TONJA BELL
Prestonwood Pregancy Center (PPC)
Plano
19
years of professional experience
Detail-oriented Revenue Cycle Operations Analyst with extensive experience in accounts receivable, medical billing, and commercial collections. Skilled in charge capture management and reengineering healthcare claim processes to enhance efficiency and profitability. Proficient in auditing and analyzing claims across all revenue cycle stages. Capable of generating and consolidating audit reports to drive process improvements and quality assurance.
Work History
Market Research Analyst
1 Year 7 Months- Conducted comprehensive market analysis to identify consumer trends and preferences.
- Developed strategic recommendations based on competitive landscape assessments.
- Utilized advanced statistical software for data analysis and reporting.
Volunteer Client Advocate
18 Years 6 Months- Provided support to aid clients through crisis intervention by developing, implementing, and scheduling client support services and education at the front desk.
- Advocated for client needs by providing personalized support and resources.
- Coordinated intake processes to ensure efficient service delivery for clients.
- Developed educational materials to enhance client understanding of available services.
Facility Rate Analyst
1 Year- Analyzed healthcare reimbursement rates to ensure compliance with regulatory standards.
- Implemented data validation procedures to enhance accuracy of financial reporting.
- Developed and maintained rate models to optimize revenue cycle performance.
- Collaborated with cross-functional teams to identify discrepancies in billing processes.
Revenue Operations Analyst, Auditor
5 Years 2 Months- Conducted analysis, updated, maintained, and protected database of provider contract rates across multiple industries while processing assigned PPO workload.
- Researched and recommended improvements to rate calculation and structure.
- Worked in fully remote environment, collaborating with team online.
- Developed comprehensive rate reports to support decision-making for healthcare partnerships.
Credit/Refund Analyst
5 Years 1 Month- Identified trends in refund requests to recommend process improvements for enhanced efficiency.
- Led initiatives to streamline workflows, reducing turnaround time for refund approvals.
- Conducted audits of refund transactions to ensure adherence to internal controls and risk management policies.
- Developed analytical reports on refund patterns to support strategic decision-making within the organization.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Delivered timely information to insurance representatives to resolve common and complex issues.
Contract Payment Accuracy Analyst
1 Year 2 Months- Analyzed payer contracts and revenue cycle data to identify trends and inefficiencies.
- Developed and implemented process improvements to enhance operational efficiency.
- Collaborated with cross-functional teams to optimize billing and collections processes.
- Conducted financial analysis to support strategic decision-making initiatives.
- Managed data integrity by performing regular audits of healthcare billing systems.
- Led projects aimed at improving patient account resolution timelines and accuracy.
Education
- Business Administration
- Medical Billing
Skills
Critical analysis
Attention to Detail
Medical Billing and Coding
Compliance and HIPAA knowledge
Computer/Software Proficiency
Effective Communication
and Problem-solving
Pricing Strategy
Excellent Organizational Skills
Timeline
Market Research Analyst
Corner Stone Staffing
01.2025 - CurrentRead More
Facility Rate Analyst
Health Smart Network Solutions (Remote)
01.2025 - 01.2026Read More
Revenue Operations Analyst, Auditor
Steward Healthcare Revenue Cycle Company (Remote)
10.2019 - 12.2024Read More
Credit/Refund Analyst
NThrive Revenue Cycle Management
08.2014 - 09.2019Read More
Contract Payment Accuracy Analyst
Covititi Revenue Cycle Healthcare (Remote)
05.2013 - 07.2014Read More
Volunteer Client Advocate
Prestonwood Pregancy Center (PPC)
02.2008 - CurrentRead More
Wiley College
from Business Administration
Read More
Bryan Institute
from Medical Billing
Read More