Rayenon Ross
HOUSTON
Summary
Knowledgeable professional with several years of experience bringing planning and problem-solving abilities. Focused on maximizing resource utilization to support scalable operations and increase bottom-line profitability. Organized and systematic with natural relationship-building and leadership talents.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Revenue Cycle Specialist-Refund Specialist
Altus Biologics
Pearland
12.2022 - Current
- Conducted thorough reviews of accounts for overpayments and underpayments to enhance accuracy.
- Performed detailed analyses of accounts, focusing on identifying and processing refunds.
- Engaged with insurance companies to verify claim statuses and resolve outstanding issues.
- Ensured verification of insurance and benefits for all patients prior to services rendered.
- Facilitated communication among patients, client service representatives, and providers to improve coordination.
Revenue Cycle Manager-Patient Service Manager
Nobilis Healthcare
Houston
06.2013 - 01.2019
- Developed new department dedicated to billing and collections across six surgical centers and four hospitals.
- Implemented comprehensive training programs alongside policies and procedures for operational efficiency.
- Led initiatives to coordinate efforts across departments, reducing billing errors while increasing revenue.
- Introduced strategies that lowered bad debt, charity care, and overall collection expenses.
- Focused on managing relationships with out-of-network and in-network payers effectively.
- Managed significant accounts receivables of $10 million to $20 million for each center.
- Oversaw functions of business office including accounting, billing, and supply management.
- Guaranteed prompt and accurate bill payments through stringent processes.
Collection Specialist
Houston Orthopedic Surgical Hospital
Bellaire
05.2010 - 06.2013
- Oversaw medical billing and collections processes for top orthopedic surgical hospital.
- Focused on commercial payers such as BCBS and Cigna for optimal reimbursement.
- Conducted follow-up on unpaid or partially paid claims.
- Directed handling of accounts receivable from $5,000,000 to $10,000,000 successfully.
- Conducted training sessions for physician staff regarding effective use of practice management software.
- Identified and corrected payment problems involving patients or third-party payers.
Medical Billing and Collections Consultant
Ayers Medical Consultants
Houston
10.2008 - 05.2010
- Collaborated with multiple physicians to resolve billing and collection issues effectively.
- Executed credentialing processes for several physicians, enhancing operational efficiency.
- Identified areas of risk and opportunity within the company's revenue streams.
- Created reports and presentations to communicate progress and results.
- Evaluated existing processes for accuracy, efficiency, and scalability improvements.
- Performed data analysis on customer acquisition costs, retention rates, and other KPIs.
Account Receivable Manager
Texas Rheumatology Center, MD/Administaff
Sugarland
08.2007 - 10.2008
- Established billing department and implemented efficient policies and procedures.
- Developed strategies for improving overall collections performance.
- Managed billing, collections, appeals, and payment posting for two physicians and one physician assistant.
- Achieved 60% collection rate on accounts receivable over 120 days.
- Oversaw accounts receivable between $200,000 and $500,000 for IV infusion clinics.
- Reconciled daily cash receipts to ensure accuracy.
- Prepared detailed analysis of aging accounts receivables for management review.
Billing/Collections Manager
Clearlake Neurology, PLLC
Houston
03.2004 - 08.2007
- Managed hospital charge entry and physician billing for three physicians.
- Collected 75% of accounts receivable over 120 days.
- Oversaw collections, appeals, and payment postings to ensure accuracy.
- Handled all financial aspects, including deposits and reporting.
Education
Vocational - Medical Office Management
Concorde Career Institute
Houston, TX01.1991
Skills
- Revenue cycle management
- Infusion Experience
- Medical Terminology
- Medical Coding
- Medical Office Experience
- QuickBooks
- Office Management
- Analysis skills
- Google Workspace
- Microsoft Office
- Accounts receivable management
- Collection management
- Bookkeeping
- Claims processing
- Payment posting
- Financial reporting
- Revenue cycle management
Certification
- Certified Notary
- Medical Billing Certification
Languages
English
Native/ Bilingual
Timeline
Revenue Cycle Specialist-Refund Specialist
Altus Biologics
12.2022 - Current
Revenue Cycle Manager-Patient Service Manager
Nobilis Healthcare
06.2013 - 01.2019
Collection Specialist
Houston Orthopedic Surgical Hospital
05.2010 - 06.2013
Medical Billing and Collections Consultant
Ayers Medical Consultants
10.2008 - 05.2010
Account Receivable Manager
Texas Rheumatology Center, MD/Administaff
08.2007 - 10.2008
Billing/Collections Manager
Clearlake Neurology, PLLC
03.2004 - 08.2007
Vocational - Medical Office Management
Concorde Career Institute