Detail-oriented Medical Claims Analyst recognized for strong analytical skills and commitment to process improvement. Focused on optimizing revenue cycle management and ensuring compliance with healthcare regulations, delivering measurable results in billing accuracy and efficiency. Committed to driving revenue improvement and ensuring compliance with industry regulations.
Overview
7
7
years of professional experience
Work History
Medical Claims Analyst
North Florida Surgeons PA
Jacksonville, Fl
09.2025 - Current
Analyzed medical claims for accuracy and compliance with policies
Reviewed and processed insurance claims efficiently, ensuring timely resolution
Collaborated with healthcare providers to clarify claim discrepancies
Utilized electronic health record systems to retrieve patient information
Assisted in identifying trends in claim denials to improve processes
Medical Caregiver
Comfort Keepers Home Care
Jacksonville, FL
01.2023 - Current
Administered daily medications and monitored patient health status.
Developed and maintained positive relationships with clients and families.
Provided direct patient care, assisting with daily living activities and comfort measures.
Monitored vital signs and reported changes to nursing staff for timely intervention.
Coordinated transportation for medical appointments and social activities.
Trained new caregivers on best practices and company protocols.
Collaborated with healthcare professionals to ensure comprehensive care delivery.
Maintained accurate patient records in electronic health systems, ensuring compliance with protocols.
Medical Staff Coordinator
UF Health Jacksonville
Jacksonville, FL
09.2024 - 10.2025
Managed onboarding processes for new hires, ensuring compliance with hospital policies and procedures.
Assisted in maintaining accurate staffing records and employee files within human resources systems.
Facilitated communication between departments to streamline operations and enhance collaboration.
Supported the development of training programs for staff orientation, improving efficiency in workflow execution.
Collaborated with team members to identify process improvements that enhanced departmental productivity and service delivery.
Prepared reports on staffing metrics to inform management decisions and improve operational effectiveness.
Managed the budget for medical staff department, ensuring responsible allocation of resources and cost-effective operations.
Billing/Credentialing Manager
SunRise Living Behavior Health Services LLC.
Jacksonville, Fl ; Palm Coast, Fl ; Tampa, FL
09.2020 - 06.2025
Analyzed accounts receivable trends to identify areas for improvement and efficiency.
Analyzed complex data sets to derive actionable insights for improving internal processes related to revenue cycle management.
Maintained a thorough understanding of regulatory requirements, ensuring compliance throughout all aspects of the revenue cycle.
Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
Conducted regular audits to identify areas for improvement in the revenue cycle process.
Streamlined billing processes to enhance accuracy and efficiency.
Managed invoicing operations, ensuring timely delivery and compliance with company policies.
Trained and mentored junior staff on billing procedures and software utilization.
Collaborated with cross-functional teams to improve customer service related to billing inquiries.
Led initiatives to automate manual billing tasks, resulting in improved turnaround times.
Reviewed billing problems, researched issues, and resolved concerns.
Billing/Credentialing Manager
River Region Human Services Inc.
Jacksonville, FL
10.2022 - 02.2024
Coordinated credentialing processes to ensure compliance with industry standards and regulations.
Managed application reviews and verification of qualifications for healthcare professionals.
Managed revenue cycle operations to ensure timely billing and collections processes.
Developed and maintained key performance indicators to monitor revenue cycle effectiveness.
Maintained up-to-date knowledge of state and federal credentialing laws and requirements.
Assisted in implementation of new credentialing software to enhance data management capabilities.
Mentored junior team members on best practices in provider relations and customer service.
Managed the onboarding process for new providers, ensuring timely completion of all required documentation.
Coordinated closely with human resources to ensure seamless integration of hiring activities into the overall credentialing process.
Led team meetings to discuss progress toward goals, troubleshoot issues, and share best practices among colleagues.
PCT /Lead Medical Assistant
Fresenius Medical Center
Jacksonville, FL
04.2019 - 11.2022
Administered patient care under supervision, ensuring comfort and safety during treatment procedures.
Assisted healthcare team in monitoring vital signs and documenting changes in patient conditions.
Maintained cleanliness and organization of patient areas, adhering to infection control protocols.
Supported patients with daily activities, enhancing their overall experience and satisfaction.
Collaborated with nursing staff to develop and implement individualized care plans for patients.
Assisted nurses with essential tasks, streamlining workflow and increasing efficiency in the healthcare setting.
Enhanced patient satisfaction by providing compassionate and attentive care.