Tanya Starks
Atlanta ,GA
Summary
Strategic healthcare revenue cycle leader with 23+ years of progressive experience in denials, appeals, and account resolution. Proven success driving financial outcomes exceeding $755K+ in recovered revenue while leading high-performing teams, optimizing processes, and ensuring compliance with payer and regulatory standards.
Professional with significant expertise in team leadership and operational management. Proven track record in driving team collaboration and delivering impactful results. Skilled in conflict resolution, process optimization, and strategic planning, with flexible approach to evolving business needs. Known for reliability, strong communication, and fostering productive work environment.
Overview
28
28
years of professional experience
Work History
AR Appeals and Denials Supervisor
Wellstar Health System
01.2022 - Current
- Lead appeals and denials strategy across complex payer portfolios to maximize reimbursement and reduce revenue leakage.
- Delivered measurable impact exceeding $755K+ in overturned denials (FY26).
- Partner with senior leadership to resolve escalated payment issues and implement corrective action plans.
- Mentor and develop staff, improving team performance, cross-training, and operational efficiency.
- Ensure compliance with payer regulations, HIPAA standards, and revenue cycle best practices.
- Lead Account Resolution Claims Rep II
- Managed high-volume denial follow-up, appeals processing, and account resolution workflows.
- Conducted trend analysis to identify root causes and reduce recurring denials.
Insurance Follow-Up Manager
Hollis Cobb Associates, Inc.
09.2017 - 01.2022
- Supervised team of 12 agents, driving productivity and improving denial resolution outcomes.
- Implemented training programs and coaching strategies to enhance staff performance.
- Analyzed payer trends and developed process improvements to increase collections efficiency.
- Ensured full compliance with HIPAA, FDCPA, and payer-specific regulations.
- Managed client relationships and performance expectations across multiple accounts.
Insurance Claims Processor
UnitedHealth Group
11.2012 - 08.2017
- Processed and managed insurance claims using CPT/ICD coding to ensure accurate billing and reimbursement.
- Reduced denials through timely claim submissions and proactive follow-up with payers.
- Resolved billing discrepancies, appeals, and eligibility issues.
Revenue Cycle Manager
McKesson Health
08.2007 - 10.2012
- Led customer service and billing teams, improving operational performance and service delivery.
- Oversaw audits, account reconciliations, and denial management processes.
- Developed staff through coaching, mentoring, and performance evaluations.
- Implemented process improvements to ensure compliance and efficiency.
Senior Representative
NCO Financial Systems
01.1998 - 02.2007
- Supported operations, QA initiatives, and team training for new hires.
- Identified process improvements and resolved complex account issues.
- Maintained production standards and contributed to reporting and analytics.
Education
CPAR - Certified Patient Account Representative
DeKalb Technical College
Clarkston, GASkills
- Denials & Appeals Strategy
- Revenue Cycle Management
- Team Leadership (12 staff)
- Performance Improvement
- EPIC
- HIPAA & FDCPA Compliance
- Analytics & Trend Reporting
- Inventory oversight
- Inventory control
- Complex Problem-solving
- Decision-making
- Attention to details
- Processes and procedures
- Process improvement
- Verbal and written communication
- Teamwork and collaboration
- Multitasking Abilities
- Effective Communication
- Professionalism
- Reliability
- Self motivation
- Problem-solving abilities
- Team collaboration
- Positive attitude
- Professional and courteous
- Hiring and training
Timeline
AR Appeals and Denials Supervisor
Wellstar Health System
01.2022 - Current
Insurance Follow-Up Manager
Hollis Cobb Associates, Inc.
09.2017 - 01.2022
Insurance Claims Processor
UnitedHealth Group
11.2012 - 08.2017
Revenue Cycle Manager
McKesson Health
08.2007 - 10.2012
Senior Representative
NCO Financial Systems
01.1998 - 02.2007
CPAR - Certified Patient Account Representative
DeKalb Technical College