Accounts Payable Revenue Cycle

Name: Tanya Rogers

Phone No :817-***-****

Email Id: *******@*****.***

Available Shift: Day Shift (8:00 AM – 5:00 PM)

Available Start Date: ASAP

RTO: No

Summary:

Tanya Rogers has over 8 years of experience in healthcare, specializing in Revenue Cycle Management, Accounts Payable & Receivable, Medical Claims, Medical Billing, Insurance Verification, and Claims Preparation & Submission.

Skilled in overseeing the end-to-end process of patient billing, including insurance verification, medical claims management, and claims submission.

Experienced in Accounts Receivable (AR), which focuses on incoming payments from patients, insurance companies, and other payers. Accounts Payable (AP) focuses on outgoing payments for expenses such as medical supplies, vendor invoices, employee reimbursements, and operational costs, with the goal of managing payments efficiently while maintaining financial accuracy

Experienced in Revenue Cycle Management (RCM) in medical billing is responsible for managing the financial process of healthcare services, from patient registration to final payment.

Skills:

Full-Cycle Accounting

Revenue Cycle Management

Account Resolution

Accounts Payable & Receivable

Financial Reconciliation

Medical Claims

Medical Billing

Insurance verification

Claims Preparation & Submission

Medical billing

Reimbursement

Professional Experience:

Baylor Scott & White – Forth Worth, TX Jan 2024– Present

Manager – Access Services

Manage, guide, coach, and evaluate the work performance of the staff in Patient Access. Monitor and ensure the accuracy of scheduling and efficacy of processes through reports, QA data and process analysis

Analyze revenue cycle performance, identifying areas for improvement.

Generate reports on financial metrics such as AR aging, reimbursement rates, and collection efficiency..

Follow up with patients and insurance companies on unpaid balances. Monitor and manage outstanding accounts. Work to reduce AR aging and increase cash flow

Follow up on rejected claims and resubmit with corrections.

Monitor and develop reporting mechanisms while measuring customer satisfaction. Resolve identified issues and continually move towards improved outcomes.

Develop budgets and implement new programs. Assures compliance with state standards and other regulatory agencies. Serves in place of Director when unavailable for customers, other departments and staff.

Baylor Scott & White – Forth Worth, TX Apr 2023 – Jan 2024

Supervisor – Access Services

Supervised daily activities of ER Access Service unit by preparing and directing schedules for appropriate staffing, monitor attendance of team members, schedule breaks and shifts.

Oversaw daily operations and work-flows and customer and department satisfaction. Ensured timely follow up and escalation recovery was performed.

Monitored outbound/inbound activities of team according to performance standard company goals. Improved results by evaluating processes and recommending changes.

Coordinated and enforced system policies, procedures and productivity standards. Performed account research to assist with system level initiatives or requests.

Provided reports regarding performance, productivity, and behavior related issues regarding staff to management for review.

Monitored financial performance of ER by ensuring financial conversations and attempts to collect were made and assists Access Services Director and Manager with flex staff to volumes.

Motivated and mentored team members to maintain positive and productive work environments while creating and implementing goals action plans, and incentives to drive desired production results. Coached, counseled and motivated employees.

Administered and handled escalation requests for system and Revenue Cycle policies. Participated in the hiring process. Administered performance management, recognition and disciplinary actions, and performance reviews.

Baylor Scott & White – Forth Worth, TX Aug 2022 – Apr 2023

Patient Services Specialist

Managed and supported efficient and effective patient care by monitoring patient registration, insurance verification, and collection of applicable co-insurance, co-payments and scheduling of diagnostic and follow-up appointments and answering phones.

Experienced in Revenue Cycle Management (RCM) in medical billing is responsible for managing the financial process of healthcare services, from patient registration to final payment.

Collect and verify patient demographic and insurance information. Confirm insurance eligibility and coverage before services are rendered.

Prepared and submit clean claims to insurance payers, verifying claims for accuracy, completeness, and compliance with payer requirements.

Managed medical records. Ensured correspondence is scanned, filed and documented while processing requests for medical records releases and maintenance of files. Established and maintained effective working relationships with patients, employees and the public.

Experienced in Accounts Receivable (AR), which focuses on incoming payments from patients, insurance companies, and other payers. Accounts Payable (AP) focuses on outgoing payments for expenses such as medical supplies, vendor invoices, employee reimbursements, and operational costs, with the goal of managing payments efficiently while maintaining financial accuracy.

USMD – Fort Worth, TX Oct 2021 – Aug 2022

Representative - Patient Access

Provided general clinic office functions that supported patient care, including but not limited to, patient registration, insurance verification, collection of applicable co-insurance and/or co-payments and scheduled diagnostic and follow-up appointments.

Greeted and managed patient wait times. Completed check-in and out tasks to include insurance verification, pre-authorizations, and precertification of procedures.

Collected co-payments, co-insurance, and deductibles and issued receipts.

Processed walk-in patients and visitors. Managed medical records. Ensured correspondence was scanned and filed. Processed requests for medical records and updated appropriate logs. Established and maintained effective working relationships with patients, employees, and the public.

Employment Gap Sep 2021

(Looking for Job)

Total Care – Arlington, TX May 2020 – Aug 2021

Facility Administrator

Maintained company culture and standards by monitoring the facilities daily operations. Supervised and monitored administration staff. Identified coaching opportunities for continued staff training. Updated and reviewed budget reports, including but not limited to, office and medical supplies.

Reported inconsistencies and provided solutions to upline management for improvement of the facilities cost efficiencies. Implemented changes and updates to companies SOP ensuring expectations and compliance requirements conveyed

Trusted Medical Centers – Hurst, TX Mar 2019 – Apr 2020

Medical Billing Specialist

Managed accounts by receiving, sorting, and tracking incoming payments. Separated and reported inconsistencies to management for further action.

Resolved client billing inquiries and concerns while informing clients about their outstanding debts. Managed databases by updating information upon client resolutions

Experienced in medical billing is a critical function in healthcare that ensures providers receive timely and accurate reimbursement for services rendered. It involves processing claims, handling payments, and ensuring compliance with healthcare regulations.

United Healthcare - Irving, TX Jun 2016 – Mar 2019

Customer Service Specialist

Resolved customer service inquiries and concerns using the companies’ best practices. Educated customers regarding fundamentals and benefits of consumer drive health care.

Assisted customers with navigating myuhc.com and united Health Group websites.

Education:

M.A - Healthcare Administration, Purdue Global, Davenport, IA Jul 2023

B.S - Psychology/MIN – Early Childhood Development Purdue Global formally Kaplan Univ., Davenport, IA June 2013,

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