Crystal Annicelli

Results-driven Revenue Cycle and Collections Specialist with over a decade of proven expertise maximizing financial recoveries within major healthcare organizations. Expert in analyzing complex Explanation of Benefits (EOBs), resolving insurance denials, managing account aging ledgers, and executing strategic portfolio recovery. Proficient in specialized EHR frameworks (Epic, Cerner) and billing software (QuickBooks).

Combines deep medical billing intelligence with hands-on clinical floor experience to bridges administrative and operational needs seamlessly.

PATIENT CARE ASSISTANT (PCA) – CARDIAC STEPDOWN FLOOR - Healthcare Facility - Central MA / CT Region

(2023-11)

• Execute high-acuity personal and clinical support for cardiac stepdown patients, ensuring accurate biometric and vital sign documentation.
• Monitor tube feedings, record meticulous intake/output calculations, and perform glucometer and EKG testing following strict competency guidelines.
• Formulate and chart objective patient findings into medical records, immediately reporting clinical deviations directly to the RN or attending Physician.

ACCOUNTS RECEIVABLE & PAYABLES SPECIALIST - UMass Memorial Medical Group - Worcester, MA

(2019-10 - 2023-11)

• Audited, submitted, and tracked millions in outstanding medical insurance claims, minimizing collection barriers and enforcing compliance policies.
• Managed robust aging accounts receivable portfolios, decreasing overall denial metrics via active payer communications and precise claim modifications.
• Engineered quality-control loops to scrub documentation prior to electronic transmission, lowering rejection volumes and increasing collection velocities.
• Led appeal procedures against unjust insurance claim rejections, capturing maximum valid financial compensation for healthcare providers.

ACCOUNTS RECEIVABLE & PAYABLES SPECIALIST - Reliant Medical Group - Worcester, MA

(2013-03 - 2019-10)

• Strategized collection procedures alongside leadership to optimize medical practice cash flow and resolved delinquent insurance claims.
• Dissected complex Explanation of Benefits (EOB) frameworks to verify payer consistency against standard medical contract criteria.
• Maintained exact demographic and accounting databases, applied incoming payments, and trained newly onboarded billing personnel in software modules.
• Negotiated payment plans and settled insurance payment variances via strong customer-centric communication tactics.

CUSTOMER SERVICE REPRESENTATIVE - Fallon Health Insurance

(2007-05 - 2013-03)

• Managed intense call volumes to resolve insurance coverage questions, enrollment issues, and payment tracking for corporate clients.
• Conducted QA audits of internal claims processes, trimming errors and improving response speeds across consumer-facing departments.

High School Diploma - Bartlett High School (1989-06)