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Skills

  • Customer service
  • Hyperion Financial Management specialist
  • Cross-functional team collaboration
  • Invoice coding familiarity
  • Budgets
  • Operational improvement
  • Account reconciliation processes
  • Business operations
  • Data analysis for revenue optimization
  • ERP (Enterprise Resource Planning) software

Work Experiences

  • Achieved a $9 improvement in cash flow.
  • Collaborated with cross-functional teams to improve denials management, cutting denials by 55% over 4 months.
  • Taught accounting principles and company procedures to new employees.
  • Created a tracker for staff expenses and reimbursements, which resulted in initiative.
  • Collaborated with auditors to prepare annual audits and ensure adherence to government tax regulations.
  • Corrected errors.
  • Co-created a revenue reconciliation process with the finance team, reducing discrepancies by 29% from 2016 to 2019.
  • Collaborated with the coding team to ensure compliant billing protocols that led to Asana passing all external audits without discrepancies for 6 years.
  • Assisted with monthly reporting analysis to ensure that internal reports were valid and that production operations and the general ledger were reconciled.
  • Created and enforced policies to ensure proper charge capture procedures, significantly reducing lost revenue by $2 annually.

Summaries

  • Achieved a 46% reduction in discrepancies.
  • Revenue Integrity Specialist with over 10 years of experience managing accounting systems for initiative organizations.
  • Experienced in managing schedules, leading teams, and supervising closing procedures.
  • Achieved a 28% improvement in audit performance.
  • Achieved results in 16 months.
  • Offering 8 years of financial management experience, including payroll, budgets, reports, audits, journals, expenditures, and payments for 3 locations.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Adept in payer contract negotiation, having secured higher reimbursement rates and optimized revenue capture, resulting in a $8 revenue increase over 11 years.
  • Achieved a 28% decrease in denials.
  • Achieved a 50% reduction in billing errors.

Accomplishments

  • Implemented a detailed revenue variance analysis program directly addressing key revenue leakage areas, saving the company $2 in lost revenue during 2015.
  • Facilitated cross-functional training on billing best practices that significantly improved interdepartmental communication and compliance rates.
  • Monitored and ensured compliance with healthcare regulatory updates within Raleigh, resulting in zero compliance issues in 2020.
  • Documented and resolved procedure which led to standard.
  • Presented data-driven insights to senior leadership leading to a 22% improvement in charge lag reduction over 13 months.
  • Collaborated with finance and billing departments to create streamlined workflows, reducing underpayments by $18 annually.
  • Developed training and compliance programs that reduced billing errors by 49%, significantly decreasing claims rework time.
  • Designed and maintained comprehensive audit tracking systems, reducing overall time spent reconciling discrepancies by 32%, enhancing productivity.
  • Worked closely with payer contracting team, which yielded a renegotiation of reimbursement rates, expected to improve revenue by $11 annually.
  • Achieved Six Sigma status in revenue integrity, leveraging knowledge to reduce aged AR by 61% within the first 12 months.

Affiliations

  • Association for Computing Machinery
  • Certified Revenue Integrity Professional (CRIP) Certification
  • American Medical Billing Association (AMBA)
  • Medical Group Management Association (MGMA)
  • American Association of Healthcare Administrative Management (AAHAM)
  • Certified Professional Biller (CPB) Certification – AAPC
  • Jaycees
  • Society of Human Resource Management
  • Project Management Institute
  • Revenue Integrity Advisory Board Membership

Certifications

  • Certified in Healthcare Compliance (CHC) - HCCA
  • Certified Healthcare Auditor (CHA) - program
  • Certified Professional Coder (CPC) - AAPC
  • Cisco Certified Network Associate (CCNA)
  • Revenue Cycle Representative Certification (CRC) - category
  • Certified Compliance and Ethics Professional (CCEP) – SCCE
  • Certified Patient Account Technician (CPAT) - process
  • Google Certified Professional Cloud Architect
  • Professional Billing Accreditation (PBA) - process
  • Salesforce

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