SeanMarie Rose
Palm Bay
Summary
Dynamic healthcare revenue cycle manager with 20+ years of experience leading Accounts Receivable, billing, collections, denials, and credit operations across large healthcare organizations. Proven success managing AR portfolios exceeding $20M, reducing aging, improving cash flow, and implementing strategies that minimize loss. Strong leadership background in staff development, workflow optimization, financial reporting, and compliance. Adept at building high‑performing teams, interpreting payer policies, and driving operational excellence in fast‑paced environments. Motivated Healthcare Manager with experience in overseeing daily operations, budgeting, and staff management within healthcare facilities. Known for strong leadership skills, including strategic planning and problem-solving abilities. Notably improved operational efficiencies while maintaining high levels of patient care quality in previous roles. Possess strong communication skills to effectively liaise between medical staff and administrative teams.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Healthcare – US Team Lead Specialist
R1 RCM
01.2023 - Current
- Streamlined billing workflows, reducing A/R aging by 20 days and increasing collection rates by 15%.
- Ensured accurate billing and coding alignment with CPT/ICD guidelines.
- Led denial management and appeals, overturning claims at rates 25% above industry benchmarks and recovering $1.2M annually.
- Built KPI dashboards to track AR trends, improving team productivity by 30%.
- Maintained 100% audit readiness across Medicare, Medicaid, and commercial payers.
- Collaborated with billing, collections, cash posting, and contract analysis teams.
Denial & Appeal Supervisor
National Billing Institute
Boca Raton
01.2021 - 01.2023
- Supervised daily operations, staff performance, and training for denial and appeals teams.
- Conducted QA audits and evaluations, improving accuracy by 15%.
- Maintained receivables and ensured timely documentation of overturns.
- Supported compliance initiatives and cross‑departmental revenue cycle projects.
- Assumed leadership responsibilities during director absences.
Denial & Appeal Specialist II
Team Health
Sunrise
01.2019 - 01.2021
- Managed denial and appeals processes, improving overturn success rates.
- Conducted Medicare/Medicaid audits and resolved complex payer issues.
- Analyzed denial trends to reduce outstanding balances and improve cash flow.
- Collaborated with clinical and billing teams to align financial and operational outcomes.
Reimbursement Specialist II
Sheridan Healthcare
Sunrise
01.2016 - 01.2019
- Researched payer accounts, corrected claim errors, and resubmitted claims.
- Maintained denial reports and ensured proper documentation across accounts.
Account Manager
Medivance Billing
Sunrise
01.2011 - 01.2016
- Analyzed insurance policies and rebilled claims, reducing denial backlog.
- Partnered with clients and supervisors to resolve outstanding claim issues.
Credit & Collections Supervisor
Medtronic Mini-Med
Hollywood
01.2000 - 01.2003
- Supervised 20 employees managing Medicare, Medicaid, and commercial accounts.
- Developed SOPs and streamlined month‑end reconciliations, improving audit readiness.
- Collaborated with clinical teams to ensure reimbursement for advanced medical technologies.
Education
Bachelor of Science - Healthcare Management
University of Phoenix
Phoenix, AZSkills
- Accounts receivable management
- Billing and collections strategy
- Healthcare revenue cycle management
- Denials and appeals leadership
- Financial reporting and analysis
- Budgeting and expense monitoring
- Staff training and development
- SOP development and optimization
- Medicare, Medicaid, and commercial payers
- HIPAA compliance
- Claims processing
- Policy interpretation and communication
Certification
- CPC Coursework (80 hours), AAPC
- Certified Tax Preparer, H&R Block
Accomplishments
- Designed AR and collection strategies that consistently reduced aging and increased cash flow across Medicare, Medicaid, and commercial accounts.
- Built an automated past‑due letter system that cut AR department workload by 50% and improved patient communication.
- Developed departmental SOPs and training programs that increased productivity, accuracy, and AR control.
- Supported the Mini-Med Medtronic merger by eliminating duplicate accounts and ensuring clean data transfer.
Timeline
Healthcare – US Team Lead Specialist
R1 RCM
01.2023 - Current
Denial & Appeal Supervisor
National Billing Institute
01.2021 - 01.2023
Denial & Appeal Specialist II
Team Health
01.2019 - 01.2021
Reimbursement Specialist II
Sheridan Healthcare
01.2016 - 01.2019
Account Manager
Medivance Billing
01.2011 - 01.2016
Credit & Collections Supervisor
Medtronic Mini-Med
01.2000 - 01.2003
Bachelor of Science - Healthcare Management
University of Phoenix