Job Search Status
Open to workDesired start date: Immediately
Open To Work
Sara Nelson
Layton,UT
Work Preference
Summary
Revenue Cycle Billing Manager with over 25 years of experience in medical billing and revenue cycle management, demonstrating expertise in team leadership and claims processing. Adept at fostering a collaborative environment, enhancing team performance through targeted training and strategic process improvements. Proficient in medical terminology, CPT and ICD-10 coding, with a strong focus on optimizing billing operations and improving cash flow management.
Billing management professional with strong expertise in financial oversight, invoicing, and accounts receivable processes. Known for fostering team collaboration and driving results, ensuring seamless operations and client satisfaction. Adept at adapting to evolving needs and establishing efficient workflows through leadership, analytical skills, and attention to detail. Highly reliable, with focus on precision and efficiency in managing billing cycles.
Overview
25
25
years of professional experience
Work History
VP of Revenue Cycle
CerebroCare LLC
Houston, TX
07.2025 - Current
- Led cross-functional teams to optimize value stream processes and enhance operational efficiency.
- Developed and implemented strategies for continuous improvement in production workflows.
- Analyzed data to identify bottlenecks and reduce cycle time across value streams.
- Facilitated root cause analysis sessions to drive problem-solving initiatives within production lines.
- Collaborated with clinical departments to improve coding accuracy and documentation practices.
- Oversaw accounts receivable aging reports, optimizing collections strategy for outstanding balances.
- Implemented performance metrics to evaluate revenue cycle effectiveness and team productivity.
- Monitored and guided revenue cycle operations.
- Implemented process improvements, ensuring accurate charge capture and coding compliance.
- Provided staff training on revenue cycle management best practices, increasing productivity across the department.
- Collaborated with IT to develop new revenue cycle management software, leading to improved tracking and reporting of key financial metrics.
Billing Manager
Pure Healthcare
04.2022 - 04.2025
- Lead billing team of 8-12, enhancing productivity through targeted training initiatives.
- Streamline HR processes, conducting interviews and managing disciplinary actions effectively.
- Analyze reports to identify trends, collaborating with executives for strategic improvements.
- Address payor challenges, implementing solutions that optimize billing operations.
- Foster a collaborative team environment, driving measurable improvements in billing accuracy.
- Streamlined billing processes to enhance efficiency, resulting in noticeable improvements in team productivity and reduced error rates.
- Implemented new training modules for the billing team, leading to substantial growth in skill levels and operational knowledge.
- Analyzed weekly and monthly reports to identify payor issues, enabling targeted solutions and improved cash flow management.
- Fostered open communication with executives to strategize on overcoming billing obstacles, strengthening team alignment with company goals.
- Provided mentorship and support to team members, cultivating a positive work environment and encouraging professional development.
- Facilitated cross-departmental meetings to align billing strategies, enhancing team cohesion and operational synergy.
- Reviewed billing problems, researched issues, and resolved concerns.
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Trained and mentored staff on procedures, compliance requirements, and collections techniques.
- Collaborated with cross-functional teams to resolve billing-related issues swiftly, minimizing negative impacts on overall operations.
- Implemented policies that improved accounts receivable collections, resulting in reduced outstanding balances and increased cash flow.
- Boosted team productivity through effective delegation of tasks, setting performance targets, and providing constructive feedback.
- Conducted performance reviews and implemented improvement plans.
- Performed testing for billing modules, enhancing new functionality and process improvements.
- Created a transparent work environment that fostered open communication between team members, promoting collaboration and problem-solving skills development.
- Established performance metrics for evaluating staff effectiveness, leading to continuous improvement initiatives within the department.
- Maintained up-to-date knowledge of industry regulations and compliance requirements, ensuring the department remained compliant at all times.
- Maintained up-to-date knowledge of industry regulations, ensuring billing department's compliance and protecting company from potential fines.
- Developed and implemented efficient billing procedures to enhance accuracy and reduce discrepancies.
Client Revenue Manager
Alta Medical Management
08.2013 - 04.2022
- Complete A/R processing for multiple providers around the country. Correctly entering in charges and payments, claim follow up and denial review. Reviewing accounts for refunds and collections. Communication with clinic regarding issues and productivity. Working with patients and insurance agency to get claims resolved and paid in a timely manner. Correcting coding and billing errors, demographic errors and insurance setups to allow claim to process.
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
Billing Specialist, EDI
Iasis Health Care- Physicians Group of Utah
03.2010 - 06.2013
- Quality control on outgoing claims. Reviewing and correcting CPT, ICD-9 and patient demographics. Collect on outstanding claims and balances from patients and health insurance companies. Work with office managers and Medical coders to correct patient charges and submit claims. Resolving electronic claim coding issues with clearinghouse and insurance companies.
Billing Team Lead
MedUSA Inc.
04.2002 - 03.2010
- Supervised a team of 2-8 team members, resolved claim issues with insurance companies, collected patient balances, posted insurance and patient payments, entered charges for services rendered, submitted claims electronically, resolved payment/collection issues between insurance, physician and patient.
- Coordinated billing inquiries and resolved discrepancies efficiently to maintain customer satisfaction.
- Processed and reviewed insurance claims for accuracy and compliance with regulations.
- Trained new staff on billing procedures, enhancing team performance and knowledge retention.
Collection Department
Discover Card
11.2000 - 02.2002
- Called on accounts that were 90-120 days delinquent. Set up payment plans.
Education
High School Diploma -
Riverton High School
01-2001
Skills
- Medical Billing
- Revenue Cycle Management
- Team Leadership
- CPT Coding
- ICD-10 Coding
- Claims Processing
- Microsoft Excel
- Microsoft Word
- Problem Solving
- Customer Service
- Medical Terminology
- Payment Processing
- Team Management
- Quality Control
- Healthcare
- Insurance
- Personnel oversight
- Audit support
- Accounts receivable management
- Collections experience
- Claims processing
- Training and mentoring
- Staff training and development
- Team building
- Insurance verification
- HIPAA
- Collections
- Denial management
- Medical billing expertise
- Project leadership
- Staff training
- Team direction
- Workflow planning
- Process improvements
- Operations monitoring
- Program improvements
- Revenue cycle management
- Report preparation
- Collections management
- Payment posting
- Procedure optimization
- Billing review
- Willing to learn
- Team building leadership
- Staff recruitment and hiring
Timeline
VP of Revenue Cycle
CerebroCare LLC
07.2025 - Current
Billing Manager
Pure Healthcare
04.2022 - 04.2025
Client Revenue Manager
Alta Medical Management
08.2013 - 04.2022
Billing Specialist, EDI
Iasis Health Care- Physicians Group of Utah
03.2010 - 06.2013
Billing Team Lead
MedUSA Inc.
04.2002 - 03.2010
Collection Department
Discover Card
11.2000 - 02.2002
High School Diploma -
Riverton High School