Revenue Cycle & Healthcare Operations Leader with 15 years of experience optimizing reimbursement, reducing denials, and strengthening financial performance across hospital, physician, and self-pay environments. Proven success resolving complex claims, improving AR performance, and ensuring compliance with CMS and payer regulations. Strong analytical leader with hands-on operational management experience.
Overview
13
13
years of professional experience
Work History
Revenue Cycle Analyst
Med-Metrix
11.2023 - Current
Manage high-volume self-pay accounts and analyze EOBs for payment accuracy.
File claim disputes and corrected claims to maximize reimbursement recovery.
Coordinate with payers to secure authorizations and resolve billing discrepancies.
Reduce outstanding balances through detailed account review and escalation strategies.
Healthcare Operations Manager
New Hope Home Care
11.2018 - Current
Direct oversight of staffing, payroll, compliance, and daily operations.
Lead recruitment and workforce development initiatives.
Ensure adherence to state healthcare regulations and quality standards.
Revenue Cycle Specialist
Prime Healthcare – St. Joseph Hospital
10.2018 - 10.2024
Processed and resolved complex claims across Medicare Advantage, Managed Medicaid, Commercial, and Workers’ Compensation.
Reduced denial rates through proactive appeals and payer follow-up strategies.
Secured prior authorizations to prevent reimbursement delays.
Maintained compliance with CMS guidelines and payer contracts.
Utilized Epic, Meditech, and OnBase to streamline revenue workflows.
Identified and resolved payment issues between patients and providers.
Reached out to insurance companies to verify coverage.
Conducted due diligence on potential investments and presented findings to investors.
Presented oral and written reports on general economic trends, individual corporations and entire industries.
Revenue Analyst
Kansas City Physician Partners
06.2013 - 09.2018
Resolved 90%+ of denied claims within 30 days, accelerating cash flow.
Decreased overdue balances by 20% through AR management strategies.
Improved billing efficiency by 25% via NextGen system optimization.
Enhanced coding accuracy by 15% through physician review collaboration.