Revenue Integrity Specialist - Healthcare Billing Expert

AMY WORTHINGTON

Revenue Integrity Specialist

Dedicated Healthcare Revenue Integrity Specialist with extensive experience in revenue cycle management and insurance verification. Over 5 years of experience in identifying workflow inefficiencies, implementing process improvements, and enhancing reimbursement timelines across various healthcare settings. Known for developing innovative verification models that reduce rework and improve operational efficiency. With a strong focus on cross- functional collaboration, can significantly contribute to optimizing revenue processes and ensuring compliance in a dynamic healthcare environment.

WORK EXPERIENCE

Revenue cycle Specialist

Newport Healthcare

Oversee high-volume insurance verification workflows across primary and secondary coverage scenarios in a regulated healthcare environment.

Proactively identify recurring intake and documentation gaps that impact downstream billing and reimbursement timelines.

Evaluate patterns in returned or incomplete verifications and present insights to support quality improvement and workflow standardization efforts.

Independently devised and proposed a tiered pre-verification workflow model designed to reduce rework and enhance scalability.

Collaborate cross-functionally with admissions, billing, and operational leadership to resolve discrepancies and improve interdepartmental handoffs.

Contribute to discussions focused on reporting optimization and AI-assisted workflow enhancements. Patient Intake & Verification Coordinator

Health Atlas

Costa Mesa

Self-educated in insurance verification and benefits analysis to support chiropractic, acupuncture, and massage therapy services.

Cultivated foundational VOB expertise independently, covering eligibility, benefits, authorization requirements, COB, and payer-specific regulations.

Advanced responsibilities to encompass claims reconciliation, front-desk operations, scheduling, and patient intake coordination.

Reconciled claims and payment discrepancies, diagnosing trends that affect reimbursement timelines and cash flow.

Identified inefficiencies in paper-based workflows and advocated for the adoption of digital intake, documentation, and verification processes.

Coordinated across providers, payers, and internal staff to resolve claim issues and minimize delays in reimbursement.

Developed a strong end-to-end understanding of patient access, clinical intake, and billing workflows in a manual operating environment.

***.***********@*****************.*** Costa Mesa, 92626, United States 949-***-****

https://www.linkedin.com/in/amy-worthington-316b82a7 Lead Sales Associate

Retail Organization

Costa Mesa

Acknowledged as a top-performing sales associate within the district, based on revenue performance and conversion metrics.

Continuously surpassed individual sales targets while contributing to overall store growth. Trained and mentored team members to bolster sales performance and customer engagement. Supported leadership initiatives aimed at elevating average transaction value and enhancing repeat customer retention.

HR Coordinator (Operations & Process Development)

Regulated Agriculture Organization

Promoted internally from the production floor to an HR coordination and operations support role during a period of rapid growth.

Coordinated and project-managed workforce scaling from approximately 8 to 30+ employees, supporting operations that generated $200K–$1M per grow cycle. Engineered and implemented new processes and SOPs across departments to boost operational efficiency and compliance.

Planned and organized hiring events; screened candidates and standardized recruitment and onboarding workflows.

Reconciled over $700K in financial activity over time through structured audits and corrective process improvements.

Partnered with leadership to establish documentation standards, reporting workflows, and operational accountability structures.

Enhanced production timelines by introducing clearer role delineation and structured tracking methods. EDUCATION

Google Project Management Certificate

HubSpot Content Marketing Certification

Certificate

2007 – 2009

Medical Assistant / X-Ray Technician

SKILLS

Project Coordination & Operational

Support

Workflow Optimization & Process

Mapping

Risk Identification & Quality Control

Revenue Cycle & Claims

Reconciliation

Change Support & Process

Improvement

Multi-System Workflow Navigation

Lightning Step Salesforce Waystar Clearinghouse

IntakeQ Insurance Portals Internal Contract & Credentialing Hubs

Microsoft Excel Google Sheets SOP Documentation

Cross-Functional Communication

CERTIFICATES

Google Project Management Certificate

Google

HubSpot Content Marketing Certification

HubSpot

2025

Medical Assistant / X-Ray Technician Certificate

2009

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