Becky Thomas

Strategic and results-driven revenue cycle leader with 15+ years of experience managing AR, denials, payer relations, and operational workflows across acute care, DME, hospice, pharmaceuticals, and ASC environments. Proven success improving cash performance, reducing aging, strengthening payer yield, and leading high-performing remote teams. Expert in denial trend analysis, KPI reporting, workflow optimization, payer contract interpretation, and client relationship management.

Advanced

Excel user with a strong track record of driving measurable financial outcomes.

Revenue Cycle Operations Manager at Virtual Business Office (2021-07 – 2026-01)

Directed daily operations for a remote team of collectors managing acute-care AR for major systems including AdventHealth, Boston Children's Hospital, Steward Health, and Memorial Sloan Kettering

• Analyzed AR inventory to identify denial trends, root causes, and process gaps; delivered actionable insights to reduce avoidable denials
• Designed and optimized work-queue strategies ensuring all claims received follow-up within 30 days
• Partnered with data analytics teams to compile and interpret KPIs including cash, aging, liquidation, denial trends, and inventory movement
• Led preparation and delivery of weekly, bi-weekly, and monthly client meetings, including reporting packages and performance summaries
• Strengthened client relationships through proactive communication and issue resolution

Senior Accounts Receivable Specialist at Surgical Notes (2020-10 – 2021-06)

Managed commercial and government AR for three ASC clients with combined monthly revenue of $3.5M

• Prioritized AR by payer, balance, and age to drive consistent cash flow and reduce aging buckets
• Interpreted payer contracts to support accurate appeals and prevent underpayments
• Provided AR trend analysis and Excel-based reporting to leadership
• Reduced commercial AR by $324K in 90 days through targeted follow-up and denial resolution
• Identified incorrect UHC contract loaded in Amkai and corrected reimbursement workflows
• Identified system configuration errors related to follow-up days, improving workflow accuracy

Senior Manager, Order Fulfillment & Patient Assistance at Lash Group / AmerisourceBergen (2019-07 – 2020-07)

Led operational and analytical functions for a pharmaceutical patient assistance program supporting 60,000+ oncology patients

• Managed 80 associates and 4 program managers across fulfillment, benefits, and reimbursement workflows
• Oversaw product returns, replacements, and lost/damaged processes in alignment with client contracts
• Implemented systematic task assignment, improving efficiency equivalent to reducing 4 FTEs
• Co-led annual reverification process, onboarding 200+ contingent workers to complete 45,000+ benefit reverifications in 3 months
• Documented internal processes, producing 57 job aids and a new onboarding/training manual

Director, Payer Relations & Billing at Curo Health Services (2016-02 – 2018-09)

Directed billing, collections, managed care contracting, and credentialing for $220M annual revenue across 240 hospice branches in 23 states

• Identified payer trends, reimbursement barriers, coding issues, and process gaps impacting cash flow
• Led implementation of Waystar clearinghouse across all branches
• Collaborated with SNFs on room & board billing and outpatient reimbursement
• Developed strategies to expand managed care contracts, including national payers such as UnitedHealthcare
• Achieved 100%+ cash to prior month's revenue for 9 of 12 months in 2017
• Increased commercial payer yield from 80% to 90%+ through focused denial management
• Reduced Medicaid DSO to consistently under 60 days
• Implemented monthly employee scorecards to improve accountability and performance

Senior Trainer, Medicare & ICD-10 at Acelity (2015-03 – 2016-02)

Delivered new-hire, process-change, and development training for all revenue cycle departments across NC and TX

• Served as subject matter expert for Medicare reimbursement guidelines
• Led training for transition from ICD-9 to ICD-10 for wound care
• Created PowerPoint training materials and department-wide education resources

Senior Manager, Patient Intake & Prior Authorization at Acelity (2012-12 – 2015-03)

Directed patient access, benefits, authorization, billing, and collections for a high-volume call center

• Managed 4 supervisors, 4 team leads, and 80–100 specialists
• Oversaw Medicare eligibility, medical necessity, authorization workflows, and clearinghouse rejection resolution
• Led denial management initiatives and reduced supply expense through medical-necessity-based resupply controls
• Served as key decision maker for ZPIC, RAC, and CERT audit responses
• Led task force to reduce denials related to therapy restarts

Supervisor, Internal Audit at Acelity (2010-07 – 2012-11)

Led team of 20 internal auditors and 5 RNs

• Created pre-billing audit process enabling 100% claim review prior to submission
• Established Compliance Committee and standardized audit documentation
• Used denial data to redesign front-end processes and reduce future denials
• Implemented weekly and monthly scorecards to track performance

Supervisor, Patient Financial Services at Acelity (2008-07 – 2010-07)

Led team of 15 specialists serving as liaisons between internal departments and external customers

• Implemented monthly performance scorecards and coaching plans
• Managed hiring, training, and performance development for new and existing staff
• Adjusted workflows and staffing to meet changing business needs

Bachelor of Business Administration in Business Administration & Management – Strayer University