Yvette Service
Fishkill,N.Y.
Summary
Revenue cycle professional with 30+ years of hands-on experience managing end-to-end revenue cycle operationsacross high-volume healthcare practices. CPC-certified and tech-forward, with proven expertise in client relationship management, denial resolution, revenue optimization, and analytics-driven process improvement. Known for building strong client partnerships, leading cross-functional teams, and implementing solutions that improve cash flow, reduce denials, and enhance operational efficiency. Experienced in specialty practices including fertility, hospital-based labs, and multi-site physician groups.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Billing Coordinator
NYU Fertility Center
New York, NY
12.2019 - Current
- Coordinate all aspects of coding review, claim submission, charge reconciliation, and follow-up on claims denied for coding-related reasons for various specialties and providers.
- Provide coding, financial, and/or operational reports, and provide feedback to providers to improve documentation to maximize revenue and reduce denials.
- Obtained prior authorization and performed benefits/coverage determination to confirm medical necessity and reimbursement eligibility.
- Review and train practices on local and national coding and reimbursement policies, including payer coding guidelines.
- Work with patients and guarantors to clarify financial responsibilities, as needed.
- Take the initiative to teach, share new information, and provide constructive feedback.
- Communicate delays and work queue issues to management daily.
- Lead and collaborate with practice personnel and administration to implement changes to practice operations where necessary, to improve the accuracy of information, and enhance revenue.
- Ensure timely and accurate collection, preparation, and verification of billing information submitted in the billing system.
- Review billing collection and denial reports, and recommend changes on how to improve issues.
- Serve as a liaison to the coding vendor for questions, data requests, and other inquiries.
- Review charge encounter forms for complete CPT codes, ICD-10 codes, and other required billing information on a daily basis.
- Compare coding to notes/documentation, and communicate with providers to clarify errors, correct coding, and prepare appeals and reconsideration requests.
- Appeal complex denials through the review of payer policies, coding, contracts, and medical records.
- Analyze/audit notes, and ensure the appropriate codes are charged in order to maintain billing compliance and prevent denials.
- Serves as NYU Langone Health Faculty Group Practice Brand Ambassador by upholding the NYULH mission, vision, and values, and promoting excellence in the patient experience during every encounter.
- Partners with the Patient Access Center and Central Billing Office team members to support collaboration and promote a positive patient experience.
- Works collaboratively with colleagues and site management to ensure a positive experience and timely resolution for all patient interactions and inquiries, whether in person, by phone, or via electronic messaging.
MLW Laboratory Biller
White Plains Hospital
White Plains, NY
11.2015 - Current
- Responsible for diagnosis coding for all Laboratory records according to established guidelines
- Assists with Laboratory Outreach registrations as the need arises
- Review and confirmation of all Outreach Laboratory requisitions for appropriate diagnosis coding
- Enters appropriate ICD-10 diagnosis codes in the HIS
- Coordinate contacts with physician offices for diagnosis and/or ICD-10 codes if not provided on the referring prescription
- Documents phone conversation with physician’s office according to Medicare guidelines
- Assists MLW Billing Liaison with patient/client follow-up
- Consult with Client Service Rep on client ICD-9 coding education issues
Director of Revenue Management
Step One
Highland, NY
12.2016 - 05.2019
- Responsible for continued improvement in workflows through education, training, auditing, and positive reinforcement of appropriate working practices
- Promotes revenue cycle improvements throughout the organization including working with appropriate individuals in medical records, billing, revenue integrity, denial management to aid in the resolution of identified revenue cycle issues
- I analyze and resolve Electronic Data Interchange (EDI) claim rejections to ensure clean claim submission and reduce revenue delays.
- Performs ongoing trend analysis on third party payer payment levels to ensure reimbursement is in accordance with allowable amounts stated in agreements and contracts
- Creates and implements strategies to maximize revenue by providing best practice support for efficient processing of patient registrations and scheduling of appointments
- Reviews claims for appropriate payments and if necessary, follow up with payers
- Responsible for all administrative functions that contribute to the management and execution of insurance verification, authorization, pre-registration and financial counseling of outpatient services
- Negotiated and executed Letter of Agreement (LOA) and Single Case Agreement (SCA) with non contracted payers to secure reimbursement for services that are typically excluded from coverage.
