Revenue Cycle Financial Reporting

Andrea Davis

**** ****** ***** ** · Buford, GA **519

678-***-**** · ****************@*****.***

Professional Experience

Emory Healthcare – Revenue Cycle Supervisor

Atlanta, GA 2024 – Present

Lead operations across Breast Center, Main Registration, and Emergency Room.

Supervise and schedule 32 staff, ensuring full departmental coverage.

Coordinate with clinical and financial leadership to optimize revenue processes.

Oversee budgets, payroll accuracy, and financial reporting.

Develop and implement training and performance plans.

Ensure regulatory compliance and serve as liaison to resolve operational issues.

Piedmont Hospital – Financial Counselor, Transplant Department

Atlanta, GA February 2023 – 2024

Consulted with transplant patients, recipients, and donors on insurance eligibility.

Attended patient selection committee meetings to report financial readiness.

Ensured UNOS compliance and financial clearance for transplant patients.

Collaborated with coordinators, revenue cycle, and billing teams.

Tracked and processed transplant-related invoices and payments.

Ensured billing accuracy and submitted claims to appropriate payers.

Northside Hospital – Billing & Collection Specialist Representative

Atlanta, GA April 2022 – February 2023

Billed Medicaid/CMO accounts: inpatient, outpatient, series, and SPA.

Submitted corrected and second claims via SSI/STAR.

Managed denial resolution, appeals, underpayments, and refunds.

Maintained documentation and payer communications.

Eurofins Laboratories – Billing Generalist

Remote/Atlanta, GA September 2020 – April 2022

Handled front-end and back-end billing for lab services.

Monitored compliance and CPT coding updates.

Supported client billing, collections, and phone queue operations.

Collaborated on metrics, process improvements, and EOB interpretation.

Northside Hospital – Registration Representative

Atlanta, GA February 2020 – August 2020

Registered patients, created estimates, and worked with financial counselors.

Familiar with STAR, MMX, SSI systems.

Handled estimate collections and BO adjustment tools.

OrthoAtlanta – Lead Insurance & Authorization Specialist

Atlanta, GA April 2015 – January 2017, Returned 2018 – 2020

Verified insurance, secured prior authorizations, and managed patient scheduling.

Ensured proper coding and claims processing using EPIC, CPT, ICD-9.

Handled denied claims, collections, and billing documentation.

Ran insurance reports and maintained patient/insurance files.

Wellstar Health System – Patient Access Representative

Atlanta, GA 2017 – 2018

Registered patients, verified insurance, created estimates.

Worked with financial counselors to ensure pre-service collections.

Resolved insurance verification issues and collaborated with billing.

OrthoCarolina – Patient Financial Services Specialist

Charlotte, NC 2012 – 2013

Verified insurance and obtained authorizations for orthopedic procedures.

Assisted patients with billing inquiries, collections, and payment plans.

Corrected coding issues and escalated unresolved claims.

Coordinated with clinical staff for documentation accuracy.

Fidelis Care – Member Services Representative

New York, NY 2011 – 2012

Provided support to members regarding plan benefits and eligibility.

Processed changes to member accounts and resolved complex coverage issues.

Collaborated with internal departments to handle provider/member concerns.

Cigna Healthcare – Claims Processor / Customer Support

New York, NY 2010 – 2011

Reviewed and adjudicated health insurance claims per policy guidelines.

Resolved billing discrepancies and provider/policyholder inquiries.

Ensured compliance and timely resolution of claims.

Technical Skills

Systems: EPIC, STAR, SSI, MMX, BO Tools

Payers: Medicare, Medicaid, CMO, Commercial

Billing: Inpatient, Outpatient, SPA, Series, Transplant

Tools: Excel, EHR systems, OneContent, Smart Feed

Appeals, Denials, Collections, Authorizations, Patient Estimates

Professional Strengths

Extensive experience in both front-end and back-end revenue cycle operations

Skilled at insurance verification, billing compliance, and claim resolution

Strong leadership and team management in clinical settings

Deep understanding of transplant billing and payer policies

Knowledgeable about hospital-based charity care programs, including WellStar’s Charity Program, assisting uninsured and underinsured patients with financial assistance and program eligibility

Familiar with Medicaid, CMO, and commercial payer structures and guidelines

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