MELISSA HRABROW
Plano,TX
Summary
Results-driven Healthcare Revenue Cycle Management (RCM) professional with 20+ years of experience leading healthcare operations, managing large teams, and driving operational performance. Proven expertise in end-to-end revenue cycle management, compliance, auditing, client management, team leadership, performance management, and process improvement. Extensive knowledge of clinical and facility workflows, including appointment scheduling, front-office operations, insurance eligibility and benefits verification, EDI and claims processing, reimbursement, denial management, practice management systems, and EHR platforms. Strong working knowledge of CMS, Managed Care, and Workers’ Compensation (WC) requirements and regulations. Experienced in recruiting, training, coaching, mentoring, and developing high-performing teams, conducting performance reviews, establishing performance standards, and improving productivity, quality, compliance, and financial outcomes. Skilled in building strong client and stakeholder relationships, resolving complex operational issues, identifying process improvement opportunities, and implementing strategies that support revenue optimization, operational efficiency, and service excellence.
Overview
11
11
years of professional experience
Work History
RCM Client Success Manager - Professional
Newport Med
Frisco, Tx
10.2025 - Current
- Core Responsibilities
- Manage daily Revenue Cycle Management (RCM) operations and team performance.
- Monitor and report KPIs to track productivity, quality, and financial results.
- Manage denials and identify opportunities to reduce lost revenue.
- Analyze payer trends and reimbursement issues.
- Oversee Accounts Receivable (AR) and collection activities.
- Managed Coding, Payment and AR teams, including coaching and performance reviews.
- Prepare monthly financial and RCM reports for clients.
- Develop and maintain policies and procedures to ensure consistency and compliance.
- Ensure billing system accuracy, including charges, claims, and billing processes.
- Work with clients and internal teams to resolve issues and improve RCM processes.
SR. Manager of RCM - ASC
Surgical Notes / SIS
Dallas, Tx
12.2023 - 09.2025
- Managed a $60M portfolio across 12 multi-specialty ASCs, increasing net revenue by 10% year over year.
- Managed and developed 100+ FTEs, providing direct supervision, coaching, performance management, and employee development.
- Monitored RCM KPIs, including Days in A/R, Clean Claim Rate, and Denial Rate.
- Resolved client escalations and billing issues, including scheduling and charge capture problems.
- Led billing, coding, and denial management teams to address high-priority accounts and payer issues.
- Reviewed payer and RCM trends to improve collections and increase revenue.
RCM Manager - Hospital/ASC
PSN
Plano, TX
08.2022 - 12.2023
- Led and mentored in-house and offshore teams supporting 5 hospitals and 9 ASCs.
- Improved client satisfaction by 20% while managing $30M in special projects.
- Managed denials and worked to improve reimbursement.
- Developed and maintained policies and procedures to support compliance and efficiency.
- Collaborated with IT, HR, Compliance, and Quality teams to resolve issues and meet client needs.
RCM Manager - Pain Management
Pain Therapy Assoc
Schaumburg, Il
07.2020 - 08.2022
- Managed and developed Billing and Accounts Receivable (AR) teams, including hiring, coaching, performance reviews, and staff development.
- Ensured timely reporting of account status, financial performance, and key RCM metrics.
- Led quarterly business reviews (QBRs) to communicate CMS updates, regulatory changes, and operational priorities.
- Streamlined policies and procedures to improve workflow efficiency and operational consistency.
- Conducted account audits and trend analysis to identify process improvement opportunities and improve financial performance.
- Managed work distribution and task prioritization to ensure efficient workflow and timely completion of assignments.
Client Success Manager - Professional
Kareo
Las Vegas, NV
07.2015 - 05.2020
- Managed Accounts Receivable (AR) for 7 provider practices.
- Reduced claim denials by 20% through proactive follow-up and process improvements.
- Tracked and reported KPIs, account status, and financial performance to clients and leadership.
- Monthly client facing financial reporting of dashboard
Skills
- Business revenue analysis
- Client relationship management
- Customer retention renewals
- Presentations skills
- Process Improvement KPI Tracking
- Mentoring Auditing
- Claims resolution Project management
- Data analysis
- Team production monitoring
- Issue escalation
- Reimbursement validation
- Staff training
- Disciplinary action documentation
Accomplishments
- High Satisfaction Score
- Increased client satisfaction scores by 30% in one year through improved communication strategies.
- Receivables Reduction
- Reduced account receivables by 20% within six months by implementing new billing processes.
- Client Base Expansion
- Expanded client base by 15%, contributing to a $2 million revenue growth in one year.
- Timely Project Delivery
- Achieved 95% on-time project delivery rate, exceeding department average by 10%.
Timeline
RCM Client Success Manager - Professional
Newport Med
10.2025 - Current
SR. Manager of RCM - ASC
Surgical Notes / SIS
12.2023 - 09.2025
RCM Manager - Hospital/ASC
PSN
08.2022 - 12.2023
RCM Manager - Pain Management
Pain Therapy Assoc
07.2020 - 08.2022
Client Success Manager - Professional
Kareo
07.2015 - 05.2020