Rebecca Carl
Jamestown,US
Summary
Healthcare leader with 20+ years of experience in transforming client relationships and revenue cycle operations into growth drivers. Expertise in building high-performing teams and streamlining billing workflows to enhance compliance and payer engagement. Proven ability to align operational goals with organizational strategy, resulting in improved financial outcomes and client satisfaction. Committed to continuous improvement and delivering lasting results in a dynamic healthcare environment.
Overview
22
22
years of professional experience
Work History
Account Success Representative
SimiTree
Jamestown, OH
02.2024 - Current
- Serve as primary client liaison to ensure satisfaction and resolution of escalated issues.
- Conduct client education, in-service training, and recurring strategy calls.
- Lead resolution of high-level issues, including payer analysis, A/R trends, and monthly reporting.
- Multiple client projects, driving operational improvements and onboarding efficiencies.
- Collaborate with internal teams to deliver accurate billing, reporting and service excellence.
Revenue Cycle Manager
MIVG Services
Jamestown, OH
05.2024 - 01.2025
- Responsible for leading and providing strategic direction to the revenue cycle operational teams.
- Established a comprehensive approach to enhance revenue cycle performance, fostering collaboration and synergy among operational departments.
- Created a culture of continuous improvement by identifying areas for process optimization and enhancement using KPIs to drive better financial results and increased efficiency.
- Oversee and develop policies and procedures that ensure timely and accurate billing.
- Research and maintain billing compliance and regulations.
- Perform audits and monitor AR Aging and payment reports to identify trends.
- Claim expertise on the No Surprise Act with a deep understanding of its key provisions.
- Work closely with Practice Management System vendors to identify and resolve systemic issues.
Senior Client Manager, RCM
AdvantEdge Healthcare Solutions
Jamestown, OH
01.2020 - 05.2024
- Successfully managed multiple, key client relationships to ensure long-term partnerships and sustainable revenue generation.
- Ensured comprehensive understanding and effective management of all contracted client deliverables.
- Collaborated with operational leaders to champion and drive continuous improvement, enhancing financial results for clients and boosting client satisfaction.
- Led client engagement initiatives, optimizing billing processes and utilizing medical billing expertise to drive revenue growth.
- Conducted daily analysis of billing and coding data to identify areas for improvement.
- Analyzed and negotiated managed care contracts.
- Monitored accounts receivables and key performance indicators for clients to ensure timely billing and reimbursement.
- Mastery of various medical billing and coding software suites.
- Met regularly (weekly/monthly as requested) with clients to review their KPI’s, discuss issues, answer questions, and provide guidance for continuous improvement.
- Led client onboarding initiatives, implemented best practices in medical billing, and delivered actionable insights to interdepartmental teams, resulting in enhanced operational efficiency.
- Pioneered solution-driven approaches to billing challenges, utilizing diverse problem-solving skills to streamline processes and improve client satisfaction.
- Championed KPI-driven strategies, consistently surpassing performance metrics.
- Established new benchmarks for client engagement and revenue optimization in RCM sector.
Client Manager, RCM
AdvantEdge Healthcare Solutions
Jamestown, OH
01.2015 - 01.2020
- Served as the main point of contact between the company and clients, resolving issues and ensuring client needs were met.
- Met with clients on a monthly/weekly basis as needed to discuss their account, answer questions, and resolve issues.
- Regularly monitored account receivables and KPI’s to ensure claims were paid, denials were minimized, and timely filing limits were met.
- Regularly met and communicated with operational teams to review client account, answer client questions and resolve issues.
Associate Client Manager, RCM
AdvantEdge Healthcare Solutions
Jamestown, OH
01.2010 - 01.2015
- Assist client manager(s) in oversight of client’s account including their billing, collections, and AR.
- Completed and distributed monthly reports for clients.
- Created ad hoc reports as requested by client manager(s) and clients.
- Responded to client questions and concerns.
- Worked closely with operational teams to ensure timely billing and collections.
AR Manager, RCM
AdvantEdge Healthcare Solutions
Jamestown, OH
01.2005 - 01.2010
- Compiled and reconciled client billing and collections.
- Managed and oversaw client AR to ensure timely claims reimbursement.
- Reviewed denial reports and worked closely with operations team to resolve issues and ensure smooth AR operations.
Account Representative, Medical Billing and Coding
MBI Solutions
Jamestown, OH
01.2004 - 01.2005
- Emergency Department Medical Billing Agent
- ED Coding SME
- Denial Research Expert
- Responsible for Charge Entry and Reconciliation
- Accountable for Appeals Process
Education
Diploma / Certification - Medical Claims and Billing
U.S. Career Institute
Fort Collins, Colorado01.2004
Skills
- Client engagement and onboarding
- Revenue cycle management
- Team leadership and collaboration
- Operational efficiency
- Medical billing and coding
- Denial management and appeals
- KPI reporting and compliance
- Project coordination and management
- Payer relations
- Organizational skills
- Time management
- Problem solving
- Communication skills
- Software proficiency
Timeline
Revenue Cycle Manager
MIVG Services
05.2024 - 01.2025
Account Success Representative
SimiTree
02.2024 - Current
Senior Client Manager, RCM
AdvantEdge Healthcare Solutions
01.2020 - 05.2024
Client Manager, RCM
AdvantEdge Healthcare Solutions
01.2015 - 01.2020
Associate Client Manager, RCM
AdvantEdge Healthcare Solutions
01.2010 - 01.2015
AR Manager, RCM
AdvantEdge Healthcare Solutions
01.2005 - 01.2010
Account Representative, Medical Billing and Coding
MBI Solutions
01.2004 - 01.2005
Diploma / Certification - Medical Claims and Billing
U.S. Career Institute
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