Dynamic Hospital Consultant /Revenue Cycle Specialist with a strong track record a proven track record at Hery Ford Health System, University Hospital and Enable Health.
Ensuring Compliace with regulatory stadards and improving pro ject outcomes.
Known for team collaboration and adapting to project needs.
Problem-solving ,and driving measurable results.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Hospital Consultant
Enable Health
02.2019 - 05.2020
Led cross-functional teams to implement strategic healthcare solutions, enhancing patient care and operational efficiency.
Developed and executed comprehensive project plans, ensuring alignment with organizational goals and regulatory requirements.
Analyzed healthcare data to identify trends, driving informed decision-making for process improvements and resource allocation.
Mentored junior consultants on best practices in healthcare consulting methodologies and client engagement strategies.
Revenue Cycle Specialist II
University Hospital - University Health System
10.2017 - 01.2019
Analyzed patient accounts to ensure accurate billing and timely collections.
Collaborated with healthcare providers to resolve discrepancies in claims processing.
Streamlined revenue cycle processes to enhance operational efficiency and minimize denials.
Mentored junior staff on best practices for coding and billing compliance.
Medical Biller
Henry Ford Health System Patient Financial Services
01.1999 - 10.2017
Developed comprehensive reports on billing trends, aiding strategic decision-making for revenue cycle management.
Processed medical claims ensuring accuracy and compliance with regulations.
Verified insurance of patients to determine eligibility.
Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies
.
Ensured timely payments from insurance providers through submission of accurate and complete claims.
Delivered timely and accurate charge submissions.
Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
Enhanced accuracy of insurance claims with meticulous verification and updating of patient records.
Education
No Degree - Medical Billing Certificate
Wayne County Community College
Detroit, MI
01-1999
Thomas M. Cooley
Detroit, MI
06-1993
Skills
Effective problem resolution
Strong attention to detail
Leadership and mentoring
Client communication
Commitment to transparency
Expertise in Microsoft Office applications
Accomplishments
Medicare Part A, B , C and D
Medicaid
Blue Cross Blue Shield
Comercial insurance
Microsoft Word
Outlook
Epic
HIPPA Guide lines
EC2000
Microsoft Excel
Certification
Medical Billing certification
Timeline
Hospital Consultant
Enable Health
02.2019 - 05.2020
Revenue Cycle Specialist II
University Hospital - University Health System
10.2017 - 01.2019
Medical Biller
Henry Ford Health System Patient Financial Services