Revenue Cycle Management Expert

René N. McLaurin, BS

Houston, TX *****

*******@*****.*** 504-***-**** www.linkedin.com/in/renenmclaurin

PROFESSIONAL SUMMARY

Revenue Cycle Management Expert with over a decade of experience in optimizing collections and billing processes across diverse healthcare environments. Demonstrates a visionary approach in enhancing revenue cycle efficiency through innovative audits and strategic denial prevention, resulting in increased collection rates and reduced errors. Committed to leveraging extensive supervisory skills and operational insight to lead comprehensive RCM functions and drive financial performance improvements. Skilled in managing compliance, staff training, and payer relations while driving measurable improvements in collection rates, error reduction, and workflow efficiency.

EDUCATION

Bachelor of Science in Healthcare Administration

Southern New Hampshire University • August 2025

Member of National Society of Leadership & Success

Honor Roll, President’s List

Related Coursework: Healthcare Reimbursement, Healthcare Quality Management, Ethical & Legal Considerations, Epidemiology of Aging, Research & Evaluation, Strategic Management & Policy, Business Systems Analysis

PROFESSIONAL QUALIFICATIONS

Claim Billing & Collections - Denial Resolution - HCFA 1500/ UB-04 Claim Forms - ICD-9 & ICD-10 Coding - Appeal Writing - Conflict Resolution - Revenue Cycle Analysis - HCPCS/ CPT 4 Coding - Onboarding - Excel - Authorization Processing - Payment Posting - Insurance Verification & Discovery - KPI Generation - HIPAA Compliance - Contract Review & Maintenance - Team Training - Team Development - Team Building - EFT/ERA Management - Single Case Agreements - Negotiations - Credit & Refund Management - Third Party Service Management - Workers Compensation - TDI/IDR Process Management - Cross Collaboration & Training

PROFESSIONAL EXPERIENCE

RCM Supervisor, Collections & Denials

Baxter International (Cardiology) - Houston, TX April 2023 - Present

Spearheaded initiatives to improve collections team efficiency by integrating advanced coding tools and overseeing comprehensive medical records processing and denial management.

Utilized denial management software to efficiently track and process incoming cash and claims denials, enhancing collections effectiveness.

Analyzed and addressed billing discrepancies through detailed audits, leading to a 20% increase in collection rates and consistent achievement of monthly targets.

Maintain productivity and effectiveness while setting goals and performing necessary corrective actions.

Handle escalated collections issues such as write-off adjustment requests and process refunds/credits.

Managed employee work hours, PTO, and payroll, ensuring compliance and accurate payment.

RCM Supervisor, Collections

Altus Community Health (Freestanding ER) - Houston, TX June 2022 - February 2023

Directed collections operations and led a team of 10 employees, optimizing claims processing efficiency using Revenue Cycle Management software tools.

Comprehensive audits initiated to identify and correct coding inconsistencies, leading to a 15% decrease in collection errors.

Processed claims denial reports and distributed work to employees, resulting in accurate reimbursement.

Analyzed and addressed billing discrepancies through detailed audits, leading to a 10% increase in collection rates and consistent achievement of monthly targets.

Collaborated with insurance companies to appeal claim denials, resulting in increased revenue.

Performed training of new collection specialists, ensuring smooth onboarding and adherence to collection processes.

RCM Supervisor, Commercial Collections

Kindred Healthcare (LTACH) - Houston, TX April 2021 - June 2022

Managed patient accounts, including billing inquiries, and insurance verification.

Processed month-end close for several facilities and maintained documentation.

Verified insurance coverage and resolved discrepancies, ensuring accurate billing and timely payment.

Collaborated with internal departments to resolve billing and insurance-related issues, resulting in improved efficiency.

Supervise charge posting, billing, credits/refunds and collections teams ensuring compliance with policies and procedures.

Perform assessments on outstanding accounts to research and document trends to assist the managed care contracting team with negotiations and to improve collection efforts.

Intake Specialist (PAR III)

Memorial Hermann Health System (DME) - Houston, TX March 2019 - April 2021

Promoted from Delivery Confirmation Representative – 03/2019 – 04/2020

Efficiently process patient charts to qualify them for DME services.

Handle insurance verification and service authorization, collect patient payments, and bill claims promptly to ensure timely payment.

Create and manage sales orders for shipping and delivery.

Ensure accurate ICD 10/HCPCS coding and process claims for HCFA 1500 billing for Medicare, Medicaid, Commercial, and Managed Care insurance plans.

Process paper orders performed data entry and billed claims for payment.

Patient Access / Registration ED Dept

West Jefferson Medical Center Emergency Room - Marrero, LA October 2017 – February 2019

Obtained and verified accurate demographical data; Verified insurance eligibility and benefits

Completed paperwork to authorize admissions of patients from the emergency room

Collected copays, coinsurance, and deductibles; Processed both admitted and discharged patients

Authorization / Billing Specialist (PAS I)

Ochsner Health System (DME) - New Orleans, LA February 2018 - February 2019

Performs chart audits to confirm medical necessity, handle billing inquiries, analyze payments for proper collections, and train team members on authorization and billing processes.

Coordinate the creation and implementation of standard procedures to enhance billing efficiency and accuracy.

Handles inbound billing calls and performs billing analysis for accurate collections.

Served as a LEAN TEAM member; developed standard procedures for billing and authorizations.

Billing Coordinator

West Jefferson Healthcare Center (SNF) - Harvey, LA April 2017 - January 2018

Manages the billing process for skilled nursing facility services, ensuring accurate and timely submission of claims.

Review patient accounts for accuracy, coordinate with insurance companies, and maintain compliance with billing regulations.

Maintained daily facility census; conducted daily huddles.

Managed resident financial records, trust funds, and administered daily cash transactions.

Handled month-end close responsibilities, prepared financial reports, and billed all claims.

Posted payments to accounts; corrected and rebilled denied or underpaid claims.

Finance Team Lead

Diabetes Management & Supplies (DME) - New Orleans, LA March 2016 – April 2017

Promoted from AR Collections Specialist – 03/2016 – 07/2016

Complete assessment and development of the collection team members.

Process the A/R follow-up, credits report, and secondary billing reports weekly.

Verify insurance eligibility and benefits; submit authorization requests when needed.

Process billing, audit lines for accuracy, and transmit claims while verifying proper use of ICD 9 and HCPCS codes.

Collaborate with the Managed Care Coordinator regarding claims processing and pricing issues.

Revenue Cycle Specialist

LPS Toxicology Laboratories, LLC - Metairie, LA April 2014 – August 2015

Ensure proper ICD 9 and HCPCS coding was used during billing with the correct modifiers.

Bill claims daily, worked rejection reports, printed and mailed paper claims; Posted payments.

Resolve outstanding A/R accounts, denied and underpaid claims.

Obtain approvals for 1010 request forms for worker’s compensation patients.

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