Sean Davis
Manchester,United States
Summary
Skilled healthcare revenue professional with expertise in post-payment, complex contractual comprehension, and maintaining efficient operational objectives. Building foundational processes from inception and recovering millions through strateigc tactics. Recognized by executive team for consistent financial improvement, Maintaining a stellar reputation for project management and colleague collaboration.
Overview
6
6
years of professional experience
Work History
Repricing Specialist
Congress Billing
Remote
07.2023 - 05.2026
- Established standards through reliable structuring. Streamlined post-payment negotiations, establishing efficient workflows and accurate financial reporting.
- Recovered approximately $10 million through strategic third-party negotiations and payor appeals.
- Conducted contractual analyses, enforcing payer compliance.
- Led bi-weekly departmental meetings to communicate KPIs, reimbursement trends and operational priorities. Solely responsible for department training.
- Identified billing discrepancies and coordinated cross-functional resolution efforts to remedy financial outcomes.
Insurance Verification Specialist
United Billing Solutions
10.2020 - 05.2022
- Managed eligibility verification across 80+ insurance policies daily supporting 12 high-volume facilities.
- Streamlined verification processes by implementing new software tools, enhancing turnaround times for authorizations.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
Billing Specialist
Aspire Medical Billing
Remote
12.2019 - 10.2020
- Managed AR workflows and collections across multiple facilities, supporting resolution of 1,200+ claims per cycle.
- Reconciled accounts receivable discrepancies, enhancing financial accuracy and operational efficiency.
- Led initiatives to improve claims submission rates, resulting in faster payment turnaround times.
Skills
- Paramount commitment to accuracy, compliance, and quality assurance
- Exemplary cross-departmental collaboration
- Strategic problem identification and risk mitigation
- Optimizing revenue though cross-departmental collaborations to mitigate risk to ensure quickest processing turnaround time
INDUSTRY EXPERTISE
Extensive cross-functional experience within the Substance Abuse and Mental Health (SA/MH) sector, spanning Collections, Medical Records, Admissions, and Behavioral Health Operations. This background provides a comprehensive understanding of both clinical workflows and revenue cycle processes, enabling effective reimbursement recovery and cross-departmental collaboration.
Timeline
Repricing Specialist
Congress Billing
07.2023 - 05.2026
Insurance Verification Specialist
United Billing Solutions
10.2020 - 05.2022
Billing Specialist
Aspire Medical Billing
12.2019 - 10.2020