Summary
Overview
Work History
Education
Skills
Certification
Timeline

Saves Simmons

New Market,AL

Summary

Detail-oriented and results-driven Revenue Specialist with 5 years of experience in Revenue Cycle Management (RCM). Adept at optimizing financial operations, improving revenue collection processes, and ensuring compliance with healthcare regulations. Possesses strong analytical skills with expertise in billing, coding, insurance follow-up, and patient account management. Proven ability to identify and resolve discrepancies, minimize denials, and enhance overall financial performance.

Overview

20
20
years of professional experience
1
1
Certification

Work History

Senior Revenue Specialist

EnableComp
09.2019 - Current
  • Manage the entire revenue cycle process, including billing, claims submission, insurance follow-up, and patient account resolution for a portfolio per month.
  • Process an average of 450 claims weekly, ensuring maximum reimbursement rates.
  • Conduct thorough follow-ups with insurance companies to resolve claim denials, underpayments, and discrepancies, reducing outstanding accounts receivable within the first year.
  • Perform audits of billing and coding practices to ensure compliance with payer guidelines and federal regulations (HIPAA, CMS, etc.).
  • Collaborate with clinical and administrative staff to resolve issues related to insurance verification, coding errors, and patient billing inquiries.
  • Generate and analyze financial reports, identifying trends in reimbursement

Substitute Teacher

Franklin Board Of Education
08.2018 - 08.2019
  • Followed classroom plans left by class teacher to continue student education and reinforce core concepts.
  • Upheld classroom routines to support student environments and maintain consistent schedules.
  • Developed strong rapport with students through consistent encouragement and support, fostering a positive learning atmosphere conducive to academic growth.
  • Repeatedly requested as substitute teacher by teachers based on excellent past referrals and trusted performance.
  • Kept students on-task with proactive behavior modification and positive reinforcement strategies.
  • Maintained day-to-day classroom management and discipline to promote learning initiatives.
  • Enhanced classroom management by implementing positive reinforcement strategies and maintaining clear expectations for behavior.

Accounting/Sales Associate

Walmart
10.2007 - 02.2012
  • Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
  • Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
  • Built relationships with customers to encourage repeat business.
  • Managed returns, exchanges and refunds in accordance with store policy.

ESL Teacher

Kukche Uhagon
01.2005 - 08.2005
  • Educated students in basics of English grammar and conversational speaking.
  • Provided targeted instruction on pronunciation, intonation, and accent reduction to enhance students'' overall communication skills in English.
  • Enhanced students'' speaking skills through regular practice and focused feedback during conversation sessions.
  • Increased student proficiency in English by creating engaging and interactive classroom activities.
  • Supported language development for non-native speakers by providing one-on-one tutoring sessions tailored to individual needs.
  • Created and delivered engaging lesson plans to accommodate different learning styles.
  • Developed a welcoming classroom environment that encouraged cultural exchange between students from diverse backgrounds, fostering mutual understanding and respect among classmates.

Education

Medical Billing And Coding

Calhoun Community College, Huntsville, AL

Bachelor of Science - Education

Cebu State College

Skills

  • Collections management
  • Epic
  • Payment processing
  • HIPAA compliance
  • Claims review
  • Insurance verification
  • Appeals
  • Analyzing claims
  • Verifying insurance
  • Collecting payments
  • Accounts receivable management
  • Medical billing
  • Managing records
  • Revenue cycle management
  • Payment posting

Certification

Licensed Professional Teacher

PhilippinesProfessional Regulation Commission-2005

Timeline

Senior Revenue Specialist - EnableComp
09.2019 - Current
Substitute Teacher - Franklin Board Of Education
08.2018 - 08.2019
Accounting/Sales Associate - Walmart
10.2007 - 02.2012
ESL Teacher - Kukche Uhagon
01.2005 - 08.2005
Calhoun Community College - , Medical Billing And Coding
Cebu State College - Bachelor of Science, Education

Similar Profiles

CREATE PROFILE
Saves Simmons