Phyllis Dawkins

Revenue Cycle Administrator with 20+ years of expertise maximizing financial performances for specialized healthcare practices across the United States. Expert in navigating complex billing, coding and credentialing for physical therapy, occupational therapy, speech-language pathology, chiropractic, mental health/ behavioral health services and optometry. Proven track record in practice start-ups, including software implementation, provider credentialing, workflow optimization, and staff training.

Highly proficient in 14+ major EHR, practice management and clearinghouse systems, with a dedicated focus on reducing days in AR, resolving complex denial backlogs, and ensuring strict compliance with Medicare, Medicaid, and commercial payer guidelines. An independent, adaptable leader expert at managing HIPAA-compliant workflows, EDI/ERA/EFT setup, and payer enrollments across multiple time zones and state-specific regulations.

Owner and Operator at One Family Medical Billing Services LLC (2022-11 – Present)

Founded and scaled a boutique medical billing and practice management office. Streamlined claims submission protocol elevated the clean-claim rate to 98% within the first six months of onboarding new clients. Negotiated favorable out-of-network and in-network payer contracts on behalf of client groups.

Managed the daily operations of claims submission, AR follow up, EDI enrollment and set up and payment posting. Credentialed providers with group contracted payers. Oversaw all aspects of the revenue cycle to prevent zero disruption to daily clinical cash flow.

Revenue Cycle Administrator (Contract) at Root Integrative Psychiatry (2022-04 – Present)

Assisted with start-up of solo practice, managed provider credentialing and contracting to help practice start, migration of CHARM practice management system Optum Intelligent EDI, benefit verification and authorization, verify coding during daily claim submissions, work the account receivables by managing denial management and making sure claims are paid within 30 days, post insurance payments in order patient payments are collected timely, send monthly reports to practice owner, and maintaining open communication with owner regarding account.

Revenue Cycle Administrator (Contract) at Mitchell Blakney PT PLLC (2024-11 – 2026-09)

Managed outpatient physical therapy billing and practice management. Optimized financial performance by managing all aspects of the revenue cycle including benefit verification, authorizations, claim submission, rejected claims, denial and appeal management and payment posting. Credentialed new providers, managed provider contracts, CAQH, Availity organization profile, PECOS, Optumhealth physical health website, United Healthcare group information, Provider One and Onehealthport.

I also managed several payer enrollments for EDI and EFT set up.

AR Team Lead at Medical Billing Center of the South (2013-09 – 2022-11)

Supervising daily account receivable operations, monitoring core financial metrics, and providing direct tactical support to a team of AR Specialists. Audited claim submission quality, analyzing aging reports, coordinating complex denial appeals, and stepping in to process escalations or cover team shortages. I had to follow updated insurance trends for Medicare, Medicaid, Tricare and commercial payers.

Highschool Diploma – Southside Highschool (1995 – 1999)