VIRGINIA HENRY
Philadelphia,PA
Summary
Experienced with analyzing revenue cycles to identify inefficiencies and implement solutions for improved performance. Utilizes problem-solving skills to address billing discrepancies and enhance financial outcomes. Knowledge of industry-specific software and strong analytical capabilities ensures precise financial operations.
Overview
19
19
years of professional experience
Work History
Revenue Cycle Analyst
Caregivers America
Philadelphia, PA
12.2019 - Current
- Investigate, track and resolve denials and short pays, submit corrected claims and write-offs. Report to management inaccuracies, causes, impact and solutions and noting accounts in detail.
- I collaborate with the CAO and service coordinators on utilization, plan discrepancies and eligibility issues. As well as support and assign tasks to other departments.
- Redesigned RCM workflows to coincide with multiple departments to reduce the risk of financial loss and increase the number of clean claim submissions .
Reimbursement Coordinator
Wesley Enhanced Living
Warminster, PA
04.2018 - 12.2019
- Consulted with residents and families on regulations and qualifications for Medicaid grants, other programs and payment options. Handled monthly billing and adjustments, month end reconciliation, census,180 day exceptions, and lead on UMR.
- Developed workflows that improved processing efficiency and reduced claim denial rates and provided training across multiple departments.
Account Receivable Specialist
Acclara
Oreland, PA
04.2017 - 04.2018
- Increased efficiency of the collections process by implementing new strategies and procedures for tracking delinquent accounts.
- Reviewed accounts on monthly basis to assess aging and pursue collection of funds.
- Supported month-end closing activities by reconciling accounts, preparing reports, and analyzing trends in account performance.
- Developed and maintained strong relationships with clients to facilitate prompt payment resolutions.
Business Office Support
Watermark
Philadelphia, PA
10.2015 - 12.2016
- Billed and managed Medicare, Medicaid, Resident Income, and reconcile resident trust and lead UMR reviews. Collaborated with residents applying for Medicaid grants, renewals, spend downs and appeal hearings. I would also process invoices, refunds, write-offs, payment posting, and assist with payment option enrollment..
Billing Coordinator
Saint Joseph Villa
Flourtown, PA
10.2007 - 10.2015
- Billing, cash posting, refunds and RFMS reconciliation, bank deposits.
- Managed aging, facilitated Medicaid application process and Lead on yearly UMR.
- Made bank deposits, process invoices, enroll SSA/SSI and pensions, update monthly report to facility with all pending and approved residents, and backup for admissions.
Education
Diploma - Business Academy/Accounting
SPHS
Philadelphia06.1992
Certificate - Data Management
Henkels & McCoy
Philadelphia, PA03.1995
Diploma - Medical Assistant
Thompson Institute
Philadelphia, PA02.1997
Skills
- HIPAA compliance
- Verbal and written communication
- Healthcare reimbursement
- Risk identification
- Medical billing
- Payment posting
- Claims review
- Teamwork and collaboration
- Problem-solving
- Software: Promise, HHA, HCSIS, Waystar, UPMC, Sandata
Timeline
Revenue Cycle Analyst
Caregivers America
12.2019 - Current
Reimbursement Coordinator
Wesley Enhanced Living
04.2018 - 12.2019
Account Receivable Specialist
Acclara
04.2017 - 04.2018
Business Office Support
Watermark
10.2015 - 12.2016
Billing Coordinator
Saint Joseph Villa
10.2007 - 10.2015
Diploma - Business Academy/Accounting
SPHS
Certificate - Data Management
Henkels & McCoy
Diploma - Medical Assistant
Thompson Institute