Paula Budwah
Port St. Lucie,FL
Summary
Results-driven Billing Manager with deep expertise in FQHC revenue cycle management, regulatory compliance, and workflow optimization. Proven success strengthening financial performance, reducing denials, and leading high-performing billing and front-office teams. Skilled in HRSA, Medicaid/Medicare, Athena, and quality improvement initiatives.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Manager of Business Services / Billing Manager
Whole Family Health Center
Fort Pierce, FL
01.2019 - Current
- Lead billing and front-desk operations, including hiring, training, workflow design, and performance management.
- Oversee full revenue cycle: claims processing, bucket management, AR, corporate accounts, and Medicaid/Medicare wrap billing.
- Develop and implement billing and front-desk procedures to improve efficiency and accuracy.
- Prepare monthly billing and AR reports; analyze trends to support financial decision-making.
- Collaborate with credentialing to reduce claim denials and ensure payer compliance.
- Manage fee schedules and support provider onboarding for billing, coding, and Athena workflows.
- Drive quality improvement initiatives, including HEDIS-related performance measures.
- Support organizational risk-management strategies.
Billing & Collection Specialist
01.2013 - 01.2019
- Processed medical and behavioral health claims; managed follow-up on unpaid claims and unapplied credits.
- Prepared corporate account invoices and financial reports for internal use.
- Submitted Medicaid quarterly wrap and Medicare Credit Balance reports.
- Calculated contracted payments and posted insurance adjustments.
- Trained billing staff and identified provider improvement opportunities.
Education
Bachelor of Science - Health Services Administration
Keiser University
Port St. Lucie, FL01-2012
Honors Certificates - Windows, Excel, Word, PowerPoint
Academy of Learning
Norwalk, CTAssociate Degree - Accounting
Norwalk State College
Norwalk, CT01-2003
Skills
- Athena Practice Management
- Microsoft Office Suite
- Reporting & Analytics
- Customer service
- Team leadership
- Time management
- Complex Problem-solving
- Staff training and development
- Performance evaluations
Certification
- HIPAA Awareness
- Computers in the Medical Office
- Patient/Provider Relationships
- Positive Health Care & Health Belief Model
Core Competencies
- Billing & Insurance Processing
- CPT/ICD-10-CM Coding
- AR Management Athena Practice Management
- Denial Prevention
- Fee Schedule Management Quality Improvement
- Staff Leadership & Training
- Corporate Accounts
- Collections
Timeline
Manager of Business Services / Billing Manager
Whole Family Health Center
01.2019 - Current
Billing & Collection Specialist
01.2013 - 01.2019
Honors Certificates - Windows, Excel, Word, PowerPoint
Academy of Learning
Associate Degree - Accounting
Norwalk State College
Bachelor of Science - Health Services Administration
Keiser University