Raisa A Wilson
Cambria Heights,NY
Summary
To leverage my leadership and operational skills in optimizing team performance and driving process improvements in a dynamic healthcare environment.
Overview
18
18
years of professional experience
Work History
Senior Manager, Revenue Cycle Operations
Northwell Health
05.2024 - Current
- Achieve High Encounter Volume: Lead Self-pay I.V
- Staff to complete 65+ patient encounters daily, ensuring team efficiency and productivity
- Ensure GFE Accuracy: Oversee timely and accurate creation and delivery of Good Faith Estimates, maintaining compliance and patient satisfaction
- Maintain High Secured Rate: Consistently achieve an 95%+ secured payment rate through effective financial strategies
- Mentor Supervisory Staff: Develop supervisors into effective leaders who can drive team success and foster an positive work environment
- Stay Current with EPIC and Initiatives: Keep the team aligned with the latest EPIC updates and Northwell Health initiatives
- Lead Financial Education Team Transition: Assumed full responsibility for the Financial Education team, developed new policies, and re-educated staff to enhance GFE accuracy and delivery rates in preparation for the 2025 EPIC transition
Manager, Revenue Cycle Operations
Northwell Health
10.2021 - 04.2024
- Managed Daily Operations: Sent out assignment grids, ensured service line coverage, updated performance metrics, monitored team readiness, and addressed system issues
- Supervised and Supported Team: Accounted for team attendance, addressed service line complaints, monitored team chats, and processed access issues
- Oversaw Performance: Completed production tasks, addressed low performers, updated reports, and conducted supervisor 1:1s and team meetings
- Led Projects and Development: Managed onboarding and training of new hires, coordinated with HR, and provided mentorship to supervisors and team members
- Improved Engagement and Morale: Conducted team-building exercises, maintained accurate communication lists, and worked to achieve high participation in the Employee Engagement Survey
Supervisor, Revenue Cycle Operations
Northwell Health
09.2017 - 10.2021
- Promoted Revenue Cycle Goals: Selected, motivated, and trained capable team members to achieve department objectives
- Managed and Developed Staff: Supervised, hired, trained, disciplined, and evaluated staff, ensuring timely completion of performance appraisals and professional development
- Audited Work Output: Routinely audited work to ensure compliance with department expectations and processes
- Improved Operations: Planned and prioritized schedules, assigned tasks, and optimized workflow to enhance operational efficiency
Lead Emergency Department Associate
Northwell Health
06.2014 - 09.2017
- Performed admissions/registration; pre-admission/pre-registration and co-pay collection process, interviewed patients to verify financial and insurance information to determine eligibility and claims status, documented charges and payment data, ensured charts are accurately coded and prepared for billing
- Counseled patients of their payment responsibility to the hospital
- Point of service collection above average
- Assisted patients in the Financial Assistance Program (FAA) application process; helped reduce potential bad debt
- Assisted 158 patients apply for Medicaid through the NYSH Marketplace, recovered $60,000 in reimbursement
- Assisted and advised patients applying for or renewing health insurance coverage through the NYSH Marketplace
- Took initiative to help develop the lead program, including the development of patient educational materials
- Trained newly hired Emergency Department Associates and Lead Emergency Department Associates within my department
Lead Warehouse Analyst
SLEEPY'S
02.2010 - 03.2015
- Analyzed inventory using ERP and POS systems to identify/resolve shortages to maximize efficiency
- Processed transfers for new product roll-outs, distressed merchandise, store openings and closings
- Assisted management with performance tracking, monitoring and QA/QC
- Facilitated issue resolution by researching discrepancy and making managerial level decisions to maximize both company performance and client satisfaction
Medical Secretary
K.E.L MEDICAL P.C.
11.2006 - 02.2010
- Performed administrative duties for a high-volume office that included generating patient reports, scheduling appointments for new/returning patients, verifying patient's insurance information, medical billing and greeting/interacting with patients and their accompanying parties
- Reviewed, entered, pulled, and processed medical records from/to office network to assist all departments
Education
Master of Health Administration -
Hofstra University
Hempstead, NY05.2025
Bachelor of Arts in Sociology -
Queens College
Flushing, NY05.2013
Skills
- Microsoft Office Suite
- E-Care Next
- Soarian
- Medeanalytics
- Invision
- HDX
- Sunrise
- Artiva
- Espaces
- Healthpay 24 health systems
- GERS
- Oracle
Skills and Certifications
- Billing and collection procedures
- Medical terminology fluency
- Understanding of insurance benefit/prior authorizations and explanatory ability
- Office management
- Claims processing
- Certified Healthcare Access Associate (July 2017)
- New York State Certified Assistant Application Counselor (February 2016)
Awards
- 90&90 Top Leaders List (2023): Recognized for achieving 90% or greater favorability in both leadership effectiveness and team member engagement on the annual Team Member and Physician Experience Survey.
- Ranked as a Tier 1 Leader: Achieved Tier 1 status in the 2020 and 2023 Employee Engagement Surveys for exceptional leadership and team engagement.
Timeline
Senior Manager, Revenue Cycle Operations
Northwell Health
05.2024 - Current
Manager, Revenue Cycle Operations
Northwell Health
10.2021 - 04.2024
Supervisor, Revenue Cycle Operations
Northwell Health
09.2017 - 10.2021
Lead Emergency Department Associate
Northwell Health
06.2014 - 09.2017
Lead Warehouse Analyst
SLEEPY'S
02.2010 - 03.2015
Medical Secretary
K.E.L MEDICAL P.C.
11.2006 - 02.2010
Master of Health Administration -
Hofstra University
Bachelor of Arts in Sociology -
Queens College
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