Tracie Ray
Summary
Experienced with revenue cycle management, ensuring efficient financial processes and revenue optimization. Utilizes strategic planning and process improvements to enhance operational performance. Track record of effective team leadership and collaboration, driving successful outcomes in dynamic environments.
Overview
31
31
years of professional experience
Work History
Revenue Cycle Manager
Crozer- Keystone Health Network
01.2019 - 05.2025
- Monitored and guided revenue cycle operations.
- Implemented process improvements, ensuring accurate charge capture and coding compliance.
- Provided staff training on revenue cycle management best practices, increasing productivity across the department.
- Completed financial reporting and analysis for billing revenue cycle.
- Managed cross-functional teams to improve overall revenue cycle operations.
- Streamlined workflows to minimize claim rejections and maximize reimbursement rates from insurance providers.
- Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
- Conducted regular audits to identify areas for improvement in the revenue cycle process.
- Increased cash flow through timely resolution of payer denials and underpayments.
- Reduced accounts receivable days outstanding, optimizing billing and collections efforts.
Practice Support Manager
Crozer- Keystone Health Network
11.2010 - 01.2019
- Managed daily operations to ensure smooth functioning of the support department.
- Monitored employee and customer interactions to assess quality of service.
- Promoted a culture of continuous learning within the team by sharing relevant resources regularly.
- Coached employees through day-to-day work and complex problems.
- Created detailed reports on team performance, identifying areas of strength as well as opportunities for improvement.
Training and Practice Support Specialist
Crozer- Keystone Health Network
07.2015 - 08.2017
- Manage Pre-Processing Department; responsible for insurance, co-pay verification and referral creation
- Trained new staff members on office procedures, policies, and software systems for seamless integration into the team environment.
- Develop, read and analyze reports produced by systems associated with the Revenue, Clinical and Operational Cycles
- Develop, implement and measure success of action plans for practices to improve revenue cycle, including decreasing accounts receivable and increase point of service collections
- Reconfigured Customer Service Department including creation of handbook, database and training
- Member of the Cerner Practice Management implementation team; responsible for assisting with practice assessments, data collection, future state development and end user training
Office Administrator
Crozer- Internal Medicine and Travel
06.2014 - 07.2015
- I was the office manager of a solo Internal & Travel Medicine practice
- Responsible for selecting, hiring, training, assigning and monitoring staff
- Manage API for staff, including time worked, overtime, vacation/sick time. Implement attendance policy as needed
- Work spreadsheets to ensure budget is met or exceeded for encounters and purchases
- Conduct monthly meetings to keep staff abreast of new policies and procedures pertinent to running the office smoothly
- Direct staff on an ongoing basis to provide feedback, guidance and instructions as needed
- Evaluate operations of office including scheduling, patient flow and turnaround of rooms
- Enter charges, review daily deposits, log into Cash tracking, print daily recap and log to spreadsheet
- Roll out monthly appointment book after review for any updates or changes
- Research and resolve all insurance related problems. Educate staff to ensure minimal errors
- Complete annual staff performance evaluations
Billing Coordinator
Crozer Pediatrics
03.2013 - 06.2014
- I transferred within the network to take on billing responsibilities in the Pediatric Department including PCP, Pulmonology, Behavioral Specialty offices, Nursery and Pediatric Hospital, and Adolescent Wellness including Family Planning.
- Appropriately enter charges with CPT, ICD-9, modifiers, referrals or authorizations to submit to insurance companies
- Review encounter forms to ensure EPSDT guidelines are being followed for well-visit appointments
- Verify insurance eligibility for upcoming appointments to ensure active coverage; correct PCP is chosen and co-pays due. Contact patient with any discrepancies
- Print and present ledger to patient with outstanding balance, answers their questions, and collects payment or agrees to a payment plan
- Maintain professional communication with physicians, patients, nurses, administrators and front office staff regarding billing inquiries pertaining to the Pediatric Department
- Manage and generate various reports for Doctors; Nurses and Administrator- i.e. number of visits in an allotted time; type of services billed, outstanding claims, etc.
