Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Work Availability
Software
Work Preference
Timeline
Generic
NATASHA G. DAVIS

NATASHA G. DAVIS

Revenue Cycle Specialist
Covington,GA

Summary

Dedicated and results-driven Medical Revenue Cycle Specialist with over 8 years of comprehensive experience in accounts receivable, accounts payable, and healthcare financial management. Proficient in IT security and administrative functions, ensuring robust data protection and operational efficiency. Skilled in managing and leading teams, optimizing revenue cycle processes, and enhancing system security. Adept at implementing innovative solutions to streamline workflows, reduce costs, and improve overall financial performance. Proven ability to navigate complex healthcare regulations and deliver exceptional results in dynamic environments.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Revenue Cycle Specialist

Robert Half
03.2024 - 05.2024
  • Compile and submit hospital bills to insurance companies and patients
  • Implement, manage, and enhance the hospital’s price transparency program
  • Deeply understand regulations related to healthcare price transparency and help implement changes to ensure compliance
  • Analyze and verify all insurance billing information for accuracy
  • Review patient bills for accuracy and completeness, resolve bill discrepancies, and follow up on pending claims
  • Enhance patient understanding regarding the financial aspect of their healthcare through clear communication
  • Act as liaison between the hospital administration, insurance providers, physicians, and patients
  • Collaborate with the medical team to ensure all services are accurately billed
  • Utilize knowledge and understanding of the Charge Description Master (CDM) to maintain and update the CDM as needed
  • Analyze all patient bills for accuracy, addressing discrepancies and resolving any issues promptly
  • Ensure compliance with current medical coding requirements, including ICD-10, CPT, and HCPCS coding systems.

Lead Revenue Cycle Specialist

Intellisofttech
05.2023 - 04.2024
  • Analyst the process and payment of the claims
  • Work and collect B2B payments
  • Process claim using 1500 HCFA and UB-04 forms
  • Hospital reimbursement
  • SWAT Analysis
  • Hospital over and underpayments
  • Hospital Refunds and under payments
  • Upload 835 and 837 along with lockbox files
  • Keep data on Excel
  • Working on with EHR system Athena
  • Experience knowledge or healthcare Revenue Cycle operations
  • Manage edits to the charge master
  • Knowledge of FAR/DFAR regulate SaaS companies.

Lead Revenue Cycle Specialist

Xtend Healthcare
08.2022 - 05.2023
  • Manage assigned insurance receivables to achieve business line expectations
  • Worked with charge capturing and pricing
  • Implemented Medicare OPPS updating annual pricing
  • Perform account research and route accounts through appropriate client workflows
  • Ensure all accounts are worked within client standards and Federal Regulations
  • Maintain continuing education, training in industry career development
  • Experiences in MEDITECH Expanse, MEDITECH 6.0/6.1 or MEDITECH Magic
  • Generate claims in Paragon, Quadax
  • Client Administration, and Athena
  • Experience in participating in project teams defining project requirements for their area of expertise
  • Performs database editing/auditing functions to maintain and/or improve data quality
  • Other job duties as assigned
  • Working knowledge of CPT & HCPCs coding guidelines
  • EDI experience
  • Knowledge of EDI resources and applications
  • Hospital managed care/commercial collector experience
  • Hospital Medicare billing experience
  • SWAT Analysis
  • Hospital reimbursements
  • Hospital underpayment and overpayment
  • Process and analyze claims using Epic.

Lead Revenue Cycle Specialist

Virtual Officeware Solutions
08.2021 - 06.2022
  • Monitoring and resolution of unpaid claims and month-end governmental reports
  • Transfer copay/coinsurance and deductible balances to patient responsibility
  • Possessed knowledge of revenue cycle or exposure to EHR/EMR in a sales, services, or implementation
  • Facilitated over three hundred accounts weekly, collecting 20% of the debt
  • Experience with Medicaid, Medicare and third-party billing
  • Experience with lockbox, scanning checks and uploading funds from the banking systems
  • Monitoring and resolution of unpaid claims and month-end governmental reports
  • Performed Hospital, ambulatory care, and physician
  • SWAT Analysis
  • Hospital reimbursements
  • Hospital underpayment and overpayment
  • Transfer copay/coinsurance and deductible balances to patient responsibility.

Business Office Manager /Bookkeeping

Social Circle Nursing & Rehab
08.2020 - 08.2021
  • Managed daily operations within the office by supporting continuous delivery of excellent services and care
  • Trained employee on best practices and protocols while managing teams to maintain optima productivity
  • Responded to questions and remedied concerns quickly, resulting in 120% score in overall performance evaluations
  • Performed billing, collection and reporting functions for offices generating over $333,000 annually
  • Provided effective quality control oversight and eliminated downtime to maximize revenue
  • Drove client retention and increased revenue by driving effective customer relationship management protocols
  • Liaised with customers
  • Addressed inquiries, handled meeting requests and answered billing questions to provide outstanding customer care
  • Utilized active listening skills to quickly resolve problems and escalated larger issues to the Administrator.

