Experience

iCircle Services

• United States
• Individual and Family Services
• 1 - 100 Employee

• Director of Revenue and Claims Management

  • Mar 2022 - Present



Heritage Ministries

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Director of Revenue Cycle

  • Dec 2020 - Mar 2022



iCircle Services

• United States
• Individual and Family Services
• 1 - 100 Employee

• Director of claims Operations

  • Aug 2017 - Dec 2020



21st Century Oncology

• Medical Practices
• 700 & Above Employee

• Director Revenue Cycle

  • Jul 2005 - Aug 2017

  Hired in 2005 as the Patient Accounting Manager and was promoted to several different roles within the organization. Currently the Director of Revenue Cycle since 2014 where I directly report to the VP of Revenue Cycle Management. Lead a team of 85+ full-time employees accountable for billing and collections, underpayment and arbitration recoveries, Sarbanes-Oxley audits, denial management, and revenue cycle system integrity (IDX, Intergy, Medical Manager, CareCloud, Centricity, and Misys). • Oversee accounts receivable of $550 million for 900+ physicians in different medical specialties and in 17 states to analyze and identify trends/issues and ensure cash flow delays are minimized and accounts receivable are worked efficiently. • Designed and implemented an insurance collector work driver that assigns accounts to collectors depending upon the current status of the claim which increased collector productivity by 40%. • Created accounts receivable and productivity reporting to identify actions taken by a collector on a daily basis, aging of accounts, and the accounts receivable status. • Integrated over 100 practices to the new revenue cycle system within 9 months of system purchase. • Integrated revenue cycle functions for 34 center acquisition within three months of closing. • Reduced unposted cash from $21 million to $161K within a year. • Created an automated cash reconciliation process to reconcile $64 million across 50+ bank accounts on a monthly basis. • Implemented and trained 300+ locations across 17 states on a new merchant services portal. • Reduced payer and clearinghouse rejections of claims from $7 million to $400K within a year. • Increased amount of payers’ setup for EDI, ERA, and EFT from 70% to 97%. • Established an underpayments recoveries workflow to identify areas of opportunities where payers did not accurately reimburse claims. This process has increased revenue by $6 million in less than a year. Show less



University of Miami

• United States
• Higher Education
• 700 & Above Employee

• Billing and Collections Manager

  • Mar 1998 - Oct 2004

  • Responsible for leading a team of 15 employees accountable for front desk, medical coding, billing and collections, denial management, payment posting, refunds, and cash reconciliation workflows for 17 neurosurgeons. • Trained 17 neurosurgeons on medical coding guidelines to ensure charges coming through the HL7 to IDX are accurate. • Performed monthly meetings with the physicians to review cash collections and department performance. • Responsible for leading a team of 15 employees accountable for front desk, medical coding, billing and collections, denial management, payment posting, refunds, and cash reconciliation workflows for 17 neurosurgeons. • Trained 17 neurosurgeons on medical coding guidelines to ensure charges coming through the HL7 to IDX are accurate. • Performed monthly meetings with the physicians to review cash collections and department performance.