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Billing Analyst, Payment, Credit & Collections
Senior Revenue Cycle Project Analyst at Delta Utilities, validating meter-to-cash workflows and investigating billing exceptions.
United StatesBilling Analyst, Payment, Credit & Collections at Delta Utilities
Support enterprise billing and revenue operations through reconciliation, exception investigation, system validation, and coordination with technical and business stakeholders.
Oracle CCSCCS 360UATReconciliationsBillingException InvestigationSystems Validation
Audited more than 100 medical claims and associated financial records, reviewing reimbursement accuracy, benefit determination, and compliance with payment policies.
Medical Claims AuditingReimbursementBenefit DeterminationComplianceMedical CodingDocumentation Review
Managed electronic billing submissions, invoicing, exception resolution, and billing reports in Elite Legal Billing; partnered with attorneys and administrative teams.
Elite BillingElectronic BillingInvoicingException ManagementBilling Reports
Supported specialty-care revenue cycle performance across Medicare, Medicaid, and commercial payers. Resolved denials, appeals, resubmissions, eligibility and authorization issues, and payer follow-up.
MedicareMedicaidCommercial PayersDenialsAppealsResubmission ProcessesEligibilityAuthorizationPayer Follow UpMedical Necessity CriteriaAccount AdjustmentsAudit AnalyticsBilling Reports
Advanced through 3 positions—from Compliance Business Analyst III to Compliance Specialist to Senior Compliance Specialist—supporting Medicaid managed care and multi-facility regulatory operations. Supervised a 4-person team and supported more than 100 regulatory audits and reporting deliverables.
Medicaid Managed CareRegulatory ReportingAudit documentationData ValidationRisk AssessmentCorrective Action TrackingSOPsWorkflow DocumentationDashboardingAudit Summary PreparationTrend AnalysisPEGASharePointOBIEEApex
Instructed medical billing and coding and provided program leadership.
Medical BillingMedical CodingEducationProgram Leadership
Directed allied health program administration.
Allied HealthProgram AdministrationLeadership
Handled patient accounts and related revenue cycle tasks.
Patient AccountsRevenue Cycle ManagementBilling
Managed medical billing, collections, and claims operations.
Medical BillingCollectionsClaims ManagementAppeals And Payer CorrespondenceDenialsRevenue Cycle Management
Managed medical office operations and revenue cycle functions.
Medical Office ManagementRevenue Cycle ManagementBillingCollections
Master of Business Administration degree from the University of Phoenix, completed in 2010.
Master of Business Administration degree from the University of Phoenix, completed in 2010.
Bachelor of Science in Business Management from the University of Phoenix, completed in 2008.
Bachelor of Science in Business Management from the University of Phoenix, completed in 2008.
Diploma in Medical Administrative from Spencer College, completed in 1992.
Diploma in Medical Administrative from Spencer College, completed in 1992.
Profile sourced from Himalayas.