Senior Reimbursement & AR Optimization Specialist

Sharron M. Foster

Senior Reimbursement Specialist Revenue Cycle Operations Denials & AR Optimization Dallas-Fort Worth, TX

469-***-**** Mobile

************@******.***

https://www.linkedin.com/in/sharron-foster-95ba91402/ Profile

Experienced Revenue Cycle professional with 12+ years of expertise in medical reimbursement, insurance follow- up, accounts receivable, and denial resolution. Proven ability to resolve denied and outstanding claims, interpret EOBs, and support timely collection of outstanding balances across commercial, Medicare, and Medicaid payors. Skilled in insurance billing, reimbursement research, account resolution, and payor communication to support efficient revenue cycle operations and improve cash flow. Recognized for strong productivity, accuracy, and the ability to manage high-volume workloads in fast-paced healthcare environments. Core Capabilities

Revenue Cycle Management (RCM)

Medical Reimbursement & Collections

Insurance Follow-Up & Account Resolution

Denial Management & Appeals

Accounts Receivable (AR) Management

EOB Interpretation & Claims Investigation

Payor Relations & Communication

Aging Report Review & Follow-Up

Insurance Verification & Benefits Analysis

Billing (Commercial, Medicare, Medicaid)

Medical Claims Processing

Reimbursement Research & Resolution

EMR / Medical Billing Systems

Professional Experience

Mar 2016 – Present

Schumacher Clinical Partners – Dallas, TX

Senior Reimbursement & AR Specialist

- Manage a high-volume AR portfolio, reviewing 50–75+ accounts daily to prioritize claims, perform insurance follow-up, and support timely collection of outstanding balances

- Resolve denied, delayed, and underpaid claims through direct payor follow-up, reimbursement research, and escalation efforts

- Interpret Explanation of Benefits (EOBs) and insurance remits to investigate claim outcomes and determine appropriate follow-up actions

- Analyze payor-specific aging reports to identify reimbursement delays, denial trends, and outstanding balances impacting cash flow

- Conduct insurance follow-up and communicate with payors, patients, and internal departments to obtain information required for claims processing and reimbursement resolution

- Provide clerical and insurance follow-up support to assist with the expedient collection of outstanding balances, including documenting account activity, responding to correspondence requests, and coordinating information for claims resolution

- Document account actions, claim status updates, and reimbursement activity to maintain accurate account records and support effective follow-up efforts

- Verify insurance eligibility, benefits, and authorization requirements to reduce claim rejections and payment delays

- Develop denial and rejection trend reports used to support reimbursement performance and improve claim resolution workflows

- Collaborate with internal teams to address reimbursement issues, resolve account discrepancies, and support efficient revenue cycle operations

- Consistently meet or exceed productivity and accuracy benchmarks in a fast-paced, high-volume environment

Sharron Foster, Page 2

Mar 2014 – Mar 2016

Walgreens Infusion and Respiratory Services – Irving, TX Reimbursement Specialist II

- Managed billing, insurance follow-up, and reimbursement activities for infusion therapy claims across commercial, Medicare, and Medicaid payors

- Resolved denied, delayed, and underpaid claims through detailed account review, payor communication, and second-level appeal submissions

- Reviewed EOBs, remits, and account balances to identify reimbursement discrepancies and support timely collection of outstanding balances

- Processed payment adjustments, overpayments, refunds, and account corrections while maintaining accurate billing records and account documentation

- Communicated with insurance carriers, patients, and internal departments to obtain information required for claims processing and reimbursement resolution

- Analyzed reimbursement outcomes and recurring denial trends to support improved claim resolution and follow-up efforts

- Supported billing and collections workflow initiatives to improve team productivity, account accuracy, and reimbursement efficiency

Earlier Revenue Cycle Experience

HMS Healthcare Coventry Magellan Behavioral Health

- Processed insurance claims and performed follow-up with commercial and government payors to resolve denied, delayed, and outstanding balances

- Reviewed EOBs, remits, CPT, and ICD coding to investigate claim discrepancies and support accurate reimbursement outcomes

- Submitted appeals and coordinated with payors, providers, patients, and internal departments to obtain information required for claims processing and account resolution

- Maintained accurate account documentation and updated claim activity to support timely follow-up and reimbursement efforts

- Assisted with insurance billing, collections, and reimbursement activities while ensuring compliance with payor requirements and medical billing guidelines

Systems & Technical Skills

- EHR / Billing Systems: Epic, Allscripts, Athenahealth, NextGen, Centricity, IDX

- RCM & Payor Tools: Availity, NaviNet, OnBase, Care10, BR4, PowerTrack

- Coding Systems: ICD-9, ICD-10, CPT, SNOMED CT

- Financial & Data Tools: Microsoft Excel, PeopleSoft, AS400 Education & Certifications

General Studies, El Centro Community College – Dallas, TX

Contact this candidate