Cynthia E Dorsey

Stockbridge, GA

PROFESSIONAL SUMMARY:

Highly organized and detail-focused Revenue Cycle Specialist with years of medical experience and with exceptional track record of accurately handling financial/reimbursement issues.

Skilled in all aspects of a medical office setting, which would include billing, credentialing, payment posting, balancing debits and credits, reconciling accounts and ensuring accuracy and completeness of data.

Proficiency in the overall improvement of the functionality of the Revenue Cycle Management Department

TECHNICAL SKILLS:

Excellent Analytical Skills

Month End Reports

Patient Accounts

Collection Letters

Interpersonal Skills

Year End Report

Employee Relations

Implementation Improvements

Daily Deposits

Billing & Payment Posting

Electronic Claim Submission

Training & Development

Performance Management

Organizational Development

Increased Productivity

PROFESSIONAL EXPERIENCE:

WIPRO LTD 02/2022 – 09/2022

Reconciliation Analyst

Reconcile enrollment and/or financial data and increase value to customers. Perform in-depth discrepancy analysis. Reconcile data from multiple data sources. Locate and define new opportunities for controls and process improvement. Perform first level analysis of data and produce graphical/data sheet summaries of results as needed.

Document procedures, processes and workflows when required. Results oriented – driven to meet deadlines while still maintaining high-quality standards. Provide ad-hoc analysis as required. Ability to communicate with internal and external resources to deliver analysis details.

Other financial and/or enrollment reconciliation/research tasks as required by management.

PIEDMONT HEALTHCARE 07/2021 – 02/2022

Revenue Cycle Specialist

Responsible for the payments posting for all electronic and paper check/s, also responsible for all of the electronic and paper billing of all claims.

Responsible for various other duties which include identifying revenue cycle problems and implementing a system to ensure that accurate billing information is entered into the billing system. Correctly

PEACHTREE NEUROLOGICAL 03/2018 – 07/2021

Revenue Cycle Manager

Responsible for the payments posting for all electronic and paper checks, also responsible for all of the electronic and paper billing of all claims. Responsible for various other duties which include identifying revenue cycle problems and implementing a system to ensure that accurate billing information is entered into the billing system.

Correct coding of diagnoses and procedure codes. Direct communications with hospital and insurance companies in reference to patients billing and providers’ participation. Expertise in all areas of collections, all cash and insurance payment postings, contract analysis and credentialing. Proven experience working in a diverse environment of multiple specialties practices. Proficiency in multiple specialty software practices. The ability.

Coordinate billing and collection activities. Monitoring of - account receivables activities. Practices consisted of six physicians and one physician assistant. Responsible for the billing for both locations which included MRI’s, EEG’s, EMG’s and all office visits. Currently working remotely for the last year

SIBLEY HEART CENTER 02/2017 – 03/2018

Revenue Cycle Specialist

Extensive knowledge of prior experience with all insurance verifications, health care benefits assessment, paperwork and documentation for billing Medicare/Medicaid and commercial insurances. Capability to multi-tasking and proactive problem solving.

Responsible for helping to coordinate patient billing, payment plans and Financial Assistance Application and collections. Field inbound patient calls and be able to address their billing/financial issues personally manage a large portion of the company AR.

20 plus years of experience with appealing claims and responding to claim audits. Several work Ques/spreadsheets to maintain accurate and correct claims to be generated.

Responsible for providing patients with estimates before procedures are done. Reposting all claims once the needed information has been corrected or added and providing excellent patient service.

SILK INFORMATION SYSTEMS / DENT2MED SOFTWARE LLC 05/2011 – 02/2017

Revenue Cycle Manager

Responsible for the client setups and the interaction with our billing software. Responsible for the billing of all electronic and paper claims to all carriers Medicare, Medicaid, Medicare Advantage plans and Commercial insurances. Confirming insurance eligibility, making sure that referrals, precertification and any other needed documentation are attached.

Followed up on all unpaid claims, Updating prices for procedure codes, setting patients up on payment arrangements, taking patient credit card payments and posting to the patients accounts, posting insurance payments, setting up payment and payment arrangements for in house collections patients, calling patients in reference to past due accounts, turning the patients over to collections and working closely with the collection agency to monitor and to report back to the office activities on all accounts. I worked remotely for 5 years.

PIEDMONT HEART INSTITUTE (Temporary) 01/2010 – 05/2011

CBO Representative II

Worked in the capacity of a multi-tasked position that covered all of the main functions of the Centralized Business Office.

Included in these duties but not limited to was: Receiving all payment from the banks lockbox every day and preparing them to send to the billing office, preparing of the multiple spreadsheets daily, the scanning and sorting of all daily correspondences, preparing refunds, sending our refund checks and the daily faxing of the deposits and credit card payments to the management group for processing.

OLANSKY DERMATOLOGY & ASSOCIATES 03/2008 – 01/2009

Manager, Billing & Accounts Receivable

Responsible for the overall operations of the billing department. Managed a staff of 4 billing representatives. Managed the revenue commitments and setups in the billing system. Responsible for claims resolution, payment posting and online deposits.

Delivered monthly financial reports to the accountant and management every month at month end. Worked closely with the billing staff to ensure that the billing process flows efficiently from the beginning to billing completion.

Established and maintained the system so that the department met the company’s financial and revenue enhancements and expectations.

PEACHTREE NEUROLOGICAL CLINIC 08/2002 – 03/2008

Patient Accounts Manager

Manage all financial transactions, posting debits and credits, producing financial statements and recording all transactions.

Great expertise in working reports and financial summaries and maintained company’s financial status. Work denials and filed appeal letters as needed. Created statements and tracked overdue accounts. Turned past due accounts over to the collection agency on a monthly basis.

Researched and resolved billing and collection disputes. Supported a significant increase in productivity levels by streamlining reimbursement issues, under extremely quick turnaround timelines.

EDUCATION

COLUMBUS TECHNICAL INSTITUTE — COLUMBUS, GA

Business & Office Technology 1995

GEORGIA INSTITUTE OF REAL ESTATE— SANDY SPRINGS, GA

Real Estate License Salesperson 2009

Jordan Vocational High School, Columbus, GA

High School Diploma

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