Dedicated professional in Revenue Cycle Management with over 20 years of experience. Expertise includes payment posting, insurance verification, and denial analysis, focusing on identifying payer trends and implementing effective solutions. Proven ability to collaborate with management and streamline processes to minimize accounts receivable.
Overview
4
4
years of professional experience
Work History
Ins. Collector for compounding pharmacy
Advanced Infusion Solutions
Ridgeland, MS
05.2025 - 08.2026
Managed the entire collection process for various payer categories, including MCR Secondary, Med Adv, Mcd, and third-party payers.
Reviewed daily correspondence, including records requests, appeal decision letters, and claim rejections, to ensure timely resolution of outstanding issues.
Investigated disputed claims and made adjustments to resolve issues.
Enhanced collections processes by analyzing rejection patterns and denials to streamline future claims submissions.
Collaborated with management to identify factors contributing to account delinquency and develop actionable solutions to increase revenue.
Ins. Collector for Yavapai Regional
Common Spirit Health
10.2023 - 09.2024
Managed the entire collection process for commercial and government payers, including BCBS, Aetna, UHC, Tricare, Triwest, and Champ VA.
Posted adjustments, transferred misapplied payments, reviewed account denials, and processed correspondence from payers to ensure accurate collections.
Researched payer payment history to identify trends in non-payments and underpaid claims, submitting findings to management for strategic decision-making.
Sr. Account Analyst for RCM collection firm
Aspirion
05.2022 - 09.2023
Analyzed accounts for payer trends and provided insights to management for strategic decision-making.
Reviewed commercial accounts for underpayments, overpayments, denials, and $0 dollar payments to identify discrepancies and facilitate resolution.
Managed commercial accounts with balances under $500, ensuring accurate billing and timely payments.
Education
Associate of Applied Science - Business And Office Admin
Kilgore College
Kilgore, TX
05-1997
Skills
Payer portal navigation
Payer research skills
Payment reconciliation
Adjustment processing
Denial management
Billing resolution
Account analysis
Billing practices
Payer trend analysis
Trend analysis proficiency
Revenue cycle knowledge
Revenue cycle strategies
Continuous improvement
Epic, Meditech, CPR proficiency
Recovery techniques
Issue investigation
Team collaboration
Analytical thinking
Problem-solving skills
Cross-training support
Account management
Payer Issues Identified
Identified over $400,000 in Tricare no auth denials that denied in error. Auth obtained under new assigned member id that had not been updated on the account which was triggering the denials
Neighbors Health - Researched payer due to no communication historically received, payments posted to Unidentified due to no remit attached. After thorough payer review was able to research and find company set up as portal communication only but no one had access. Once I was able to recognize the problem we started receiving remits, payments and correspondence.
Timeline
Ins. Collector for compounding pharmacy
Advanced Infusion Solutions
05.2025 - 08.2026
Ins. Collector for Yavapai Regional
Common Spirit Health
10.2023 - 09.2024
Sr. Account Analyst for RCM collection firm
Aspirion
05.2022 - 09.2023
Associate of Applied Science - Business And Office Admin