Healthcare Operations, Workflow Architecture & RCM Automation Specialist
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I’m someone who’s poured more than twenty years into understanding the full healthcare revenue cycle, not just the processes, but the people, the pressure, and the purpose behind it. I’m devoted, ambitious, and steady in the way I work, and my advanced certifications in coding, billing, and reimbursement give me the foundation to approach every challenge with clarity and strategy.
What really drives me is helping providers feel supported. I love taking complicated financial workflows and turning them into something smoother, cleaner, and more reliable. Whether it’s improving reimbursement accuracy, strengthening operations, or offering guidance that makes a difference, I’m at my best when I’m helping someone else succeed.
Healthcare finance never sits still, policies shift, regulations tighten, technology evolve and I’ve learned to evolve right along with it. Continuous learning isn’t just part of my job; it’s part of who I am. I stay curious, stay adaptable, and stay committed to doing work that genuinely helps.
At the heart of it all, my mission is simple: protect the financial systems that protect patient care. When providers are reimbursed correctly and on time, everything else in the healthcare ecosystem becomes stronger. That’s the impact I’m proud to make every day.
Operations & Implementation Coordinator, SkyMed Solutions (2019–Present)
Lead revenue cycle analysis, claims resolution, EDI/ERA management, cash posting oversight, denial management, and workflow optimization. Provide training, cross‑functional support, and strategic operational guidance across the full RCM spectrum.
Insurance Billing Specialist, Montgomery Radiology Associates (2017–2019)
Managed radiology billing operations, reimbursement accuracy, payer communication, credentialing support, appeals, remittance posting, and EDI/ERA reconciliation.
Certified Medical Coder, Cypress Partners (2015–2016)
Delivered accurate radiology coding, documentation audits, denial resolution, physician collaboration, and compliance oversight. Served as the primary liaison for coding and claims issues.
Patient Account Representative II, St. Francis Hospital (2012–2015)
Supported payment posting, reconciliation, payer communication, credit balance resolution, adjustments/refunds, batch management, and audit‑ready documentation.
Advanced Certifications in Medical Coding, Billing & Reimbursement
ICD‑10, CPT, HCPCS, NCCI, compliance, and payer‑specific billing education that strengthens accuracy and regulatory alignment.
Deep experience in interpreting radiology documentation, applying correct modifiers, and navigating LCD/NCD guidelines.
Hands‑on development in claims processing, denial management, EDI/ERA workflows, cash posting, and payer communication.
Ongoing study of payer policy updates, regulatory changes, and emerging healthcare finance technology to stay ahead of industry shifts.
Credentialing & Enrollment Knowledge
Training and experience with EDI, ERA, EFT enrollment, payer setup, and provider credentialing processes.
