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Daniel
Healthcare RCM & QA Team Lead with 10+ years in Medical Billing
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Competencies
Supervised billing operations, claim processing, and compliance for multiple hospitals.
Managed QA teams, ensured process accuracy, and implemented improvement initiatives.
Directed teams of agents and QA personnel, coordinating efforts to meet operational goals.
Designed and monitored performance improvement plans and action strategies.
Proficient in Epic EMRs (Mercy, Covenant, Ballad, VCU, Roper), Microsoft 365 Suite, and collaboration tools like Microsoft Teams and Zoom.
Education
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.
Key Achievements
- 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.
- Directed QA activities overseeing 7 QA juniors across 5 hospitals, reducing errors and enhancing process quality.
Experience
RCM Team Lead
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
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...