Natika James
Revenue Cycle Supervisor
Little Canada,MN
Summary
Results-driven revenue cycle management professional with a proven track record in optimizing billing processes and enhancing financial performance. Expertise in process improvement, data analysis, and compliance ensures streamlined operations and maximized revenue. Collaborative team player dedicated to achieving goals in dynamic environments, recognized for strong problem-solving abilities and effective communication skills. Committed to fostering teamwork and delivering consistent results that align with organizational objectives.
Overview
24
24
years of professional experience
Work History
Revenue Cycle Supervisor
M Health Fairview
Saint Paul, MN
06.2025 - Current
- Supervised revenue cycle operations, ensuring compliance with regulations and organizational policies.
- Led a team of billing specialists to optimize claims processing efficiency and accuracy.
- Implemented best practices in accounts receivable management, reducing outstanding balances significantly.
- Facilitated training programs for new staff on revenue cycle processes and software systems.
- Analyzed financial data to identify trends and recommend strategic adjustments to optimize revenue.
- Monitored key performance indicators, driving accountability and continuous improvement within the team.
- Served as a subject matter expert on reimbursement regulations, maintaining up-to-date knowledge of industry best practices and compliance requirements.
- Streamlined billing procedures for increased accuracy, reducing errors and improving overall collections.
- Improved overall cash flow by identifying underperforming areas within the billing process, addressing issues proactively.
- Conducted regular staff meetings to review performance metrics, address challenges, and foster an environment of continuous improvement within the team.
- Optimized payment posting processes to improve cash flow and minimize delays in revenue recognition.
- Collaborated with cross-functional teams to develop and implement revenue cycle policies and procedures.
- Created monthly schedules, maintained time records and submitted payroll with help of
Lead Benefit Verification Specialist
M Health Fairview
Minneapolis
03.2023 - Current
- Train and mentor new and existing staff
- Review and resolve accounts that are complex and require a higher degree of expertise and critical thinking
- Support/assist patient with billing or insurance questions
- Assist with staff schedules and daily assignments
- Assist with department audits
- Document departmental workflows and participate/initiate workflow improvement activities
- Collaborate with patients' families, physicians and/or other complex account situations.
- Developed, implemented, administered and evaluated personnel and labor relations programs related to performance appraisal, affirmative action and employment equity.
- Analyzed insurance coverage and identified discrepancies in benefit information.
- Monitored claim status updates in order to ensure timely resolution of issues.
- Responded to benefit inquiries from employees on plan provisions, benefits enrollments and status changes.
- Provided education on billing protocols and payment options available to patients.
- Planned and developed curricula and materials for training programs and conducted training.
- Ensured company compliance with federal and state laws, including reporting requirements.
- Observed, interview and survey employees and conducted focus group meetings to collect job, organizational, and occupational information.
- Spoke at conferences and events to promote apprenticeships and related training programs.
- Researched job and worker requirements, structural, and functional relationships among jobs and occupations and occupational trends.
- Explained benefit programs and eligibility requirements to employees.
- Utilized multiple software programs to process claims, track authorizations, and monitor payments.
- Verified medical necessity criteria for requested services using payer guidelines.
Financial Clearance Rep
M Health Fairview
Minneapolis
06.2019 - 03.2023
- Verifies insurance eligibility
- Completes automated insurance eligibility verification, when applicable and appropriately documents information in Fairview's patient accounting system
- Determines the patient's insurance type and educates patients regarding coverage and/or coverage issues
- Informs families with inadequate insurance coverage regarding financial assistance through government and Fairview financial assistance programs
- Performs initial financial screening and refers accounts for financial counseling
- Initiates treatment authorization requests and pursues referrals per payor guidelines
- Reviews medical chart/history and physician order(s) to determine likely ICD and CPT codes
- Reviews payor medical policies to determine if procedures meet medical necessity guidelines
- Works with clinics and ancillary service departments if medical necessity fails
- Follow up with insurance payors on prior authorization denials
- Process authorization appeals, when necessary.
Patient Service Coordinator
Hennepin County Medical Center Neuropsychology Clinic
Minneapolis
02.2016 - 06.2019
- Made appointments and referral consults for all patients
- Multitasking demonstrated proficiencies in telephone, e-mail, and fax and front-desk reception within high-volume environment
- Handled patients effectively by identifying needs
- Managed provider's templates
- Obtains benefit verification and necessary prior authorizations (referrals, precertification) prior to patient arrival for all ambulatory visits
- Maintained and updated all policy and procedures
- Worked several different application- MN-ITS, Epic, On-base...etc.
Patient Service Coordinator
HCMC Pediatric Clinic
Minneapolis
03.2014 - 02.2016
- Completed all steps of check-in/registration at time of appointment
- Made appointments and referral consults for all patients
- Obtained and verified: insurance, paperwork, signatures and legal documentation
- Proficient in using multiple applications including Microsoft office and Epic (Electronic health record).
Health Unit Coordinator/ Patient Care Assistant
Regions Hospital
St. Paul
03.2002 - 09.2012
- Retrieved and re-filed patient charts in proper sequence to maintain organization and up to date information
- Answered multiple phone lines, transferred calls to corresponding departments, filed patient records and billed accordingly
- Doing personal care as well by taking blood pressures, helping serve food, personal bathing
- Helping out in all areas around the hospital doing scheduling, reception work-lots of multitasking paperwork.
Education
Human Service
Century College
Healthcare management
National American University
Skills
- Medical terminology
- HIPAA compliance
- Computer proficiency
- Claims processing
- Insurance verification
- Customer service
- Telephone etiquette
- Patient advocacy
- Interpersonal skills
- Multitasking
- Professionalism
- Analytical skills
- Adaptability
- Critical thinking
- Problem-solving
- Conflict resolution
- Time management
- Organizational skills
- Strong communication
- Microsoft Office
- Active listening
- Denial resolution
- Collections experience
- Patient registration
- Patient account management
- Claim submission
- Data analytics
- Healthcare compliance
- HIPAA
- Payment posting
- Revenue optimization
- Clinical team guidance
- Revenue enhancements
- Teamwork and collaboration
Timeline
Revenue Cycle Supervisor
M Health Fairview
06.2025 - Current
Lead Benefit Verification Specialist
M Health Fairview
03.2023 - Current
Financial Clearance Rep
M Health Fairview
06.2019 - 03.2023
Patient Service Coordinator
Hennepin County Medical Center Neuropsychology Clinic
02.2016 - 06.2019
Patient Service Coordinator
HCMC Pediatric Clinic
03.2014 - 02.2016
Health Unit Coordinator/ Patient Care Assistant
Regions Hospital
03.2002 - 09.2012
Healthcare management
National American University
Human Service
Century College