Rachael Ramdehol
@rachaelramdehol
Seasoned healthcare revenue cycle leader optimizing patient access and reimbursement.
United StatesWhat I'm looking for
I am a seasoned healthcare revenue cycle and patient access leader with over 10 years of experience overseeing registration, eligibility verification, prior authorization, and billing across post-acute and outpatient settings. I have led cross-functional teams (onshore and offshore), served as an SME for enterprise front-end RCM across 28 states and 6,000+ care locations, and driven process improvements using automation and PowerBI to optimize KPIs and financial outcomes.
I build and standardize workflows and SOPs, implement RPA and EMR/EHR integrations, and train teams on compliance and quality assurance. I consistently partner with clinical, IT, and revenue departments to reduce denials, improve turnaround times, and present analytical month-end reports that support strategic decision-making.
Experience
Work history, roles, and key accomplishments
Revenue Cycle Front End Manager
Vohra Wound Physicians
Dec 2014 - Present (10 years 10 months)
Led front-end revenue cycle operations across 28 states and 6,000+ care locations, directing a 60+ onshore/offshore team to improve eligibility, prior authorization, and registration processes and drive financial and operational efficiency.
Eligibility and Authorization Lead
Vohra Wound Physicians
Apr 2012 - Dec 2014 (2 years 8 months)
Established the Authorization Department and SOPs, built end-to-end workflows for insurance verification and registration accuracy, and led audits and productivity initiatives to optimize front-end RCM performance.
Eligibility Billing Specialist
Vohra Wound Physicians
Sep 2010 - Apr 2012 (1 year 7 months)
Maintained accurate patient demographics and insurance data in EMR systems and supported clean claims submission through detailed pre-billing quality checks and eligibility confirmations.
Education
Degrees, certifications, and relevant coursework
Fotis College
Certificate, Medical Billing and Coding
Completed Medical Billing and Coding training focusing on billing, coding standards, and claims processes.
UGUniversity of Guyana
Bachelor of Arts, Business Management
Completed undergraduate studies in Business Management leading to a Bachelor of Arts degree.
Computer Technical College
Diploma, Computer Technology
Completed a diploma program in computer technology covering microcomputer systems and technical fundamentals.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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