Results-oriented achiever with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance.
Overview
19
19
years of professional experience
Work History
Revenue Cycle Manager
Partners in Physical Therapy, Lake Charles, LA
Lake Charles, LA
01.2018 - Current
I manage a team of high-performing individuals committed to continuous improvement and excellence. Through my leadership, the company surpassed its goals and achieved remarkable success.
Credential new hire Physical Therapists, Occupational Therapists, Speech Therapists, Licensed Clinical Social Workers, and Group, including negotiation of rates.
Re-credential all Providers on schedule specific to Insurance/Medicare requirements.
ERA and EFT setup and maintenance.
Ensures all new and current payers are set up to enable quicker payments and electronic posting.
Uses metrics to drive team performance (Net Rev/Patient, Cancellation Percentage, etc).
Regularly track KPIs to identify trends and areas for improvement (DSO, Aging, collection rate, denial rate, clean claim).
Managed a team of AR specialists, overseeing daily operations in medical billing, collections, account follow-ups, and payment posting.
Monitored aging reports and developed strategies to reduce outstanding receivables and improve cash flow.
Ensured compliance with HIPAA, payer regulations, and internal billing policies.
Trained and mentored staff on claim resolution, payer guidelines, and system updates.
Audited patient accounts for patient and/or insurance overpayments.
Developed and implemented strategies to improve billing accuracy and reduce claim denials.
Streamlined patient financial counseling processes, improving patient understanding and satisfaction with billing procedures.
Analyzed financial data to identify trends, optimizing revenue collection efforts.
Generated monthly reports to balance insurance payments to the bank account.
Assisted Accounting department with generating financial statements and entering checks into QuickBooks.
Revenue Cycle Manager
Medical Technologies, Inc., Lake Charles, LA
Lake Charles, LA
01.2007 - 01.2013
I led the company to thrive and succeed in a competitive market.