Practice Manager, Revenue cycle management

Asma Dalal

Manchester, CT 860-***-**** *********@*****.***

Workflow Optimization Healthcare Systems Analysis REVENUE CYCLE & FINANCIAL OPERATIONS SKILLS

Insurance Authorizations & Eligibility Insurance Verification Appeals Root-Cause Analysis Work Queue Management EPIC Workflows Denial Code Interpretation Payer Communication Reporting CORA Auditing ICD-9/CPT Coding PROFESSIONAL SUMMARY

Healthcare operations professional with 10+ years of experience supporting revenue-impacting workflows, including denials resolution, insurance authorizations and claims optimization. Applies strong systems thinking, collaboration, and a continuous improvement mindset to ensure work moves efficiently while long-term solutions are built. VALUED CONTRIBUTIONS

• Go-to resource for resolving complex insurance, denial, and workflow issues.

• Known for calm, structured problem-solving approach that isolates root causes rather than addressing symptoms.

• Identifies patterns in denials and workflow breakdowns and translates findings into clearer processes and training. WORK HISTORY

Practice Manager Revenue Cycle Operations Focus HHCMG Urogynecology 04/2024 – Present Lead operational and revenue-impact workflows across insurance, denials, claims resolution, and reporting functions within a specialty care practice.

Key Achievements

• Reduced repeat denials and improved reimbursement accuracy by leading denial analysis and insurance follow-up for complex claims, identifying root causes and implementing upstream corrections.

• Reduced departmental denial rates by 5% by strengthening prior authorization processes, improving referral capture, and correcting coverage discrepancies before claim submission.

• Designed and implemented targeted workflow and training initiatives that increased staff productivity by 25% and improved consistency in authorization and queue management processes. Core Responsibilities

• Support corrected claims and appeals by collaborating with billing and coding teams to align CPT/ICD codes, authorization data, and documentation with payer requirements.

• Manage EPIC revenue-impact work queues (authorizations, claim edits, registration errors, follow-up), optimizing routing and workflow performance while preventing backlogs.

• Generate operational and financial performance reports using EPIC, Cube, and Tableau to identify denial trends, revenue leakage, and workflow bottlenecks for leadership decision-making.

• Conduct CORA-related auditing and data review to support compliance, reporting accuracy, and improve revenue cycle.

• Implement process improvements, tip sheets, and system guidance that reduced repeat errors and supported faster claim resolution and reimbursement.

• Resolve patient inquiries and concerns in a timely and professional manner, supporting positive patient experience.

• Identify opportunities and take action to build strategic relationships between departments to achieve departmental goals.

• Develop marketing initiatives designed to increase patient volume while maintaining quality-of-care standards.

• Evaluate healthcare delivery processes and recommend improvements to enhance operational effectiveness. Revenue Integrity Improvement Initiative Hartford Hospital 06/2025 –09/2025 Labor & Delivery Registration Workflow

Spearheaded a cross-departmental revenue integrity initiative correcting maternal/newborn registration and work queue breakdowns that were driving claim denials, billing rework, and delayed reimbursement.

• Reduced registration-related denials and errors, eliminated work queue backlogs, and achieved zero pending cases within three months.

• Identified systemic account linkage and insurance assignment errors by analyzing denial trends, registration data, and workflow patterns.

• Improved claim turnaround time and billing accuracy across affected departments.

• Impact recognized by leadership with an “Exceptional Performance Rating” for measurable improvement in workflow performance and revenue integrity.

Asma Dalal

Manchester, CT 860-***-**** *********@*****.*** WORK HISTORY CONTINUED

• Designed and implemented standardized registration procedures, tip sheets, patient information forms, and staff training to improve first-time data accuracy.

• Established weekly audits and monitoring processes to sustain improvements and prevent recurrence. Office Manager HHCMG Urogynecology Hartford, CT 04/2022– 04/2024

• Oversaw patient access workflows, insurance verification, authorizations, and referral coordination to support accurate billing and reimbursement.

• Corrected patient and insurance information, including subscriber and coverage details, reducing errors and denials.

• Standardized documentation and front-end processes, improving accuracy and reducing downstream billing rework. Medical Assistant/Office Administration HHCMG Specialty Hartford, CT 03/2018 – 04/2022

• Managed insurance authorizations for imaging, medications, and procedures, ensuring services were approved prior to care.

• Supported patient registration and insurance verification processes, improving documentation accuracy and preventing claim delays.

Patient Administrative Assistant Hartford Hospital Hartford, CT 03/2015 – 03/2018

• Coordinated patient registration and insurance verification, ensuring accurate demographic and coverage information to support clean claims.

• Identified and corrected registration and insurance discrepancies that could impact billing and reimbursement. Medical Assistant Greater Hartford Women’s Health West Hartford, CT 08/2012 – 03/2015

• Assisted with patient intake, insurance coordination, and documentation accuracy to support efficient billing and reimbursement processes.

EDUCATION

Master of Business Administration (MBA) – Eastern University – Expected Dec 2026 Bachelor of Business Administration, Management of Technology – Charter Oak State College Diploma in Medical Assisting – Goodwin College

Bachelor of Commerce, Business Accounting – A.V. Patel Commerce College

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