Hines