- Because PCP office is multi-doctor practice with residency program, appointment book needs to be corrected daily to coincide with respective doctor that signs encounter form and EMR notes
- Review medical records for appropriate completion and documentation of physician's signature, proper coding of all diagnoses and procedures
- Fill in for front desk staff with check-in of patients, obtaining referrals and answering phones when needed
- In process of reorganizing Adolescent Wellness Center
Lead A/R Representative
Crozer- Keystone Health Network
01.2012 - 02.2013
- In just over a year, I was promoted to Lead A/R Representative, with the following responsibilities in addition to previous job duties:
- Train newly hired A/R representatives to business office procedures used to reconcile denied claims
- Supervised and observed team of 3 A/R Representatives to guide them in working to their fullest potential in bringing their A/R numbers down
- Attend lead meetings to inform manager of work progress of staff and implement new managerial procedures
- Review monthly reports and inform team of outstanding problems to focus on
A/R Representative
Crozer- Keystone Health Network
11.2010 - 01.2012
- Work in the business office to resolve third-party claim denials for multiple specialty practices
- Review accounts in system workstation to determine why they are still open
- File appeals to insurance companies to reprocess incorrectly denied claims, submit corrected claim or send appeal letter for payment
- Review denied claim information with practice manager for corrections through email
- Submit corrected claims or appeal letters to have denied claim overturned
- Adjust balance to wrongfully billed claims
- Ensure all interaction taken to resolve denied claim is documented and assigned a code for tracking purposes to educate practices of billing problems
- Maintain and track appeal letters, letters sent to patients to provide insurance information, emails to practice manager
- Keep abreast of coding guidelines and reimbursement reporting requirements
- Worked on charge entry project for new practice
Medical Receptionist
DR. ERIC SHAPIRO'S PEDIATRIC OFFICE
12.1998 - 05.1999
- Responsible for multiple front desk duties –answer phones, greet patients, verify demographic and insurance information, collect co-pays, verify insurance, prepare and file charts.
Medical Receptionist and Transcriptionist
BRANDYWINE UROLOGY ASSOCIATES
12.1996 - 09.1998
- Responsible for multiple front desk duties –answer phones, check-in patients, verify demographic and insurance information, collect co-pays, verify insurance, prepare and file charts.
- Type Doctors notes from Dictation machine for patient's chart and Consultation letters to referring Doctors.
Medical Receptionist
DIAGNOSTIC IMAGING ASSOCIATES
03.1996 - 12.1996
- Responsible for multiple front desk duties –answer phones, check-in patients, verify demographic and insurance information, collect co-pays, verify insurance, prepare and file charts, pre-certification.
- Processed x-ray films, distributed to referring physician or patient.
Assistant Manager
PORTABLE X-RAY, INC
09.1995 - 03.1996
- Company Overview: Mobile diagnostic imaging service offering portable x-ray, EKG, diagnostic ultrasound, Holter monitoring and Doppler studies to Assisted Living Facilities. - Business closed
- Assisted in all managerial duties - Interviewed, hired and trained office staff; prepared time cards for payroll; coordinated x-ray technician's routes
- Designed company brochures for marketing.
Transcriptionist
PORTABLE X-RAY, INC
02.1994 - 09.1995
- Company Overview: Mobile diagnostic imaging service offering portable x-ray, EKG, diagnostic ultrasound, Holter monitoring and Doppler studies to Assisted Living Facilities. - Business closed
- Typed Radiologist notes from Dictation machine; mailed final copies to designated locations. In under a year I was promoted to Assistant Manager.
Education
Associates Degree - Medical Secretary
BETA TRAINING SERVICES
Swarthmore, PA02.1995
Skills
- Revenue performance
- Denial resolution
- Billing cycle expertise
- Healthcare industry
- Claims management
- Revenue optimization
- Clinical personnel support
- Teamwork and collaboration
- Problem-solving
- Time management
Timeline
Revenue Cycle Manager
Crozer- Keystone Health Network
01.2019 - 05.2025
Training and Practice Support Specialist
Crozer- Keystone Health Network
07.2015 - 08.2017
Office Administrator
Crozer- Internal Medicine and Travel
06.2014 - 07.2015
Billing Coordinator
Crozer Pediatrics
03.2013 - 06.2014
Lead A/R Representative
Crozer- Keystone Health Network
01.2012 - 02.2013
Practice Support Manager
Crozer- Keystone Health Network
11.2010 - 01.2019
A/R Representative
Crozer- Keystone Health Network
11.2010 - 01.2012
Medical Receptionist
DR. ERIC SHAPIRO'S PEDIATRIC OFFICE
12.1998 - 05.1999
Medical Receptionist and Transcriptionist
BRANDYWINE UROLOGY ASSOCIATES
12.1996 - 09.1998
Medical Receptionist
DIAGNOSTIC IMAGING ASSOCIATES
03.1996 - 12.1996
Assistant Manager
PORTABLE X-RAY, INC
09.1995 - 03.1996
Transcriptionist
PORTABLE X-RAY, INC
02.1994 - 09.1995
Associates Degree - Medical Secretary
BETA TRAINING SERVICES
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