Strategic Revenue Cycle Management professional with 23 years of experience and expertise in optimizing revenue cycles and enhancing financial performance. Focused on team collaboration and driving results through efficient processes. Experienced in financial analysis, strategic planning, and regulatory compliance, with a commitment to operational efficiency.
Overview
25
25
years of professional experience
Work History
Regional Revenue Cycle Manager
Texas Oncology Cancer Center
Richardson, TX
05.2021 - Current
Oversee 3 locations in the Dallas Region (60 employees) Insurance Auth Specialist, Financial Counselors/Patient benefit reps, Revenue Cycle Supervisors, Front desk coordinators and New patient coordinators
Analyzed performance metrics to identify trends and implement strategic improvements in collections.
Reduced patient balances in our greater than 120 by collecting on old balances and optimizing billing
Monitored department KPIs and employee performance, adjusting plans to meet established goals.
Conducted regular audits to identify areas for improvement in the revenue cycle process.
Developed training programs for staff on revenue cycle management systems and protocols.
Streamlined patient registration workflows, improving data accuracy and operational efficiency.
Collaborated with executive director, practice director, and physicians to enhance operational effectiveness of the site.
Revenue Cycle Collections Supervisor
SCP Health
Dallas, TX
07.2019 - 05.2021
Supervised collections team, ensuring compliance with policies and regulations.
Managed accounts receivable aging, ensuring timely follow-up on outstanding balances and prompt resolution of discrepancies.
Developed and implemented strategies to improve collection processes and lower delinquency rates.
Conducted root cause analysis to identify issues affecting revenue cycle performance, implementing corrective actions for improvement.
Oversaw a team of 11 emergency room department accounts receivable collectors.
Coached and mentored team to enhance job performance and increase employee satisfaction.
Evaluated employee performance annually to provide feedback and identify areas for improvement.
Created monthly schedules, completed bi-weekly payroll and submitted time in workday.
Accounts Receivable/Medical Billing Supervisor
Community Infusion Solutions
Garland, TX
11.2018 - 06.2019
Led team of 10 billing and accounts receivable collectors to ensure effective collection processes.
Managed accounts receivable aging with timely follow-up on outstanding balances and resolution of denied claims.
Developed and implemented process improvements to enhance efficiency in billing and claims management.
Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
Addressed billing questions and concerns promptly to enhance customer satisfaction.
Hired, managed, trained and developed staff members.
Conducted regular staff meetings and audits of insurance and verification.
Team Lead Senior Medical Billing AR Specialist
Agnite Health
Dallas, TX
10.2014 - 11.2018
Managed accounts receivable aging, ensuring timely follow-up of outstanding balances and prompt resolution of denied claims.
Posted payments accurately, facilitating timely account reconciliation and maintaining cash flow. of ERA/EFT and mail payments.
Received, reviewed, entered, and submitted charges to the clearing house.
Trained new billing/accounts receivable team members, enhancing team competency and reducing onboarding time.
Fostered teamwork and open communication, contributing to a collaborative and positive work environment.
Modeled commitment, professionalism, and adherence to company values for the team.
Lead Medical Billing Specialist
Oak Cliff Eye
Dallas, TX
08.2013 - 09.2014
Verified insurance and eligibility to ensure patients have active coverage and claims will be paid.
Resolved patient and insurance billing issues, enhancing overall claim accuracy and reducing delays.
Facilitated daily timely submissions of claims to expedite reimbursement process.
Payment posting ERA/Eft and mail patient and insurance payments.
Cultivated strong relationships with providers, ensuring effective communication on billing-related matters.
Government Payor Accounts Receivable Specialist
Emcare/Pinnacle Anesthesia
Dallas, TX
09.2011 - 07.2013
Managed accounts receivable aging, following up on outstanding balances to resolve denied claims promptly.
Verified insurance and eligibility to ensure patients have active coverage and claims will be paid.
Maintained issues log, identifying root causes of claim denials to facilitate resolution.
Resubmitted corrected claims to ensure accurate processing and minimize payment delays.
Medical Billing Supervisor/Accounts Receivable Specialist
Vision Quest
Dallas, TX
09.2001 - 06.2011
Delivered timely and accurate claim submission.
Managed accounts receivable aging, ensuring timely follow-up on outstanding balances and prompt resolution of denied claims.
Prepared billing statements for patients and verified correct billing codes.
Led team of business office staff, guiding professional development and enhancing team capabilities.
Hired, trained, and developed staff members while monitoring goals and conducting performance reviews to ensure alignment with departmental objectives.
Drove organizational improvements through strategic thinking, innovation, and effective problem-solving.
Acted as a subject matter expert for the new EMR system implementation.
Education
Associate of Applied Science - Business Management
Everest University Online
Orlando, FL
01-2014
Certified Medical Assistant - Medical Assistant
Sanford Brown
Dallas, TX
01-2003
Skills
Revenue Cycle Management
Claims Management
Denial Resolution/Root Cause Analysis
Process Implementation
Insurance management
Operational Leadership
Medical Billing
Microsoft Office
Teamwork & Collaboration
Staff Training
Timeline
Regional Revenue Cycle Manager
Texas Oncology Cancer Center
05.2021 - Current
Revenue Cycle Collections Supervisor
SCP Health
07.2019 - 05.2021
Accounts Receivable/Medical Billing Supervisor
Community Infusion Solutions
11.2018 - 06.2019
Team Lead Senior Medical Billing AR Specialist
Agnite Health
10.2014 - 11.2018
Lead Medical Billing Specialist
Oak Cliff Eye
08.2013 - 09.2014
Government Payor Accounts Receivable Specialist
Emcare/Pinnacle Anesthesia
09.2011 - 07.2013
Medical Billing Supervisor/Accounts Receivable Specialist
Vision Quest
09.2001 - 06.2011
Associate of Applied Science - Business Management