RCM/ implementation supervisor

PATRICIA SERLUCO

Manor Park, NY 631-***-**** *************@*****.***

Professional Summary

Results-driven healthcare operations professional with over two decades of experience specializing in Revenue Cycle Management (RCM), billing operations, and front-end revenue cycle workflows within multi-specialty and oncology environments. Extensive hands-on expertise in eligibility, credentialing, compliance, reimbursement accuracy, and denial resolution. Recognized escalation resource with proven ability to train and mentor billing staff, including individuals new to healthcare, to rapid proficiency and high performance. Core Competencies

Revenue Cycle Management (RCM), Healthcare Billing Operations, Oncology & Hematology Billing, Charge Auditing, Coding Accuracy Validation (ICD-10, CPT, HCPCS), Denial Prevention & Resolution, Prior Authorization & Eligibility, Payer Policy & Compliance Review, Credentialing & Provider Enrollment, Staff Training & Mentorship, Implementation Support & Data Migration, Workflow Optimization, Cross-Functional Collaboration, Google Workspace (Docs, Sheets), Workday

Systems & Applications

ONCOemr (Super User) Unlimited Systems (ULS/Centricity) (Advanced) Epic (user-level), eClinicalWorks (eCW) (user-level) UroChart, Candid Platform (user-level experience; provided workflow feedback and enhancement recommendations), Workday Professional Experience

NY Cancer and Blood Specialist, a division of OneOncology– Ridge, NY. RCM Insurance & Billing Specialist (Advanced Role) April 2019 – January 2026 Audit and post charges to ensure accurate coding and compliant billing practices across oncology and multispecialty services. Resolve complex claims and denials through in-depth payer policy review, root cause analysis, and corrective action implementation. Maintain credentialing and provider enrollment across payer portals to support uninterrupted reimbursement. Serve as a trusted escalation point for billing staff, providers, and leadership on complex reimbursement and payer issues. Train and onboard new billing staff, including individuals with no prior medical billing or healthcare experience. Mentor newly trained staff to full productivity and high performance within approximately three months.

Implementation Specialist January 2023 – November 2024 Role concluded following organizational restructuring and dissolution of the implementation team.

Served as a subject matter expert for revenue cycle, billing workflows, and EMR operations during mergers and acquisitions onboarding.

Led EMR setup, data migration validation, and workflow configuration to ensure billing accuracy and operational continuity across newly acquired practices. Conducted on-site and remote site visits to assess existing workflows, identify gaps, and align practices with standardized operational and billing processes. Trained clinical, front-office, and billing staff on system use, standardized workflows, and revenue cycle best practices to ensure successful adoption. Validated staff core competencies post-training, providing targeted remediation and follow- up support to ensure readiness and compliance.

Acted as the primary escalation resource during go-live periods, resolving system, workflow, and billing issues in real time.

Partnered closely with leadership, IT, and operations teams to support practice transitions, ensure EMR stability, and maintain revenue integrity post-implementation Northwell General Pediatrics – Islandia, NY

Referral Coordinator October 2017 – March 2019

Managed referrals, prior authorizations, insurance verification, and payer communications. Education & Professional Development

Bachelor of Science in Healthcare Administration — In Progress, Capella University AAPC Coding Program (CPC) — In Progress Fundamentals of medicine- current refresher course in progress

GED — William Floyd High School

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