Experience

Nomad Health

• United States
• Hospitals and Health Care
• 500 - 600 Employee

• Senior Revenue Analyst

  • 2021 - Present

  Charlotte, North Carolina • Mentor and develop team members, and assist leadership with goal setting • Create SOPs and client playbooks based on contract details, pay rates, and terms • Conduct ad-hoc data analyses and update Workday Financial system as needed • Drive execution by launching and leading cross-functional initiatives and projects with teams such as RCM, Account Management and Payroll Ops • Identify opportunities to improve current process to facilitate accurate and timely billing… Show more • Mentor and develop team members, and assist leadership with goal setting • Create SOPs and client playbooks based on contract details, pay rates, and terms • Conduct ad-hoc data analyses and update Workday Financial system as needed • Drive execution by launching and leading cross-functional initiatives and projects with teams such as RCM, Account Management and Payroll Ops • Identify opportunities to improve current process to facilitate accurate and timely billing operations • Manage special projects such as, Accrual Invoice Cleanup, Financial Risk Assessments, and Audit checks • Complete month-end close activities within 4 business days Show less



OrthoCarolina

• United States
• Medical Practices
• 700 & Above Employee

• Billing Analyst/ Special Projects

  • 2018 - 2021

  Charlotte, North Carolina Area • Complete updates in billing system that will improve upon clean claim percentages, decrease rejections, denials, and underpayments • Run daily reports pulling data from billing system to identify credit discrepancies • Ensure payments, adjustments and credits placed on accounts are balanced • Analyze contracts to determine if reimbursement amount is correct • Research underpayments and delegate tasks to payer specific Reps • Virtually training small groups to use new billing… Show more • Complete updates in billing system that will improve upon clean claim percentages, decrease rejections, denials, and underpayments • Run daily reports pulling data from billing system to identify credit discrepancies • Ensure payments, adjustments and credits placed on accounts are balanced • Analyze contracts to determine if reimbursement amount is correct • Research underpayments and delegate tasks to payer specific Reps • Virtually training small groups to use new billing system • Co-create training materials and manuals for employees

• Accounts Receivable Specialist

  • 2017 - 2018

  Charlotte, North Carolina Area • Compile reports of complex claim issues to be discussed at meetings and on conference calls • Represent A/R department in quarterly meetings with Insurance Provider Reps • Research and respond to internal customer requests in a timely manner • Continually monitoring and analyze payer trends • Identify, share, and execute the necessary process for reimbursement



Med A/Rx

• Hospitals and Health Care
• 1 - 100 Employee

• Accounts Receivable Specialist

  • 2015 - 2017

  Charlotte, North Carolina Area • Collaborated directly with payers to obtain claim status and aggressively pursue resolution of outstanding claims • Maintained highly accurate notes in the claim tracking system that ensures an accurate and complete history of actions taken • Submitted appeals, and all required correspondence to insurance companies for payment



iQor

• United States
• Outsourcing and Offshoring Consulting
• 700 & Above Employee

• Claims Analyst

  • 2013 - 2015

  Charlotte, North Carolina Area • Reviewed claims in adjudication, to decide whether the claim is valid/compliant • Requested and reviewed medical records to verify that charges listed on claims were actually performed • Determined if accepted claims should be approved or denied for payment • Ran audits to determine what claims/codes should not have been paid