Stephanie Rios
Elyria
Summary
Mission: Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Revenue Cycle Analyst
New Avenues to Independence
Cleveland
05.2020 - Current
- Managed ICF-Waiver billing and EVV activities, ensuring compliance and data accuracy.
- Handled client account reconciliations Banking and Cash on Hand and balance sheet analysis.
- Monthly charge entry for multiple locations via MITS and PNM
- Analyze A/R, denials, adjustments, appeals, and ensure revenue
- Analyze Cost Projection for waiver programs to ensure correct funding levels
- Invoices CCBDD, other counties, other agencies, private pays as needed
- Track ISP, PAWS, and PAS expiration by individuals
- Payroll assisting – Employee corrections and time tracking SANDATA
- Prepared annual income tax returns for individuals
- Prepped month-end accruals and journal entries.
- Assisted with the implementation of new systems or procedures related to revenue cycle activities.
- Generated reports on aged accounts receivables in order to identify areas needing improvement in collections processes.
- Created reports for management regarding payment trends, denials, rejections, and other performance metrics.
- Analyzed complex billing issues, identified root causes, and developed solutions to improve revenue cycle operations.
Accounts Receivable Specialist
Cleveland Eye Clinic
Brecksville
02.2017 - 03.2021
- Managed billing for (12) Optometrists/Surgeon practitioners, including HCPCS/CPT coding and claims follow-up.
- Handled patient inquiries and appeals effectively.
- Balanced daily financial records.
- Monitored customer account details for non-payments, delayed payments, and other irregularities.
- Assisted in month-end closing process including preparation of journal entries related to Accounts Receivable activities.
- Processed payments, refunds and adjustments to customer accounts.
- Reconciled discrepancies between customer payments and invoices due.
- Performed daily cash application functions accurately and efficiently.
- Generated weekly aging reports used to identify delinquent accounts requiring follow-up action.
- Provided excellent customer service while resolving disputes with customers concerning their accounts receivable balance.
- Monitored unapplied cash balances and identified potential write-offs or bad debt expense accruals.
- Submitted electronic claims to various insurance carriers.
- Generated reports in order to track payments due from insurance companies or other third party payers.
- Performed daily reconciliation of accounts receivable with payment postings on the computer system.
- Prepared detailed financial reports as requested by management team.
- Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
Staffing Coordinator
Right At Home Health Care
Middleburgh
02.2015 - 10.2020
- Coordinated with department managers to ensure appropriate coverage for shifts.
- Communicated daily schedule changes to employees via email and text message.
- Processed payroll information including hours worked and approved time off requests.
- Maintained a database of all current staff members, their qualifications, and contact details.
- Conducted regular reviews of existing shift patterns and made recommendations for improvements as needed.
- Provided support to supervisors regarding employee leave requests and vacation days.
- Assisted in the recruitment process by scheduling interviews for potential new hires.
- Compiled weekly reports detailing labor costs, hours worked, and overtime expenses.
- Transported patients between departments or outside facilities as needed.
- Provided direct patient care, including bathing, dressing and grooming patients.
- Assisted with the administration of medications as directed by a registered nurse.
- Collected specimens for laboratory testing and analysis.
- Documented patient information in electronic medical records.
- Maintained confidentiality of patient information according to HIPAA regulations.
- Assisted patients with daily living activities, such as bathing, dressing, and grooming.
- Monitored vital signs such as blood pressure, temperature and pulse rate.
- Observed changes in patient conditions and reported any changes to nursing staff promptly.
- Provided emotional support to patients and their families during difficult times.
- Communicated and interacted effectively and tactfully with residents, visitors, families, peers and supervisors and practiced flexible, creative care in addition to mandated standard care.
Medical Billing Manager
Eldercare
North Royalton
03.2018 - 03.2020
- Oversaw daily billing, coding (HCPCS, CPT), and claims management.
- Supervised staff and maintained A/R, balancing, and productivity.
- Monthly Claims Aging reports
- Payroll and Bank Deposits (Daily)
- Managed and supervised billing department staff, including training, evaluation, and workflow distribution.
- Resolved billing issues by applying knowledge and completing in-depth research.
- Conducted audits and facilitated prior authorizations.
