Experienced with revenue cycle processes, including billing and claims management. Utilizes analytical skills to identify and resolve discrepancies efficiently. Track record of effective communication and collaboration to enhance financial performance.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Remote Revenue Cycle Specialist
Arch Management Strategies, PLLC
04.2022 - Current
Company Overview: Ovation Women Wellness
Billing patients for administered care
Handling incoming payments
Tracking account receivable to ensure accuracy
Work with insurance companies to determine coverage for medical procedures or treatments.
A/R follow up with insurance carriers
Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
Increased revenue by identifying and resolving billing errors in a timely manner.
Reached out to insurance companies to verify coverage.
Streamlined the revenue cycle process for improved efficiency and faster payment collection.
Coordinated patient payment plans, balancing compassion with firmness to ensure timely payments while preserving positive patient relationships.
AR/ BILLING SPECIALIST/Checkout scheduling
THE WOMANS CLINIC, PLLC
09.2021 - 04.2022
Enhanced billing accuracy by diligently reviewing and correcting discrepancies in patient accounts.
Collaborated with the coding department to ensure accurate charge capture for all services rendered, minimizing claim denials due to coding errors.
Reduced overdue payments by consistently following up on unpaid claims within standard billing cycle timeframe.
Sustained a high level of professionalism when dealing with sensitive financial matters, upholding patient confidentiality and adhering to HIPAA guidelines.
Expedited the resolution of complex claims by working closely with healthcare providers, patients, and insurance companies.
Maintained strong relationships with insurance providers through effective communication to ensure timely reimbursement for services rendered.
Streamlined billing processes with the implementation of efficient organizational systems and attention to detail.
Remote Billing Specialist
EYE CARE PROFESSIONAL
12.2020 - 12.2021
Researched and resolved billing discrepancies to enable accurate billing.
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Worked with multiple departments to check proper billing information.
Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
Maximized revenue potential by identifying and resolving under-billed accounts.
Billing Specialist / Front Office Coordinator
PLASTIC & HAND SURGERY ASSOC.
09.2008 - 07.2021
Investigated denials and collaborated with internal team members, case manager to identify solutions
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Coordinated communications between patients, billing personnel and insurance carriers
Submitted refunds on claims paid in error
Tracked all accounts for complete reimbursements
Supervised front desk with check-in and check-out processing, insurance verifications, payment collections.
Developed strong relationships with repeat customers through personalized service and attention to detail in meeting their needs.
Enhanced guest satisfaction by efficiently managing front office operations and addressing customer concerns promptly.
Education
No Degree - Business Administration And Management
MISSISSIPPI VALLEY STATE UNIVERSITY
Itta Bena, MS
06.1986
DIPOLMA - College Prep Courses
PROVINE HIGH SCHOOL
06.1984
Skills
Files and records management (EHR)
Professionalism and ethics
Claims review
Claims processing proficiency
HIPAA compliance
Insurance verification
Bill payment
Claims follow-up
Quality-oriented team player
AR follow-up 60 days
Excellent phone/customer service etiquette
Verifying insurance
Collecting payments
Payment posting
Teamwork
Certification
Certificate (CareCredit 2025)
Certificate (Phreesia University 2022) Software education
Certificate (Modernized Medicine 2021) Software education
Timeline
Remote Revenue Cycle Specialist
Arch Management Strategies, PLLC
04.2022 - Current
AR/ BILLING SPECIALIST/Checkout scheduling
THE WOMANS CLINIC, PLLC
09.2021 - 04.2022
Remote Billing Specialist
EYE CARE PROFESSIONAL
12.2020 - 12.2021
Billing Specialist / Front Office Coordinator
PLASTIC & HAND SURGERY ASSOC.
09.2008 - 07.2021
No Degree - Business Administration And Management
Academic Advisor at Kennesaw State University – College of Arch. & Construction ManagementAcademic Advisor at Kennesaw State University – College of Arch. & Construction Management