- Works with staff to assess, review and approve daily work-queues, which include the following: Registration/Authorizations, AR follow up, Adjustment approvals, Refund approvals, Denial adjustments, refunds, and other applicable work-queues
- Investigate and resolve discrepancies, as well as identify trends for improvement
- Prepares monthly analysis reports pertaining to Accounts Receivable
- Reviews current workflows for process improvement to ensure compliance with state and federal policies
- Implements and monitors collection procedures, minimizing contractual and bad debt write offs, and maximizing cash collections
- Develops and adhere to approved budget by maintaining business unit operations
- Identifies the root causes of denials and write-offs and refine and standardize processes to solve any existing issue's
- Prepared and submitted detailed appeals for complex denials; proactively following up with insurance payers until driven resolution and secure appropriate reimbursement.
- Sets goals, communicate expectations to staff, and follow-up with leadership team as needed
- Maintains effective communication with other Revenue Cycle departments
- Develops, coordinates, implements, and monitors a package of metrics to accurately measure all revenue cycle areas
- Reports status trends to senior leadership
Practice Revenue Manager
NSLIJ Lenox Hill
New York, NY
07.2013 - 03.2016
- Analyzes and improves the performance of front end billing operations through developmental and monitoring of performance criteria related to; Front end patient data acquisition
- Appointment scheduling, patient registration, insurance verification, data entry, charge and diagnosis assignment and charge capture reviewed for accuracy
- Front end billing operation key indicators, including denial trending analysis and co-pay collection
- I troubleshoot EDI rejections, identify root causes, and implement corrections to optimize claims processing efficiency
- Investigate and resolve discrepancies, as well as identify trends for improvement
- Proactively monitor the status of outstanding billing investigations with the billing vendor
- Educate department and related divisions on revenue standards
- Identify problems in the process flow or organizational structure that impedes financial outcome, propose solutions and collaborate with other departments as required
- Efficiently managing patient complaints in respect of billing and collections
- Perform financial management for the department
- Perform fee schedule analysis
- Analyzes current managed care contracts for the clinical department and assesses the financial impact on the practice
- Propose modifications and other pertinent strategies, including plan participation as necessary
- Reimbursement management
- Overseeing the hiring and training of staff
- Managing staff performance by providing regular feedback, performance reviews, and one on one meetings
- Maintain employee time and schedule
- Follow Up on outstanding claims
- Handled complex denial appeals and payer follow up through final reimbursement resolution
- Denial management
- Revenue Cycle Management
Payment Processor Manager
ENT & Allergy Associates
Tarrytown, NY
09.1999 - 07.2013
- Processed patient and insurance reimbursements
- Maintained offsite invoices were billed and scheduled payments received according to our contract
- Reconciled processed payments against bank statements
- Identified and resolved any irregularities of fee schedules reimbursements and denials while ensuring all fee schedules were current and regularly update in the system
- Reviewed electronic remittance advice for posting accuracy
- Responsible for meeting month end close
- Maintain employee time and schedule
- Set up electronic remittance for various insurance carrier
- Manuel and electronic posting
Education
High School Diploma -
Walton High School
Bronx, NY06.1983
Skills
- Detail-oriented
- Leadership
- Collaboration
- Analysis
- Accounts Receivable
- Compliance
- Revenue recovery
- Authorization
- Denial management
- Appeals and Payor Escalation
- Customer service
- End to end life cycle management
- Clean claim optimization (Commercial & Government)
- Eligibility Verification and Front End Billing logic
- ERA & EOB payment posting & Reconciliation
- EDI Rejections
- Verbal and written communication skills
- KPI Management
- Root cause and trend analysis
- Workflow and System Optimization
- Coaching and training
- Eclinical Works
- NextGen
- Epic
- FERT
- Slack
- Zendesk
- Excel and reporting tools
- CPC certified
Certification
CPC Certified
Timeline
Billing Coordinator
NYU Fertility Center
12.2019 - Current
Director of Revenue Management
Step One
12.2016 - 05.2019
MLW Laboratory Biller
White Plains Hospital
11.2015 - Current
Practice Revenue Manager
NSLIJ Lenox Hill
07.2013 - 03.2016
Payment Processor Manager
ENT & Allergy Associates
09.1999 - 07.2013
High School Diploma -
Walton High School