Shan Torti

Experienced revenue operations analyst with 15 years in financial management, accounts receivable, billing, payroll, customer service and process improvement. Demonstrates strong expertise in resolving discrepancies, managing payments, and collaborating cross functionally to ensure accurate financial operations. Brings a detail-focused approach and proven record of streamlining billing and payment processes.

REVENUE RECOVERY ANALYST III - Fin-thrive

(2024-01)

• Processing hospital billing and resolves payer denials for multiple care services
• Investigates and corrects account discrepancies, adjusted balances as needed
• Managing patient and insurance calls, processed payments, and issued refunds
• Sending documentation to auditors and verifies authorizations for denied charges
• Communicates payer trends to management for process improvement

REVENUE RECOVERY CONSULTANT - Davita Kidney Care (Sysazzle Temp) - Remotely

(2023-04 - 2023-12)

• Assisted with timely filing appeals for account reconciliation
• Submitted payment appeals for kidney dialysis claims
• Extended 6-month contract to 9 months through reliable performance

REMOTE REVENUE CYCLE ANALYST II - Cloudmed Solutions an R1 Company - Remotely

(2021-01 - 2023-01)

• Managed appeals process and secured payments for denied claims
• Automated routine tasks to enhance revenue cycle performance
• Ensured compliance with insurance and government regulations
• Reduced outstanding accounts receivable through diligent follow-up
• Collaborated with business analysts to streamline tasks

REVENUE CYCLE ACCOUNT MANAGER - CareFirst Pain and Rehab (Redleif) - Tyler, TX

(2015-02 - 2020-11)

• Oversaw billing for multiple payers, including legal personal injury, VA, Medicare, Medicaid, Advantage, commercial, workers compensation and Tricare cases
• Advised on legal and employment matters
• Liaised between clients, attorneys, and insurers
• Updated and maintained comprehensive case records
• Patient monthly billing statements

LEAD REVENUE CYCLE ACCOUNT MANAGER - Radmax Solutions Ltd - Tyler, TX

(2009-05 - 2015-01)

• Oversaw revenue cycle staff
• Managed five clinics billing and collections
• Trained employees on billing systems
• Resolved claim inquiries and submitted appeals for payments
• Verified insurance and corrected denials
• Led month-end reconciliations for oncology centers
• Negotiated contracts
• Charge entry, posted payment batches
• Worked California healthcare, IPA, and Capitation
• Qualified patients for financial assistance

Business accounting courses completed