- Oversaw daily activities related to the processing of electronic claims submissions.
- Resolved issues related to denied or rejected payments from insurance companies.
- Identified areas of improvement within the medical billing process, implemented changes accordingly.
- Prepared monthly financial statements detailing revenue generated by practice locations.
- Conducted audits on claims submitted by medical billing staff, ensuring compliance with all applicable laws and regulations.
- Maintained detailed records of all payments received from patients or third-party payers.
- Created reports outlining trends in revenue cycle management, such as denials and rejections.
- Analyzed financial data, identified discrepancies, and reported findings to senior leadership team.
- Analyzed billing processes and recommended improvements to minimize cycle time and enhance customer satisfaction.
Billing Manager
Benhaven Counseling Center
Brecksville
01.2015 - 05.2016
- LED medical billing operations and managed A/R.
- Implemented productivity improvements and coordinated with healthcare providers.
- Eligibility- Charge entry-Reconciliation daily- Payment posting- Credit processing
- Maintained compliance with billing regulations.
- Managed daily cash postings from lockbox or other electronic methods of payment processing.
- Worked with customers to resolve billing disputes in a timely manner.
- Reviewed customer contracts for accuracy of pricing, terms of payment, discounts.
- Prepared monthly reports on accounts receivable status and aging analysis.
- Maintained customer records in accounting systems ensuring accuracy of information entered into system.
- Processed paperwork related to medical claims processing including authorizations, referrals, pre-certifications.
- Supervised and monitored daily activities of the medical claims department staff to ensure accurate and timely processing of all claims.
- Participated in special projects related to developing more efficient methods of processing medical claims.
- Compiled reports on medical claims status, denials, appeals and other related topics.
A/R Billing Specialist
Independent Physician Solutions
Brooklyn
12.2010 - 12.2014
- Performed billing for 50 physicians across multiple specialties, including surgery, internal medicine, and orthopedics.
- Managed A/R follow-up, payment posting, monthly aging reports, and claim appeals.
- Ensured compliance with CPT coding and handled EMR submissions.
- Assisted patients with billing questions and insurance coordination.
- Monitored daily cash receipts and applied payments against open invoices accordingly.
- Reconciled A and R ledger with third-party systems such as QuickBooks.
- Created periodic reports detailing aging receivables, cash flow projections.
- Drafted letters for overdue invoices and initiated follow up calls when necessary.
- Processed incoming payments, reconciled account balances, and resolved discrepancies.
- Investigated customer inquiries regarding billing issues.
- Worked with team members to identify and develop process improvements.
- Checked postings and documents for correctness, accuracy and proper coding.
- Reconciled or entered report discrepancies found in financial records.
- Recorded debit, credit and account transactions in computer spreadsheets and databases.
Education
Some College (No Degree) - Nursing Administration
TRI C
PARMASkills
- Revenue Cycle Management
- Account reconciliation
- A/R Management
- Office Management
- EMR systems
- ICD-10 coding
- CPT coding
- Medicare
- Medicaid
- HMO
- BWC
- Private insurances
- HCFA-EDI
- UB-92
- Microsoft Office Suite
- Excel
- HIPAA compliance
- QuickBooks
- Payroll
- Tax Payroll
- Supervisory experience
- Patient documentation
- Staff coordination
- Medical billing
- Claims management
- Customer service
- Financial reporting & Statement Analysis
- Medicaid regulations
- Adobe software
- Managing records
- Payment posting
- Skilled in EPIC/MYCHART/ATHENA
- Insurance verification
- Debt collection procedures
Certification
- Medical Billing Certification
- ICD-10 Compliant
- Drivers License
- First Aid/CPR
References
References available upon request.
Timeline
Revenue Cycle Analyst
New Avenues to Independence
05.2020 - Current
Medical Billing Manager
Eldercare
03.2018 - 03.2020
Accounts Receivable Specialist
Cleveland Eye Clinic
02.2017 - 03.2021
Staffing Coordinator
Right At Home Health Care
02.2015 - 10.2020
Billing Manager
Benhaven Counseling Center
01.2015 - 05.2016
A/R Billing Specialist
Independent Physician Solutions
12.2010 - 12.2014
Some College (No Degree) - Nursing Administration
TRI C
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