Supervised end-to-end RCM operations including eligibility, billing, claims submission, payment posting, denials, and collections. Led and coached billing and A/R teams; monitored KPIs such as A/R days and clean claim rate. Performed Root Cause Analysis (RCA) and implemented corrective action plans. Ensured HIPAA compliance and payer contract adherence. Utilized Simple Practice EHR, Availity, Change Healthcare, and Excel. Experienced with payer portals for Aetna, Cigna, UnitedHealthcare, BCBS, Medicare, Medicaid, and Humana. Supported medical specialties including Mental Health, Family Medicine, Gastroenterology, Cardiology, Nephrology, Ophthalmology, Physical Therapy, Home Health, and Pain Management.

Verified insurance coverage and ensured accuracy of patient and client account information. Prepared and submitted claims to insurance companies in compliance with regulatory standards. Posted payments, adjustments, and denials to accounts with accuracy and timeliness. Resolved billing inquiries and provided clear communication to clients, payers, and internal teams. Maintained detailed documentation.

Oversaw the full revenue cycle process by managing insurance verification, ensuring accurate claims submission, monitoring payment posting, and addressing billing inquiries. Responsible for leading collections management efforts to maintain healthy cash flow, while also enforcing coding compliance to reduce errors and mitigate risks. Provided clear documentation and reporting to support operational transparency, compliance, and informed decision-making across the team. Built strong operational teams to meet process and production demands. Motivated and evaluated personnel for performance improvement and goal achievement. Addressed customer concerns with suitable solutions. Managed scheduling, training, and inventory control. Directed day-to-day operations by spearheading implementation of short-term and long-term strategies to achieve business plan and profitability goals.

Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service. Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions. Demonstrated excellent communication skills in resolving product and consumer complaints. Developed strong customer relationships to encourage repeat business. De-escalated problematic customer concerns, maintaining a calm, friendly demeanor. Set up and activated customer accounts. Asked probing questions to determine service needs and accurately input information into electronic systems. Assisted customers with making payments or establishing payment plans to bring accounts current. Upheld quality control policies and procedures to increase customer satisfaction. Improved customer service wait times to mitigate complaints. Mentored new employees on procedures and policies to maximize team performance.

Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service. Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions. Demonstrated excellent communication skills in resolving product and consumer complaints. Developed strong customer relationships to encourage repeat business. De-escalated problematic customer concerns, maintaining a calm, friendly demeanor. Set up and activated customer accounts. Asked probing questions to determine service needs and accurately input information into electronic systems. Assisted customers with making payments or establishing payment plans to bring accounts current. Upheld quality control policies and procedures to increase customer satisfaction. Improved customer service wait times to mitigate complaints. Mentored new employees on procedures and policies to maximize team performance.