AnaM J

Healthcare business development and operations professional with 15+ years of progressive experience across provider relations, multi-market territory management, payer and insurance operations, revenue cycle, medical billing, practice administration, staff development, and strategic growth. Nationally recognized top-performing Physician Liaison with documented success driving referral volume, strengthening physician networks, expanding established and developing markets, and collaborating with senior leadership on growth initiatives. Earlier career expertise includes prior authorization, claims and denial resolution, appeals, reimbursement follow-up, third-party payer communication, accounts receivable, coding-related claim correction, and operational reporting.

Bilingual

English/Spanish leader recognized for market ownership, training, teamwork, customer service, professionalism, and long-term physician and vendor partnerships.

Physician Liaison - CENTER FOR VEIN RESTORATION

(2019-12)

• Manage and strategically develop relationships across 900+ healthcare accounts spanning established and developing markets in Maryland, Pennsylvania, and West Virginia, including physicians, advanced practice providers, administrators, referral teams, and healthcare decision-makers.
• Drive physician engagement, patient acquisition, referral growth, account retention, and market development across strategically important territories; ranked #2 nationally for YTD referral units in 2026 with 884 kept referrals and a 71% referral mix.
• Delivered 113% of PVN goal, 110% referral PVN performance, and 16% year-over-year PVN growth in 2025 while contributing to 104% of revenue goal and 104% of EBITDA goal.
• Collaborate with senior and regional leadership on territory strategy, market expansion, developing territories, provider-network growth, and new-office initiatives.
• Analyze referral activity, provider opportunities, competitive intelligence, market conditions, and territory performance to prioritize outreach and communicate actionable insights to leadership.
• Serve as a key liaison between external practices and internal clinical, scheduling, operational, and leadership teams to resolve referral, patient-access, insurance, service, and workflow concerns.
• Build and maintain strategic relationships with external healthcare vendors and ancillary-service partners, including organizations supporting lymphedema care, compression therapy, and compression garments.
• Selected to present and train colleagues on vendor programs and partnerships; provide peer coaching, field ride-alongs, onboarding support, and practical guidance on territory management and provider engagement.
• Plan and execute physician dinners, educational programs, health fairs, community outreach, sponsorships, and relationship-development initiatives that strengthen organizational visibility and provider partnerships.
• Provide strategic coverage in developing or temporarily vacant territories to protect provider relationships, referral continuity, and revenue-generating activity.

Authorization Specialist - SLEEP SERVICES OF MARYLAND

(2014-03 - 2019-12)

• Supported payer and revenue-cycle operations for an outpatient medical practice, including eligibility, benefits, prior authorization, reimbursement, claims follow-up, denial resolution, appeals, and patient financial communication.
• Communicated with insurance carriers regarding coverage, authorizations, claims, documentation requirements, reimbursement concerns, and outstanding accounts; handled appeals and third-party negotiations.
• Researched coding-related denials, corrected deficiencies and provider coding when appropriate, obtained supporting clinical documentation, and resubmitted or appealed claims to improve reimbursement.
• Used daily, weekly, and monthly reports to identify deficiencies, track account status, support third-party accounts receivable, and improve timely payment.
• Explained copays, deductibles, out-of-pocket responsibility, payment plans, and insurance requirements to patients while resolving financial and scheduling concerns.
• Worked with physicians and practice leadership on operations and staffing, including interviewing, employee oversight, workflow support, and initiatives to maximize practice earning potential.

Billing Manager - CARDIAC ASSOCIATES, PC

(2013-02 - 2014-03)

• Managed medical billing and reimbursement workflows, including electronic claim submission, insurance follow-up, payment posting, accounts receivable, patient statements, and payment arrangements.
• Investigated rejected, unpaid, or disputed claims; corrected and resubmitted claims to third-party payers and communicated with insurers, patients, and clinical/administrative staff to resolve billing issues.
• Applied strong ICD-10 knowledge and reimbursement practices to support accurate claims processing and revenue-cycle performance.

Office Manager & Physician Liaison - ACCESSIBLE PHYSICAL THERAPY SERVICES, LLC

(2007 - 2011)

• Oversaw day-to-day practice administration, staff workflow, patient service, confidential records, payroll reporting, insurance-benefit verification, and operational problem-solving.
• Developed physician and attorney referral relationships and served as liaison among patients, physical therapy staff, referral sources, and management.
• Increased monthly patient census by 44% through proactive physician outreach, relationship development, and targeted marketing strategies.

Coursework toward B.S. - Psychology and Speech Communication - University of the District of Columbia