Revenue Cycle Manager at O'Shea Dentistry (2024-01 – Present)
Serve as primary compliance and insurance liaison across clinical, administrative, and revenue cycle operations within a multi-provider dental practice. Manage end-to-end billing, insurance verification, and claims processes, handling ~100 claims and ~100 eligibility verifications per week while ensuring accuracy, regulatory compliance, and contract adherence. Single-handedly managed the end-to-end insurance billing, claims processing, and AR collections for a high-volume, 7-provider general practice generating $3.9M annually.
- Lead credentialing and enrollment for providers across 60+ insurance carriers, ensuring timely approval, accurate network participation, and ongoing compliance with payer requirements
- Monitor and enforce compliance with payer contracts, correcting miscoding, unbundling errors, and billing discrepancies to mitigate financial and regulatory risk
- Identify and prevent scope-of-practice violations by ensuring clinical staff meet legal and regulatory requirements to administer care, including intervening when services fall outside authorized scope
- Prepare, submit, and manage complex appeals and reconsiderations on behalf of providers
- Respond to extensive documentation requests and post-payment reviews, maintaining audit-ready records and proactively mitigating risk to prevent formal audits
- Track claim trends, denials, and reimbursement discrepancies to inform process improvements and compliance corrections
- Develop and standardize internal workflows for insurance verification, treatment estimates, and claim follow-up to improve consistency and reduce errors
- Manage and oversee a remote revenue cycle management (RCM) team, ensuring adherence to compliance standards, documentation accuracy, and payer requirements
- Act as a subject matter expert for insurance regulations, payer policies, and compliance workflows, supporting staff education and cross-functional collaboration
Patient Experience Coordinator at O'Shea Dentistry (2023-08 – 2023-12)
- Served as primary point of contact for all patient financial and insurance matters, including estimates, coverage explanations, and payment coordination
- Collaborated with clinical and administrative teams to resolve complex insurance and financial issues
- Supported compliant treatment acceptance by aligning financial communication with insurance policies and practice standards
Program Coordinator, Operation Housing at Frontline Housing (2022-02 – 2023-06)
Coordinated a conditional cash transfer program with the mission of helping families living in motels find permanent housing.
- Assisted 40+ families in finding permanent housing
- Managed a caseload of 20 to 30 active families at all times
- Supported program participants in saving over $100,000 by teaching budgeting and savings strategies
- Achieved a 78% program completion rate with 83% of participants finding permanent housing
- Coordinated move-in assistance payments with property management companies and private landlords
- Created and lead financial education and wellness workshops for enrolled families, collaborating with local consultants
- Participated in community outreach to recruit families and individuals living in motels and experiencing homelessness
- Managed program data utilizing Google Suite and SureImpact, and prepares presentations for donors in Canva
Counseling Intern at Health Connect America (2021-08 – 2021-12)
- Shadowed counselors during group and individual therapy sessions
- Organized activities to teach skills to clients and help achieve goals outlined in treatment plan
- Conducted satisfaction surveys with clients and ensured the completion of auditing forms for counselors
