Summary
Overview
Work History
Education
Skills
Timeline

Wendi Davis

Sparland,IL

Summary

Efficient Revenue Cycle Manager highly skilled in procedure optimization and revenue metrics analysis to increase financial performance. Aiming to utilize 25 years of account monitoring to drive profit and contribute immediate value.

Overview

21
21
years of professional experience

Work History

Customer Success Advisor

Sunwave Health
09.2023 - Current
  • Troubleshoot and Problem solve for all aspects of: EMR, CMR, RCM, Telehealth, Patient Engagement, Alumni, Form Building, Patient Portal, and AI
  • Build strong relationships with clients, understand their needs, and proactively deliver timely customer and product support
  • Triage and troubleshoot product issues in collaboration with other internal teams
  • Work with Sales Account Manager and Product Management to develop strategies to improve retention, growth, and customer satisfaction.

President

Sun Medical Billing and Consulting LLC
08.2015 - 04.2024
  • Founding partner, President, HR & Benefits Coordinator of company that offers billing and coding services to medical practices of all specialties but specializing in Substance Abuse/ Mental Health, along with Billing Electronic / Paper claims, UR, A/R, chart audits, Credentialing services, ICD10, Office Set up and Management, Insurance Contract Review, EMR Implementation, and Lab Set up and Management Services
  • Strategic planning, contract negotiation, team building.

UR Specialist

CA Billing LLC
04.2023 - 08.2023
  • Manage a caseload of 40-50 patients
  • Obtain authorizations for Mental Health and Substance abuse facilities for all levels of care Detox through outpatient utilizing software such as various EMR systems, Sunwave Health, KIPU, Salesforce, SharePoint, Word, and Excel.

Billing Liaison

WellCare Health Group LLC
05.2021 - 04.2023
  • Billing and coding in Substance Abuse/ Mental Health, along with Billing Electronic and Paper claims, Utilization Review Coordination, A/R, chart audits, Credentialing services utilizing Sunwave Health EMR.

Director of Operations/ Billing Manager

Gastro Intestinal Consultants, LLC And Premier Surgical Center, LLC
07.2013 - 04.2016
  • Oversaw coding and billing of a multi-specialty practice and Surgical Center
  • Work with all insurances, billing both electronically and on paper from eClinicalWorks
  • Manage payment posting, patient statements, payment plans, collections, working Accounts Receivables, reports, deposits, and Meaningful Use
  • Handle credentialing for providers and contracting with insurance companies
  • Also assisted with employee relations and contracting for group benefits.

Medical Coding and Billing Account Manager

Patient Point
06.2011 - 08.2013
  • Worked with various medical practices for their medical coding and billing, as well as all insurance companies
  • Worked accounts receivables and created monthly reports
  • Worked with numerous PM systems which included Sage Intergy, eMDs, eClinicalWorks, and NextGen.

District Manager

NewsTribune
06.2007 - 02.2011
  • Worked in circulation overseeing 25 route drivers
  • Skills utilized in this position included Customer service, sales, marketing and leadership.

Certified Professional Coder

Illinois CancerCare
08.2003 - 04.2007
  • Worked on Medicare accounts, posting payments and working accounts receivables
  • Brought A/R in >120-day bucket down from $1million to about $100,000
  • Set up MSP Data Base for MSP electronic billing.

Education

Master of Business Administration - Health Administration

Keller Graduate School of Management

Master of Public Administration -

Keller Graduate School of Management

Skills

  • Healthcare Industry Knowledge
  • Claims Management
  • Cash Flow Management
  • Account Monitoring
  • Data Analytics
  • Procedure optimization
  • Medical Billing
  • Clinical team guidance
  • Denial Resolution
  • Budgetary analysis
  • Customer Service
  • Problem-solving abilities

Timeline

Customer Success Advisor - Sunwave Health
09.2023 - Current
UR Specialist - CA Billing LLC
04.2023 - 08.2023
Billing Liaison - WellCare Health Group LLC
05.2021 - 04.2023
President - Sun Medical Billing and Consulting LLC
08.2015 - 04.2024
Director of Operations/ Billing Manager - Gastro Intestinal Consultants, LLC And Premier Surgical Center, LLC
07.2013 - 04.2016
Medical Coding and Billing Account Manager - Patient Point
06.2011 - 08.2013
District Manager - NewsTribune
06.2007 - 02.2011
Certified Professional Coder - Illinois CancerCare
08.2003 - 04.2007
Keller Graduate School of Management - Master of Business Administration, Health Administration
Keller Graduate School of Management - Master of Public Administration,

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Wendi Davis