Daniel - Healthcare RCM & QA Team Lead with 10+ years in Medical Billing

Medellín, Antioquia, Colombiaen

Led a team of 20 agents across 4 hospitals, improving billing process accuracy and compliance.

Managed billing workflows ensuring claims were processed efficiently and accurately in a multi-hospital environment.

Published on CazVidVideo interview available

Summary

Professional with over 10 years of experience leading billing and quality assurance teams within hospital settings. Skilled in process management, team coordination, and using EMRs and collaboration platforms to enhance healthcare administration.

Video Resume

Key Achievements

Directed QA activities overseeing 7 QA juniors across 5 hospitals, reducing errors and enhancing process quality.

Skills

Medical Billing & RCMAvanzado

Supervised billing operations, claim processing, and compliance for multiple hospitals.

Quality AssuranceAvanzado

Managed QA teams, ensured process accuracy, and implemented improvement initiatives.

Leadership & Team ManagementExperto

Directed teams of agents and QA personnel, coordinating efforts to meet operational goals.

Process ImprovementIntermedio

Designed and monitored performance improvement plans and action strategies.

Technical SkillsAvanzado

Proficient in Epic EMRs (Mercy, Covenant, Ballad, VCU, Roper), Microsoft 365 Suite, and collaboration tools like Microsoft Teams and Zoom.

Experience

RCM Team Lead

Health Prime

Jan 2025 - Currently

Leading 4 hospitals and a team of 20 agents, focusing on billing operations, process accuracy, and compliance with client expectations., Supervising billing workflows to ensure claims are processed efficiently and accurately., Maintaining updated and accurate inventory reports to track claim...

Quality Assurance Analyst Core

Health Prime

Aug 2024 - Dec 2024

Managed 7 QA Juniors and oversaw 5 hospitals (Mercy, Bon Secours, Ballad, VCU, and Roper)., Ensured billing processes were executed accurately, verifying all steps taken by agents to resolve 277 rejections and claim edits., Provided support to operations and QA teams., Generated and interpreted...