Revenue Cycle Specialist

Georgia Surgicare
06.2019 - 03.2020
  • Called companies to settle the debt owed and collected, posted, adjusted, and appealed the accounts
  • Collected bad debt of a hundred thousand or more from insurance companies
  • Worked on over three hundred accounts weekly, collecting 20% of the debt
  • Systems used: EPIC, E-Clinicals, Waystar, Athena, Nextgen and several more EMRs
  • 5 years of recent Critical Access or Acute Care facility billing
  • Process and submit the outpatient and/or inpatient billing
  • Process paperwork for credentialing the physicians and facility
  • Knowledge of the revenue cycle or exposure to EHR/EMR in sales, services, or implementation.

Appeals Specialist/Account Receivable

Premier Choice
06.2018 - 06.2019
  • Retrieve payments from bank statements and import them into Meditech
  • Balance general ledgers
  • Solve issues of unbalanced accounts
  • File appeals and collection funds
  • Research EOB and solve denials and underpayments
  • Post and adjust payments on patient accounts using information from the EOB
  • Verify benefits and eligibility
  • Experience with Medicaid, Medicare, and third-party billing
  • Experience with lockbox, scanning checks and uploading funds from the banking systems
  • Monitoring and resolution of unpaid claims and month-end governmental reports
  • Transfer copay/coinsurance and deductible balances to patient responsibility.

Truck Driver/Driver and Transport Manager

Swift Transportation
01.2017 - 06.2018
  • Processing and balancing invoices for payment
  • Dispatch trucks
  • Manages over 100 employees
  • Process payroll
  • Create accounts to pay for the trucking transportation of products
  • Follow up with companies for proper invoices and documents for payment and processing
  • Tracked loads for timely delivery
  • Communicated with customers for supplies and deliveries.

Reimbursement Specialist/Collector (TEMP)

AppleOne
09.2015 - 09.2016
  • Work old accounts and collect payment from insurance carriers
  • Initiate the appeals process of the claims
  • File electronic claims using a Pulse system, along with Availity and other verification systems
  • Research and solve denials and underpayments
  • ICD-10 and CPT code experience.

District Associate/Trainer

NorthStar Psychological Services
03.2015 - 09.2015
  • Manage clinicians that service clients in the community in the office and the field
  • Train employees on software programs that the company offers
  • Monitor charge reports for clinician’s progression
  • Schedule appointments and document notes in NextGen
  • Schedule and conduct meetings with clinicians
  • Organize and assign clinicians to clients
  • ICD-9 and CPT codes
  • Adhere to and enforce JCAHO and OSHA standards relating to the physician office practice of medicine.

Education

Bachelor of Science - Project Management

Capella University
05.2025

Information Technology Security And Administration - CompTIA Security+,CompTIA A+, CompTIA Network+

My Computer Career Technical School
05.2022

Business Administration with a concentration in Marketing Management, General, Financial, Tax Account, Management, Statistics -

Kaplan University Online
10.2008

Skills

  • Teamwork and Cooperation
  • Claims review
  • Claims Processing Proficiency
  • HIPAA Compliance
  • Professionalism and Ethics
  • Insurance Verification
  • Denial Management
  • Analytical Problem Solving
  • Medical Billing Expertise
  • Verifying insurance
  • Accounts receivable management
  • Collecting payments
  • Medical Billing
  • Healthcare Finance Knowledge
  • ERP Software
  • Analytical Skills
  • Business Development
  • Problem-solving aptitude
  • Medical Billing Software Proficiency
  • ICD-10 Knowledge
  • Project Planning
  • Project Management
  • Work flow planning

Certification

  • PMP - Project Management Professional

Accomplishments

  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Resolved product issue through consumer testing.
  • Supervised team of 100 staff members.

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Software

Epic

Athena

Meditech

ECW

Centricity

Nextgen

AS400

Oracle

Work Preference

Work Type

Full TimeInternshipPart TimeContract Work

Work Location

RemoteHybridOn-Site

Important To Me

Work-life balanceCompany CultureFlexible work hoursHealthcare benefitsWork from home optionPaid time offTeam Building / Company RetreatsCareer advancement

Timeline

Revenue Cycle Specialist

Robert Half
03.2024 - 05.2024

Lead Revenue Cycle Specialist

Intellisofttech
05.2023 - 04.2024

Lead Revenue Cycle Specialist

Xtend Healthcare
08.2022 - 05.2023

Lead Revenue Cycle Specialist

Virtual Officeware Solutions
08.2021 - 06.2022

Business Office Manager /Bookkeeping

Social Circle Nursing & Rehab
08.2020 - 08.2021

Revenue Cycle Specialist

Georgia Surgicare
06.2019 - 03.2020

Appeals Specialist/Account Receivable

Premier Choice
06.2018 - 06.2019

Truck Driver/Driver and Transport Manager

Swift Transportation
01.2017 - 06.2018

Reimbursement Specialist/Collector (TEMP)

AppleOne
09.2015 - 09.2016

District Associate/Trainer

NorthStar Psychological Services
03.2015 - 09.2015

Bachelor of Science - Project Management

Capella University

Information Technology Security And Administration - CompTIA Security+,CompTIA A+, CompTIA Network+

My Computer Career Technical School

Business Administration with a concentration in Marketing Management, General, Financial, Tax Account, Management, Statistics -

Kaplan University Online
NATASHA G. DAVISRevenue Cycle Specialist