Yvette Thomas
McDonough,Georgia
Summary
Results-driven Medical Revenue Cycle Specialist with 20+ years of experience supporting hospital systems, ambulatory surgery centers (ASC), and physician practices. Proven success managing high-volume insurance accounts receivable (AR), resolving complex denials, and securing timely reimbursement across Commercial, Medicare, Medicaid, Managed Care, and Workers’ Compensation payers. Highly effective in remote environments, leveraging payer portals, clearinghouses, and EHR systems to independently manage workloads, exceeding productivity benchmarks, and reducing aging AR.
Overview
23
23
years of professional experience
Work History
Business Office Manager
Orthopedic South Surgical Center
McDonough, GA
06.2014 - Current
- Took a lead role in managing aged accounts receivable and helped reduce outstanding receivables from 32% to 14% within 8 months.
- Helped create better workflows and track KPIs to improve team productivity by 65%.
- Reviewed accounts to identify bad debt trends, unresolved balances, and follow-up needs.
- Supported system and workflow improvements to make revenue cycle processes run more smoothly.
- Worked with payers and internal teams to resolve complex claim and payment issues.
- Trained and supported 15+ staff members on billing, claims, and reimbursement accuracy.
- Helped ensure compliance with Medicare, CMS, and HIPAA standards.
- Worked with clinical and scheduling teams to improve insurance verification and authorization.
- Oversaw payment posting, reconciliation, and contract review to support accurate reimbursement.
Revenue Cycle Specialist
Orthopedic Surgical Center
Morrow, GA
03.2007 - 06.2014
- Managed insurance AR portfolios prioritizing high-dollar and aging accounts for timely follow-up and resolution.
- Reduced outstanding insurance AR by 25–30% annually through consistent payer follow-up and appeals.
- Submitted and corrected electronic claims in Waystar, resolving rejections within 24–48 hours to prevent reimbursement delays.
- Prepared and submitted UB-04 and CMS-1500 claims with complete supporting documentation.
- Filed and tracked appeals for denials related to medical necessity, authorization, coding, and contract discrepancies.
Biller / Collection Specialist
Buckhead Surgery Center
Atlanta, GA
07.2004 - 03.2007
- Managed end-to-end insurance collections for commercial and Workers’ Compensation claims.
- Achieved faster reimbursement cycles by reducing claim rework through accurate editing resolution.
- Followed up on unpaid, underpaid, and denied claims, escalating when necessary to payer supervisors.
- Reconciled accounts placed with external collection agencies.
- Submitted formal appeals and successfully overturned denials related to authorization and coding errors.
Billing / Collection Specialist
Greenwich Hospital – Yale New Haven Health System
Greenwich, Ct
01.2003 - 01.2004
- Responsible for managing insurance and patient accounts receivable by following up on unpaid claims, resolving denials, and ensuring timely reimbursement. Reviews EOBs/ERAs, research billing issues, submits corrected claims and appeals, and communicates with Medicare, Medicaid, commercial, and managed care payers. Maintains accurate account information in Meditech or Epic while ensuring compliance with healthcare regulations and hospital policies. Requires strong knowledge of medical billing, insurance follow-up, and revenue cycle processes.
Education
Diploma -
Conord High School
West Hartford, Ct01.1995
Skills
- Patient Registration
- Medical Billing
- HIPAA Compliance
- Scheduling
- Claims Processing & Submission
- Data Entry
- Insurance & Eligibility Verification
- Payment Posting
- Communication
- Prior Authorization Processing
- EOB & ERA Review
- Problem Solving
- Charge Entry
- Accounts Receivable (AR) Follow-Up
- Time Management
- Medicare Billing
- Medicaid Billing
- Commercial Billing
- Auto Billing
- Workers’ Compensation Billing
- Denial Management & Complex Appeals Resolution
- Attention to Detail
- Team Collaboration
- CPT Knowledge
- ICD-10 Knowledge
- UB-04 Knowledge
- CMS-1500 Knowledge
- Payment Collections
- AdvantX
- Artiva
- Medent
- Athenahealth
- EPIC
- Meditech
- Waystar
- Availity
- Zirmed
- WebMD
- Oracle / Envy
- Microsoft Office Suite
Timeline
Business Office Manager
Orthopedic South Surgical Center
06.2014 - Current
Revenue Cycle Specialist
Orthopedic Surgical Center
03.2007 - 06.2014
Biller / Collection Specialist
Buckhead Surgery Center
07.2004 - 03.2007
Billing / Collection Specialist
Greenwich Hospital – Yale New Haven Health System
01.2003 - 01.2004
Diploma -
Conord High School