Implementation Consultant, Back-end Healthcare RCO, Integration Speci

Sarena Pitts Wilmer, AL ***** ************@*****.*** 251-***-****

Professional Summary:

High-impact Revenue Cycle Management leader with 20+ years delivering strong results in Medicare & Workers’ Compensation billing, complex claims resolution, denials management, and enterprise software implementations. Proven expertise driving process improvements, maximizing reimbursement, leading successful system go-lives, and training teams. Seeking remote positions with any percent travel across the Eastern/Central U.S. time zones where analytical, project management, and leadership skills can deliver immediate operational and financial impact. Currently pursuing MBA in Entrepreneurship (expected graduation June 2027).

Professional Development & Career Break - October 2022 – Present

Actively pursuing MBA in Entrepreneurship (expected graduation June 2027) to strengthen strategic leadership and business capabilities • Focused on professional development and staying current with evolving revenue cycle trends, compliance updates, and healthcare technology while preparing for the next career opportunity

Professional Experience:

Implementation Consultant - R1 Revenue Cycle Management, Chicago, IL October 2017 – October 2022

Project Manager & Implementation Consultant - Led full-cycle implementation of complex revenue cycle software across 6 large hospital systems (each containing 25–150 facilities), managing end-to-end projects involving 50–100 associates per facility •Conducted on-site stakeholder engagement with CEOs, Directors, and leadership teams • developed communication plans • built system configurations and coordinated with IT for custom solutions • Delivered comprehensive end-user training to all associates and led daily/weekly operational readiness meetings, achieving high adoption while resolving critical denials and workflow issues using SQL and data analysis • Identified root causes of operational bottlenecks and implemented solutions that strengthened client relationships and improved overall revenue cycle performance

Southeast Regional Manager - R1 Revenue Cycle Management, Chicago, IL – October 2015 – October 2017

(Hybrid Role) ePARS Program Manager, Technical Trainer, Department Communications, IT Liaison

Denials management • New Associate Training • ePARS Technical Training • Reimbursement Optimization • Maintenance, Contract Maintenance, Configuration & Decision Tree Maintenance, System Provisioning, System Administrator, Change Management, Highest Security Clearance.

Team Lead - Billing and Follow-up/Denials Management - Ascension, Providence Hospital, Mobile, AL Jan 2001 – October 2015

Processed, audited, and aggressively appealed high-volume Medicare & Medicaid claims, ensuring precise coding and full billing regulatory compliance while consistently maximizing reimbursement rates • denials management • relationship w insurance providers • Expertly managed 200+ Workers’ Compensation claims simultaneously — including high-value, complex, and catastrophic cases — negotiating favorable settlements and resolving issues efficiently • Drove key process improvements including denials mitigation and audited/revised 60 SOPs • trained new staff on Epic, SSI, ePARS, Meditech, and other EHR systems while fostering strong cross-functional collaboration with clinical and coding teams to reduce errors and accelerate revenue capture

Financial Consultant – Accounts, Investments, Loans, L&D Insurance - Compass Bank, Mobile, AL August 1996 – Dec 2000

Successfully managed high-volume, high-value customer base for all banking needs • installment & mortgage loan pipeline from application through closing with outstanding accuracy, regulatory compliance, and superior customer service • Conducted thorough financial analysis and delivered personalized investment recommendations that supported client financial goals • Insurance License, Series 6 License

Education:

Masters Business Administration, Entrepreneurship (Candidate) Colorado Technical University, Graduation: 06/2027

Bachelor of Arts, Corporate Public Communication University of Mobile, Mobile, AL — Graduated 1995 Dean's List 3.8 GPA

Skills:

Revenue Cycle Management • Medicare Billing & Compliance • Workers’ Compensation Claims • Denials Management & Mitigation • Project Management • Project Implementation & Go-Live • Process Optimization • SQL • Power BI • Epic • SSI • ePARS • Meditech • Training & Change Management • Microsoft Office Suite • Client Relations • Leadership • Analytics

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