Rosalynn Boakye
Frederick,MD
Summary
Accomplished Revenue Cycle Specialist with 16 years of experience in healthcare billing, claims processing, and accounts receivable management, alongside 5 years in broker contracting and compliance. Proven ability to streamline processes, reduce claim denials, and maintain regulatory compliance. Adept in compliance auditing, financial reconciliation, and CRM systems including Salesforce Health Cloud. Known for exceptional problem-solving, communication, and cross-functional collaboration that drives operational excellence and efficiency.
Overview
22
22
years of professional experience
Work History
Broker Contracting & Compliance Business Associate Analyst
CareFirst BlueCross BlueShield
2023.09 - Current
- Respond to inquiries and requests from department contract inboxes, delegating tasks for efficient resolution.
- Initiate DocuSign workflows for broker/agency onboarding, ensuring timely transition to agreement processing.
- Collaborate with the broker compensation team on issue resolution during and post-period close.
- Provide sales teams with broker/agency details, contract statuses, and tax IDs within 24 hours.
- Liaise with cross-functional teams (Data Analytics, SBUportal, CIAM) to resolve escalated issues.
- Lead special projects aligning departmental goals with organizational initiatives.
Broker Contracting & Compliance Specialist
CareFirst BlueCross BlueShield
2021.08 - 2023.09
- Reviewed and processed broker/agent agreements, ensuring compliance with licensing and regulatory standards.
- Maintained broker management systems, updating data on licensing, appointments, and E&O coverage.
- Handled contracting documentation for IMD business, Medicare Advantage (MAPD), and other products.
- Coordinated background checks and maintained onboarding tracker with OIG and criminal history results.
- Managed Broker of Record (BOR) and block transfer requests with high accuracy and timeliness.
Broker Contracting & Compliance Specialist
Mindlance / CareFirst BlueCross
2020.06 - 2021.08
- Led digital transition of contract files, enhancing tracking and retrieval efficiency.
- Ensured compliance and accuracy of broker documentation, licenses, and insurance certificates.
- Facilitated timely and compliant onboarding of brokers/agencies for new MAPD product.
- Regularly communicated with brokers to obtain missing documents and confirm contract approvals.
Revenue Cycle Specialist (Contract)
Maryland Treatment Centers
2019.08 - 2020.03
- Reduced outstanding A/R balances by 20% through detailed account analysis and corrective actions.
- Improved reimbursement outcomes by successfully appealing denied claims.
Revenue Cycle Specialist
Medpsych Health Services
2015.01 - 2018.12
Revenue Cycle Specialist
Abeo
2014.01 - 2015.12
Revenue Cycle Specialist
Comprehensive Behavioral Service LLC
2004.01 - 2015.12
Education
B.S. - Healthcare Administration
Washington Adventist University
Takoma Park, MD05.2021
Skills
- Healthcare Broker & Agency Onboarding
- Broker/Agency Contracting
- SLA Adherence
- HIPAA Compliance
- ACA Regulations
- Revenue Cycle Optimization
- Denials
- AR
- Claims Adjudication
- Benefit Administration
- Carrier Contracting
- Regulatory Compliance Auditing
- CRM Platforms
- Salesforce Health Cloud
- Microsoft Dynamics
- Electronic Health Records Management
- Facets
- Billing Platforms
- Epic
- NextGen
- Medisoft
- Kareo Mass Transfer
- Compliance Tools
- AM Best Ratings
- HIPAA One
- Collaboration
- Microsoft Teams
- SharePoint
- Microsoft Office
- Excel
- Word
- Outlook
Accomplishments
- Reduced claim denials by 25% via process and documentation improvements
- Processed $1M+ in claims annually while ensuring accuracy and regulatory compliance
- Recovered significant lost revenue through system clean-ups and appeals
- Improved broker compliance accuracy through targeted data cleanup initiatives
- Increased team efficiency by 35% through workflow streamlining
Timeline
Broker Contracting & Compliance Business Associate Analyst
CareFirst BlueCross BlueShield
2023.09 - Current
Broker Contracting & Compliance Specialist
CareFirst BlueCross BlueShield
2021.08 - 2023.09
Broker Contracting & Compliance Specialist
Mindlance / CareFirst BlueCross
2020.06 - 2021.08
Revenue Cycle Specialist (Contract)
Maryland Treatment Centers
2019.08 - 2020.03
Revenue Cycle Specialist
Medpsych Health Services
2015.01 - 2018.12
Revenue Cycle Specialist
Abeo
2014.01 - 2015.12
Revenue Cycle Specialist
Comprehensive Behavioral Service LLC
2004.01 - 2015.12
B.S. - Healthcare Administration
Washington Adventist University