Experienced Revenue Cycle Manager with a strong background in medical billing and strategic revenue enhancement. Highly focused and organized, demonstrating consistent success in optimizing financial performance through innovative process improvements.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Director of Revenue Cycle
Macula Retina Vitreous Center/Elite Surgery Center of South Bay
04.2022 - Current
Appointed to manage the revenue cycle for both the clinic and ambulatory surgery center (ASC), requiring specialized knowledge and strategic oversight of the diverse financial dynamics of each entity
Tasked with the critical responsibility of transitioning our billing process from an outsourced service to an in-house operation
Led the organization through a rigorous audit by Anthem, which had been initiated before my tenure. Successfully navigated this challenging process, thereby reinforcing our compliance record and fostering a relationship of trust with this major carrier
Worked strategically to increase reimbursements from our primary carriers. This was achieved through careful negotiation and adaptation of contracts with multiple carriers, resulting in significantly higher reimbursement rates and improved financial performance
Pioneered a unique staffing model that involved assembling a remote team consisting exclusively of international employees. This innovative approach resulted in considerable savings on wages and salaries, proving to be a cost-effective strategy without compromising on the quality of work
Under my leadership, the ASC witnessed a dramatic improvement in its revenue cycle. Collections for the ASC increased fivefold, a significant accomplishment that contributed substantially to our financial health
Developed an effective team culture that motivated remote employees and fostered high levels of productivity and engagement
Implemented a series of process improvements that increased efficiency, reduced errors, and improved the accuracy and timeliness of billing and collections
Regularly monitored key performance indicators to identify trends, uncover issues, and implement corrective actions, enhancing overall revenue cycle performance
Established a robust training program for the billing team to ensure they were updated with the latest industry trends, regulatory changes, and best practices, resulting in improved team competency and productivity.
Revenue Cycle Specialist
Retina-Vitreous Associates Medical Group
08.2021 - 04.2022
Managed the processing of payments, adjustments, and denials, adhering strictly to established guidelines to maintain accuracy and ensure financial integrity
Conducted thorough reviews of medical record documentation to identify and validate services provided by physicians, ensuring that claims filed accurately represented the care given
Regularly audited billing and insurance information to detect any errors or discrepancies, promptly making corrections to prevent delayed or rejected claims
Proactively followed up on unpaid claims, liaising with insurance companies to expedite payments and resolve any issues causing delays
Revenue Cycle Specialist
Linden Optometry
02.2021 - 08.2021
Handled all aspects of insurance billing, ensuring accurate and timely submission of claims to various insurance carriers for prompt payment
Responsible for payment posting, diligently recording all payments, adjustments, and denials in patient accounts for accurate financial tracking
Assisted in inventory management, maintaining appropriate inventory levels and assisting with physical counts to ensure accuracy
Analyzed contact lenses capture rate, providing insights to help optimize sales strategies
Assisted in the implementation of new software, contributing to improved operational efficiency and data management
Assisted with the review and reconciliation of credit card statements, ensuring accurate accounting of all transactions
Handled bill and invoice entry, accurately recording all data for reliable financial tracking and reporting
Performed various clerical tasks, including filing, data entry, and document management, to support the efficient running of the office
Supported the accounting team with various tasks as needed, contributing to the overall financial management of the organization.
Education
Bachelor's degree - Economics
East Los Angeles College
Los Angeles County, CA
05.2025
High School Diploma -
Applied Technology Center
Los Angeles, CA
High school diploma or GED -
School #30 With Advanced Study of Mathematics
Kherson, Ukraine
05.2018
Skills
Revenue Cycle Management
Strategic planning
Analytics
Contract negotiation
Project management
Communication skills
Organizational skills
Senior leadership
Team management
Certification
The Business of Health Care, University of Pennsylvania, 01/01/22:
Financial Acumen for Managers
The Economics of Health Care Delivery
Management Fundamentals
Health Care Innovation
Additional Information - Volunteer Experience
Beverly Hospital, 2019, Rotated through various departments: Orthopedics, Pediatrics, Same-Day Surgery, and Family Medicine, Assisted patients, Shadowed physicians and various health professionals, Manage and organized important documents
Languages
English
Ukrainian
Russian
Armenian
Timeline
Director of Revenue Cycle
Macula Retina Vitreous Center/Elite Surgery Center of South Bay
04.2022 - Current
Revenue Cycle Specialist
Retina-Vitreous Associates Medical Group
08.2021 - 04.2022
Revenue Cycle Specialist
Linden Optometry
02.2021 - 08.2021
Bachelor's degree - Economics
East Los Angeles College
High School Diploma -
Applied Technology Center
High school diploma or GED -
School #30 With Advanced Study of Mathematics
The Business of Health Care, University of Pennsylvania, 01/01/22:
Financial Acumen for Managers
The Economics of Health Care Delivery
Management Fundamentals
Health Care Innovation
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