Tamara Windhorst
Seymour,WI
Summary
Dynamic Revenue Cycle Specialist with a proven track record at City of Hope, enhancing revenue capture efficiency through analytical problem-solving and effective denial management. Skilled in claims processing and relationship building, I successfully improved patient satisfaction and streamlined billing processes, achieving optimal reimbursement rates while fostering teamwork and collaboration across departments.
Overview
10
10
years of professional experience
Work History
Revenue Cycle Specialist
City of Hope
04.2015 - 07.2025
- Analyzed patient accounts to ensure accuracy and compliance with regulatory requirements.
- Streamlined billing processes, reducing discrepancies and enhancing revenue capture efficiency.
- Collaborated with clinical staff to resolve billing inquiries and improve overall patient satisfaction.
- Trained new team members on revenue cycle protocols and operational systems for optimal performance.
- Implemented process improvements that increased claim submission accuracy and reduced denial rates.
- Conducted audits of accounts receivable, identifying trends and recommending strategies for improvement.
- Led cross-departmental initiatives to enhance communication between finance, operations, and clinical teams.
- Developed training materials on best practices in revenue cycle management for ongoing staff education.
- Increased revenue by identifying and resolving billing errors in a timely manner.
- Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
- Served as a liaison between clinical departments, finance, and administration, ensuring smooth communication for proper revenue cycle management.
- Ensured accurate billing with thorough audits of patient accounts and insurance claims.
- Enhanced customer satisfaction by promptly addressing and resolving billing disputes.
- Reached out to insurance companies to verify coverage.
- Contacted responsible parties for past due debts.
- Achieved optimal reimbursement rates by verifying insurance coverage, eligibility, benefits, and authorization prior to service delivery.
- Identified and resolved payment issues between patients and providers.
- Streamlined the revenue cycle process for improved efficiency and faster payment collection.
- Coordinated patient payment plans, balancing compassion with firmness to ensure timely payments while preserving positive patient relationships.
- Assisted patients in understanding complex billing statements, leading to increased trust between patients and healthcare providers.
- Maximized reimbursements by staying current on payer requirements and maintaining strong relationships with insurance providers.
- Provided regular updates on billing status to upper management through detailed reports.
- Balanced and reconciled accounts.
- Maintained clear documentation of all activities related to unpaid claims or denied services.
- Collaborated with cross-functional teams to improve overall financial performance of the organization.
- Managed a portfolio of high-risk accounts, effectively reducing bad debt write-offs through proactive communication and negotiation tactics.
- Improved cash flow with diligent follow-up on pending claims and appeals processes.
- Collaborated with cross-functional teams to resolve billing issues, ensuring patient satisfaction and loyalty.
- Enhanced revenue collection efficiency with robust follow-up procedures on delinquent accounts.
- Engaged in continuous process improvement, identifying inefficiencies in revenue cycle and proposing practical solutions.
- Successfully navigated complex insurance disputes, resulting in recovery of substantial amounts of previously denied claims.
- Improved patient satisfaction by providing clear, concise explanations of billing procedures and insurance coverage.
- Played key role in transition to new billing system, ensuring smooth conversion with minimal disruption to operations.
- Enhanced transparency of financial policies to patients, reducing confusion and increasing upfront collections.
Education
Saint Joseph High School
Kenosha, WISkills
- Claims review
- Professionalism and ethics
- HIPAA compliance
- Claims processing proficiency
- Denial management
- Analytical problem solving
- Financial counseling
- Teamwork and collaboration
- Customer service
- Problem-solving abilities
- Relationship building
- Team building
Timeline
Revenue Cycle Specialist
City of Hope
04.2015 - 07.2025
Saint Joseph High School
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