Tori Al-Hark
Wailuku,HI
Summary
Strategic healthcare revenue cycle leader with over 10 years of experience driving operational excellence in coding, billing, and denial management. Proven ability to lead cross-functional teams, implement process improvements, and optimize reimbursement strategies. Skilled in payer negotiations, compliance oversight, and leveraging data analytics to reduce denials and enhance financial performance. Certified Professional Coder (CPC) and Six Sigma Green Belt, with a strong track record of delivering measurable results.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Coding and Denials Manager
GeneDx Inc.
Gaithersburg, MD
01.2022 - Current
- Direct organization-wide CPT coding updates, ensuring 100% compliance and accuracy across all departments.
- Provide expert coding guidance to cross-functional teams, resolve inquiries within SLA and improve coding accuracy.
- Conducted monthly denial analysis and implemented targeted strategies, reducing claim denials and improving cash flow.
- Performed root-cause analysis on KPIs, driving corrective actions that helped improve revenue cycle performance and monthly cash collection by 200%.
- Led audits on claim adjustments and pre-certification processes, identifying gaps that increased reimbursement.
Patient Financial Services Manager
Maui Health
Wailuku, HI
08.2020 - 01.2022
- Enhanced billing automation and collection workflows, reducing manual errors and accelerating collections.
- Analyzed revenue cycle data and implemented process improvements, increasing cash yield by $100K annually.
- Collaborated with cross-functional teams to optimize system functionality and improve operational efficiency.
Patient Financial Services Supervisor
Maui Health
Wailuku, HI
03.2016 - 08.2020
- Led institutional and professional billing operations, achieving improvement in reimbursement accuracy.
- Developed and implemented policies and workflows that reduced the billing cycle time by 40%.
- Oversaw provider enrollment and payor credentialing, accelerating credentialing turnaround by 25%.
Patient Account Representative
Maui Memorial Medical Center
Wailuku, HI
04.2013 - 03.2016
- Managed front-end billing and registration processes, improving patient throughput.
- Resolved denied/rejected claims and negotiated payments, recovering outstanding balances.
- Implemented patient satisfaction survey and billing improvements, increasing patient satisfaction scores by 20%.
Education
MS - Health Administration
Saint Joseph’s University
Philadelphia, PA12.2012
BS - Kinesiology, Chemistry Minor
University of Southern California
Los Angeles, CA12.2000
Skills
- eClinicalWorks and Epic systems
- Microsoft Office Suite
- Data analysis and reporting
- Interpersonal communication
- Organizational skills
- CPT coding expertise
- Claim denial resolution
- Root cause analysis
- Revenue cycle management
- Cross-functional collaboration
- Process optimization
- Effective communication strategies
- Problem-solving techniques
- Attention to detail
- Team leadership and development
- Vendor management strategies
- Task delegation and prioritization
Certification
- CPC, AAPC Certified Active Member, 04/01/16, Present
- Six Sigma Green Belt, Certificate of Completion, 12/26/24, Not Provided, Villanova University
Timeline
Coding and Denials Manager
GeneDx Inc.
01.2022 - Current
Patient Financial Services Manager
Maui Health
08.2020 - 01.2022
Patient Financial Services Supervisor
Maui Health
03.2016 - 08.2020
Patient Account Representative
Maui Memorial Medical Center
04.2013 - 03.2016
MS - Health Administration
Saint Joseph’s University
BS - Kinesiology, Chemistry Minor
University of Southern California