Tracy Oray
Chicago Ridge
Summary
Revenue Cycle Manager with 9+ years of experience in Revenue Integrity and Healthcare Finance, adept at leading teams to optimize billing processes and enhance revenue growth. Proficient in tools like EPIC and Vitalware, with a strong track record of reducing payment delays and improving communication across departments. Committed to fostering professional growth and collaboration within teams, leveraging analytical skills to drive strategic improvements and financial transparency.
Experienced with revenue cycle management, ensuring efficient financial processes and revenue optimization. Utilizes strategic planning and process improvements to enhance operational performance. Track record of effective team leadership and collaboration, driving successful outcomes in dynamic environments.
Overview
9
9
years of professional experience
Work History
Revenue Cycle Manager
Community Healthnet, Inc.
Gary, Indiana
02.2024 - Current
- Lead the billing team to ensure accurate claims processing, resulting in significant enhancements in payment turnaround time and overall revenue integrity.
- Analyze billing data to identify trends, leading to targeted strategies that minimized errors and optimized revenue collection.
- Foster strong relationships with third-party vendor, optimizing claim submission processes and significantly reducing payment delays.
- Coordinate with cross-functional teams to streamline billing processes, improving communication and reducing payment delays significantly.
- Maintain up-to-date CPT codes and fee schedules, ensuring compliance and optimizing billing accuracy to support revenue growth.
- Provide mentorship to team members, encouraging professional growth and enhancing collaborative efforts within the billing department.
- CareSource Revenue Recovery Project: Over $1M collected over a five month timeframe for denied claims that were processed incorrectly.
Manager of Revenue Integrity
Rush University Medical Center
Chicago, Illinois
02.2019 - 10.2022
- Streamlined charge capture processes, enhancing revenue identification which led to substantial improvements in departmental revenue growth.
- Maintained accurate weekly financial reports, ensuring alignment with fiscal year goals and providing insights for strategic decision-making.
- Coordinated with clinical departments to deliver training on charge capture processes, fostering understanding and improving compliance.
- Resolved escalated requests from various departments, enhancing interdepartmental communication and ensuring efficient operations.
- Monitored work queues to analyze claim edits, facilitating timely account resolutions and improving overall claims management efficiency.
Revenue Integrity Analyst
Northwestern Medicine
Chicago, Illinois
11.2016 - 02.2019
- Maintained rigorous oversight of charging errors, resulting in a consistent error rate below 1%, safeguarding revenue integrity.
- Streamlined Charge Master updates, ensuring compliance and contributing to a more efficient workflow across departments.
- Evaluated clinical documentation processes, leading to substantial recovery of lost revenue and enhancing overall financial health.
- Conducted in-depth audits of Charge Master workflows, identifying gaps that resulted in streamlined operations and improved compliance.
- Presented actionable insights from revenue integrity reports, influencing strategic decisions that bolstered the hospital's financial performance.
Education
Master’s Degree - Business Administration
Argosy University
Chicago, IllinoisBachelor’s Degree - Business Administration, Healthcare Administration
Robert Morris University
Chicago, IllinoisSkills
- EPIC
- Microsoft Office Suite
- InstaMed
- 3M
- Vitalware
- Medicare
- Medicaid
- MCEs
- Revenue cycle
- Contract management
- Data analysis
- Financial reporting
- Clinical and staff training
- Revenue performance
- Denial resolution
- Billing cycle expertise
- Account monitoring
- Cash flow management
- Healthcare industry
- Data analytics
- Claims management
- Account resolutions
- Clinical team guidance
- Teamwork and collaboration
Accomplishments
- Supervised team of 3 staff members.
- Used Microsoft Excel to develop inventory tracking spreadsheets for virtual payments received.
Timeline
Revenue Cycle Manager
Community Healthnet, Inc.
02.2024 - Current
Manager of Revenue Integrity
Rush University Medical Center
02.2019 - 10.2022
Revenue Integrity Analyst
Northwestern Medicine
11.2016 - 02.2019
Bachelor’s Degree - Business Administration, Healthcare Administration
Robert Morris University
Master’s Degree - Business Administration
Argosy University