Revenue Cycle Accounts Receivable

Marilyn Diaz

Sanford, FL • 954-***-**** • *****@***************.*** https://www.linkedin.com/in/marilyn-diaz- 39314b2b3

Fluent in English & Spanish

PROFESSIONAL SUMMARY

Healthcare Revenue Cycle & Patient Services Leader and Manager with extensive experience in hospital, professional, pharmacy, DME, and major medical billing and collections. Proven ability to manage multi- site operations, lead high-performing teams, optimize workflows, and enhance the patient experience. Skilled in KPI monitoring, SLA compliance, process improvement, and staff development. Recognized for reducing AR days, improving reimbursement rates, and strengthening operational performance. CORE COMPETENCIES

Program & Workflow Management • Patient Experience Optimization • Revenue Cycle Operations • Process Improvement & SOP Development • Pharmacy & Medical Benefit Verification • PA & Appeals • Medicare & Medicaid & Commercial payer • ICD-10 • Denial Management • Staff Training & development, Coaching & Mentoring • Cross-Functional Collaboration • AP Audit • Reconciliation • Compliance & HIPAA Standards • Vendor & Client Relations • Microsoft Office Suite (Excel, Word, PowerPoint, Outlook)

• Epic • AthenaNet • Emdeon • Availity • Salesforce • CPR+ • Genesys • NetSuite • Commercial web portals • NaviNet • MediTech

PROFESSIONAL EXPERIENCE

Johnson & Johnson – Reimbursement Specialist / Subject Matter Expert Apr 2024 – Present Sanford, FL

• Trained 20+ supervisors and staff on case management workflows, improving resolution time by 18%.

• Standardized processes in collaboration with leadership, reducing escalated case backlog by 15%.

• Delivered payer insights to leadership for strategic decisions, enhancing SLA compliance.

• Maintained 100% HIPAA compliance while resolving high-complexity patient/provider cases. Kroger Specialty Pharmacy – Reimbursement Specialist Mar 2020 – Apr 2024 Lake Mary, FL

• Managed reimbursement for 500+ patient accounts with 98% on-time claim submission rate.

• Cut denial resolution time from 14 to 9 days by implementing targeted process improvements.

• Increased first-pass claim approval rate by 12% through payer-specific documentation updates.

• Provided escalation support, improving SLA adherence for critical cases. Advanced Recovery Systems – RCM Special Project Manager Apr 2015 – Mar 2020 Ft. Lauderdale, FL

• Directed reimbursement for 8 centers nationally, leading a 15+ member team to exceed monthly collection targets.

• Reduced AR over 90 days by 22% through denial management and payer negotiations.

• Increased cash flow by $1.2M annually via KPI-driven process improvements.

• Managed litigation-related AR cases with zero missed deadlines and 100% documentation accuracy. Better Care Home Health Agency – Billing/Collections Manager Apr 2013 – Apr 2015 Ft. Lauderdale, FL

• Achieved 96% collection rate on eligible claims.

• Shortened billing cycle by 20% through workflow streamlining.

• Reduced authorization delays by 30% through improved communication protocols. MCS – RCM Project Manager

Aug 2007 – Dec 2013 Hollywood, FL

• Improved collections by $750K annually via targeted AR recovery efforts.

• Maintained 95%+ productivity rates through staff training and accountability measures.

• Reduced underpayments by 17% through contract review and process improvement. EDUCATION & CERTIFICATIONS

AAHAM CPAT Certificate, Fort Lauderdale, FL – Nov 2009 Billing & Coding – Sanford Brown Institute, Lauderdale Lakes, FL – Jan 2004–2006

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