Analytical and forward-thinking Revenue Cycle Director with 15+ years of progressive experience overseeing revenue cycle operations in a healthcare setting. Proven track record of increasing annual revenue and improving operational workflow through strategic process improvements. Expert in billing software, insurance procedures, claims processing, and leading high-performing financial teams while ensuring compliance with payer regulations.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Revenue Cycle Director
Tuolumne Me-Wuk Indian Health Center
08.2021 - Current
Oversee comprehensive revenue cycle operations, including registration, insurance verification, coding, billing, collections, and reimbursement processes.
Develop and implement strategic initiatives that increase annual revenue by 15% while minimizing claim denials.
Led successful implementation of new Electronic Health Record (EHR) system in November 2022, resulting in 25% improvement in operational workflow efficiency.
Analyze revenue and financial data to identify trends, variances, and improvement opportunities.
Monitor critical KPIs, including days in accounts receivable, net collection rate, and denial rate.
Provide strategic reports and actionable recommendations to senior management.
Lead, train, and evaluate a team of financial professionals, fostering a collaborative work environment.
Billing and Collections Manager
Tuolumne Me-Wuk Indian Health Center
10.2019 - 10.2021
Managed comprehensive billing and collections operations, ensuring accuracy and timely payment processing.
Analyzed billing and collection data to identify trends, discrepancies, and process improvement opportunities.
Monitored key performance metrics, including aging reports, collection rates, and cash flow analysis.
Ensured full compliance with industry regulations, billing guidelines, and data privacy laws.
Maintained positive client relationships through effective communication and prompt issue resolution.
Billing Specialist
Tuolumne Me-Wuk Indian Health Center
04.2009 - 10.2019
Monitored accounts receivable, identifying unpaid claims and managing outstanding balances.
Coordinated with insurance companies and healthcare providers to resolve complex payment issues.
Processed claim denials, appeals, and information requests with high accuracy and efficiency.
Maintained comprehensive billing records and generated detailed performance reports for management.