Experience spanning senior RCM management, product strategy and billing department operations—focused on reimbursement, people and process performance.
Selected positions at Mako Medical Laboratories, with earlier relevant roles included to show progression.
Lead process improvements and RCM system rules; develop denial resolution strategies and performance reporting; analyze staffing needs; support new-client profitability evaluation, billing onboarding and LIS-to-billing reconciliation. Provide strategic guidance and mentorship across RCM operations.
Directed revenue cycle configuration, system automation and vendor initiatives; analyzed workqueues, denial trends and payer reimbursement; maintained fee schedules, coding and medical-necessity rules; communicated policy-related financial implications.
Oversaw billing operations for approximately 100 internal and third-party team members. Directed reimbursement goals, A/R performance, productivity and quality oversight, while improving front-end rejections, denials, payment posting and collections workflows.
Managed a five-person front-end billing team, implemented edits aimed at preventing rejections, and coordinated payer credentialing across 20 states.
Maintained RCM processing rules and ICD-10 coverage policies, resolved medical-necessity denials, and educated internal teams on payer coding guidelines.
Supported billing activity, transaction posting, coding compliance and reimbursement performance.