Results-driven Revenue Cycle Supervisor with extensive experience overseeing end-to-end healthcare revenue cycle operations, including billing, coding, claims management, denial resolution, and accounts receivable. Proven ability to improve cash flow, reduce AR days, and enhance net collection rates through process optimization and team leadership. Skilled in managing cross-functional teams, ensuring regulatory compliance (HIPAA, CMS), and driving operational efficiency within high-volume healthcare environments.Results-driven Revenue Cycle Supervisor with extensive experience overseeing end-to-end healthcare revenue cycle operations, including billing, coding, claims management, denial resolution, and accounts receivable. Proven ability to improve cash flow, reduce AR days, and enhance net collection rates through process optimization and team leadership. Skilled in managing cross-functional teams, ensuring regulatory compliance (HIPAA, CMS), and driving operational efficiency within high-volume healthcare environments.
Created and implemented policies to improve operational efficiency and patient care quality.
Monitored personnel duties to promote high levels of patient care and job efficiency.
Implemented innovative marketing strategies, increasing patient awareness and attracting new clients.
Managed clinic budgets, optimizing resource allocation for maximum efficiency.
Enforced adherence to HIPAA regulations and other relevant laws and regulations.
Scheduled surgeries, managed pre-certifications, and verified insurance coverage.
Increased patient satisfaction score through enhanced customer service protocols.
Improved clinic revenue through effective budget management and resource optimization.
Clinic Manager
2 Years 11 Months
Little Lantern Primary Care & Surgical Care | 12.2019 - 11.2022
Managed day-to-day clinic activities.
Managed EGD/Colonoscopy and surgery scheduling and post-surgery follow-up.
Retained patients through excellent customer care and a friendly atmosphere.
Trained staff in insurance plans, benefits, and basic claims processing.
Collaborated with specialist offices, hospitals, labs, and imaging centers.
Managed FMLA, short disability, home health, hospice, and DME service paperwork.
Worked closely with hospitals for surgery scheduling.
Managed the billing team and collection companies to ensure effective insurance and patient payment collection.
Managed medical supply inventory.
Implemented a process to collect patient prepayment and balances effectively.
Improved patient retention rate through enhanced customer service initiatives.
Increased the efficiency of the billing process, resulting in reduction in outstanding balances.
Team Lead Operations
1 Year
UST Global Solutions | 11.2018 - 11.2019
Led a team of 25 members for Blue Cross and Blue Shield as part of the Auto Adjudication project.
Ensured claims for new plans were adjudicated according to coded benefits.
Oversaw claim testing post-auto adjudication before plans went to market.
Achieved a 98% accuracy rate in claim adjudication through rigorous testing and quality control measures.
Improved team productivity by implementing streamlined workflows and enhanced training programs.
Manager Operations
4 Years
Castle Medical LLC | 10.2014 - 10.2018
Managed the Revenue Cycle Management and Denial Management team of 30 members.
Ensured daily work was completed according to agreed priorities, SLAs, and TATs.
Prepared daily, weekly, and monthly KPI reports for executive management.
Managed section-based resources, aligning them with best-in-class performance metrics.
Improved center performance through performance monitoring, problem resolution, system audits, and quality assurance measures.
Automated various processes for improved productivity.
Conducted periodic time studies to identify gaps and opportunities for improvement.
Reduced denial rates through proactive denial management strategies and process improvements.
Increased revenue collection by implementing efficient revenue cycle management practices.
Senior AR Analyst
2 Years 8 Months
Revenumed (Guide House Inc.) | 02.2012 - 10.2014
Analyzed denials from insurance companies and took appropriate actions, such as claim correction and resubmission, and submitted appeals with additional documents to resolve issues and secure payments.
Identified trends in rejections/denials and implemented necessary actions to prevent future occurrences.
Independently evaluated and assessed key financial performance indicators to identify trends and improvement opportunities.
Supported complex revenue cycle initiatives through data extraction and analysis.
Developed and presented recommendations on revenue cycle data and improvements to leadership.
Managed client AR and Patient AR reduction.
Provided monthly revenue and aging reports with comprehensive analysis.
Reduced client AR through effective denial analysis and resolution strategies.
Improved revenue cycle efficiency by streamlining data analysis and reporting processes.
AR Caller
10 Months
Medsund Solutions | 03.2011 - 01.2012
Continous follow up with insurance companies on behalf of physicians for affective colection of outstanding Accounts Receivables.
Verified the relevance of insurance information provided by patients.
Evaluated unpaid insurance claims.
Checked the status of claims with insurance companies.
Transferred outstanding balances to patients as per EOB.
Requested Explanation of Benefits (EOB) from insurance companies for paid claims.
Made corrections to claims based on inputs from insurance companies.
Successfully recovered outstanding claims through effective communication and follow-up with insurance companies.
Improved the accuracy of patient billing information through diligent verification processes.
AR Analyst
1 Year 2 Months
ZH Healthcare | 02.2007 - 04.2008
Analyzed Remittance/EOBs and took action to resolve claims within specified timeframes.
Performed outbound collections professionally, focusing on customer service while adhering to Company Policy.
Monitored and maintained a portfolio of assigned accounts, managing high volumes of follow-ups, small balance write-offs, customer reconciliations, invoice issues, and resolving open cash (unapplied) amounts and short payments.
Accurately documented all interactions and account-level issues with customers on AR Chasing Google Sheet.
Assisted with uploading invoices in vendor portals and completing vendor registration/ACH forms.
Analyzed delinquent accounts, prepared weekly reports on high-risk accounts, and made resolution recommendations to the Collections Manager.
Performed tasks assigned by the Collection Manager.
Reduced delinquent account through proactive analysis and resolution strategies.
Improved Patient satisfaction through professional and customer-focused collection efforts.