Nia Ugwu
Healthcare Administrator
Rosharon,TX
Summary
A highly qualified and decorated service member who has the theoretical and practical knowledge that will add valuable and positive contributions to your company. An experienced medical revenue cycle expert with the goal of joining a reputable business where my medical billing, customer service, analytical training/instruction, and problem-solving skills will contribute to the profitability and efficiency of your team. I have over 8 years experience with the medical revenue cycle process, excelling at every position leading to timely promotions and accolades.
Overview
12
12
years of professional experience
1
1
Language
Work History
Revenue Cycle Client Management Consultant
Houston Methodist
04.2025 - Current
- Served as a trusted advisor to Houston Methodist stakeholders, ensuring transparency, accountability, and continuous improvement in revenue cycle operations (28 departments).
- Leveraged industry best practices to drive continuous improvement efforts within client organizations.
- Analyzed key performance indicators (KPIs) including collections per RVU, denial trends, AR aging, charge capture accuracy, and net collection rate to identify root causes and recommend targeted interventions.
- Conducted thorough assessments of departmental operational structures, recommending actionable steps for improvement.
- Developed executive‑level dashboards and monthly performance reviews in person and virtual conferencing, translating complex revenue cycle data into actionable recommendations for senior leadership.
- Prepared detailed reports for leadership outlining financial impacts, operational risks, and strategic recommendations to support system‑wide decision‑making.
Civil Affairs Specialist
United States Army Reserves
05.2014 - Current
- Serve as the training noncommissioned officer of my company, building training schedules, registering soldiers for school, and tracking personnel
- Serve as Unit Prevention Leader, ensuring proper testing of soldiers for illicit substances
- Civil affairs Instructor for prior service and reclass soldiers
- Manage several projects and Commanders programs for the unit
- Deployed to Africa in July 2016-May 2017
- Coordinated and supervised English discussion groups amongst school-aged children and university students in Africa
- Maintained full accountability of communication equipment and vehicles
- Operated on a five-member team to conduct civil-military operations such as humanitarian assistance, English discussion groups, site assessments, and area reconnaissance
- Prepared products using Microsoft Word, Excel, and PowerPoint for presentations
- Aided in the completion of daily mission reports
Revenue Cycle Specialist
Houston Methodist
01.2024 - 07.2024
- Utilize EPIC software to process charges, payments, and adjustments, and monitor accounts for compliance
- Manage the revenue cycle for reconstructive surgery & orthopedic services, including patient billing, collections, insurance verification, and payment posting
- Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
- Collaborate with management to target complex claims and reduce the aging of accounts by providing verbal and written communication
- Identify claim denial reasons with insurance companies and dispute until payment or exhaustion
- Manage inbound and outbound calls with payers and patients
Insurance Clerk (Hospital Billing and Collections
Westchester Medical Center
12.2022 - 12.2023
- Maintained and updated files and patient records with pertinent billing information
- Prepared and submitted claims to third-party payors to obtain reimbursement for patient care
- Reconciled balances for bookkeeping purposes and transmitted data for further processing
- Trained and oversaw new employees in outpatient and inpatient billing and follow-up
- Upheld minimum quota of 55 Hospital claims worked each day
- Investigated and corrected Hospital claim denials and rejections for successful processing
Medical Biller and Collector
Pain Physicians
08.2018 - 12.2023
- Supervised billing department of 5 employees.
- Collected, posted, and managed patient account payments
- Prepared and submitted No Fault, C4, C4.2, C4.3, and1500 forms to insurance companies and other third-party payers
- Initiate appropriate action on past-due invoices and delinquent accounts to reduce the number of unpaid and outstanding balances
- Submitted appeal letters for reconsideration of denied claims submitted to insurance companies
- Produced billing projects to maintain a low number of outstanding accounts efficiently
- Updated knowledge of government regulatory changes affecting Federal Payor billing, operational procedures, and financials
Education
BACHELOR OF SCIENCE - Health Services Administration
Lehman College
Bronx, NY01.2021
Associate of ARTS - Liberal Arts and Sciences
Bronx Community College
Bronx, NY01.2020
Skills
- Healthcare compliance & regulatory understanding
- Financial performance monitoring
- Communication
- Team Leadership/ Building
- Conflict Resolution
- Crisis Management
- Adaptability
- Risk Management
- Customer/Client Relations
- Project Management
- Office Suites (Microsoft & G Suite)
- Spreadsheets (Excel, Google, Database)
- Data Visualization (Eclinical Works, EPIC, Optum, MDLand, Invision)
- Operating Systems (Windows & MacOS)
- Communication and Collaboration (Slack, Skype, etc)
Timeline
Revenue Cycle Client Management Consultant
Houston Methodist
04.2025 - Current
Revenue Cycle Specialist
Houston Methodist
01.2024 - 07.2024
Insurance Clerk (Hospital Billing and Collections
Westchester Medical Center
12.2022 - 12.2023
Medical Biller and Collector
Pain Physicians
08.2018 - 12.2023
Civil Affairs Specialist
United States Army Reserves
05.2014 - Current
Associate of ARTS - Liberal Arts and Sciences
Bronx Community College
BACHELOR OF SCIENCE - Health Services Administration
Lehman College