Peter Aycart
Phoenix
Summary
Strategic Revenue Cycle Management professional with over 20 years of expertise in healthcare billing, account follow-up, and electronic claims submission. Expert in navigating complex insurance landscapes using CPT and ICD-10 coding to optimize fee schedule reimbursement and resolve persistent denials. Proven track record in managed care adjudication, financial account reconciliation, and improving cash flow for hospital and physician entities.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Patient Financial Services / AR Representative
CVS / ICONMA CONTRACT
REMOTE
01.2025 - Current
- Researches and reconciles daily cash transactions posted into Facets to ensure 100% accuracy in Revenue Cycle Management workflows.
- Validates and loads group receipts into Facets based on established SLAs, maintaining consistent Electronic Claims Submission standards.
- Resolves discrepancies in monthly suspense reports to ensure timely refunds and adjustments, optimizing the account follow-up lifecycle.
- Prepares and documents comprehensive monthly department metric reports using Excel to track billing efficiency and cash flow performance.
Patient Financial Representative/ Lead Medical Assistant
BANNER HEALTH DERMATOLOGY
ARIZONA
10.2021 - 12.2024
- Coordinates complex scheduling for patients and providers, streamlining Managed Care authorizations and resource allocation.
- Validates patient demographics and insurance information to secure necessary authorizations, reducing denial rates for non-covered services.
- Prepares patients for point-of-service collections by setting payment expectations through Fee Schedule Reimbursement Calculation.
Patient Financial Representative/ Lead Medical Assistant
BANNER HEALTH & SURGERY CENTER
ARIZONA
04.2020 - 09.2021
- Validates insurance eligibility and Managed Care benefits for surgical services, ensuring prompt reimbursement from diverse payers.
- Calculates and collects patient liability based on precise verification of insurance benefits and contractual fee schedules.
- Resolves daily financial imbalances by managing cash drawer reconciliations and preparing documented bank deposits.
Patient Financial Services Representative/Referral Specialist/Biller/Scheduler
BANNER HEALTH MD ANDERSON CANCER CENTER
ARIZONA
05.2019 - 03.2020
- Executes pre-registration processes and validates eligibility for specialized oncology treatments, securing critical authorizations.
- Researches and assists patients with Medicaid and financial assistance programs to ensure continued care and account resolution.
Billing Representative
SUN RADIOLOGY
ARIZONA
02.2018 - 04.2019
- Researches and secures prior authorizations for AHCCCS and commercial payers to facilitate seamless Electronic Claims Submission.
- Validates CPT and ICD-10 codes against fee schedules to ensure accurate billing and maximize reimbursement rates.
Provider Network File Technician
BLUE CROSS/BLUE SHIELD
ARIZONA
07.2017 - 02.2018
- Researches provider files and validates adjudication of claims, ensuring compliance with contract language and Managed Care guidelines.
- Resolves complex claim inquiries from members and providers, facilitating timely appeal preparation when necessary.
Data Entry Associate
CIGNA HEALTHCARE
ARIZONA
07.2015 - 07.2017
- Maintains and validates eligibility data for Medicare and Commercial customers to support accurate Account Follow-up.
- Manages Medicare Part D and Coordination of Benefits (COB) records, resolving potential billing errors before they occur.
Case Management Collections Officer
DIVISION OF CHILD SUPPORT STATE OF ARIZONA
ARIZONA
06.1995 - 09.2014
- Provides legal support in the collection of payments on delinquent accounts, utilizing expert skip tracing and investigative techniques.
- Researches and documents investigative data from Credit Bureaus and MVD to locate assets and resolve collection hurdles.
Education
Bachelors Degree -
Phoenix College
Phoenix, AZ01-2012
High School Diploma - undefined
Alhambra High
Phoenix, AZSkills
- Revenue Cycle & Billing: Revenue Cycle Management, CPT, ICD-10, Electronic Claims Submission, Account Follow-up, Fee Schedule Reimbursement Calculation, Appeal Preparation, Managed Care, Prior Authorizations, Medical Claims Processing, Coordination of Benefits (COB), Denial Management
- Technical Tools & Platforms: Excel, Epic Care EMR, Facets, ECW Eclinical Works, Advanced MD, Athena Software, Centricity, Billing & Collections Software
- Clinical & Operational: Referral Management, Medical Terminology, Patient History, Medication Refills, Vitals, Skip Tracing, Account Reconciliation
- Data entry proficiency
- Network development
- Systems and software expertise
- Data management
Certification
- CRCR certification (Candidate)
- Emergency Medical Technician
- Medical Assistant Training
Timeline
Patient Financial Services / AR Representative
CVS / ICONMA CONTRACT
01.2025 - Current
Patient Financial Representative/ Lead Medical Assistant
BANNER HEALTH DERMATOLOGY
10.2021 - 12.2024
Patient Financial Representative/ Lead Medical Assistant
BANNER HEALTH & SURGERY CENTER
04.2020 - 09.2021
Patient Financial Services Representative/Referral Specialist/Biller/Scheduler
BANNER HEALTH MD ANDERSON CANCER CENTER
05.2019 - 03.2020
Billing Representative
SUN RADIOLOGY
02.2018 - 04.2019
Provider Network File Technician
BLUE CROSS/BLUE SHIELD
07.2017 - 02.2018
Data Entry Associate
CIGNA HEALTHCARE
07.2015 - 07.2017
Case Management Collections Officer
DIVISION OF CHILD SUPPORT STATE OF ARIZONA
06.1995 - 09.2014
High School Diploma - undefined
Alhambra High
Bachelors Degree -
Phoenix College