Randesha Dennis
@randeshadennis
Results-driven Revenue Cycle Leader with over 15 years of experience.
What I'm looking for
I am a results-driven Revenue Cycle Leader with over 15 years of experience in healthcare financial operations, specializing in home infusion billing and reimbursement management. My expertise lies in billing optimization, claims processing, denial management, and payer contract negotiation. I am adept at leveraging data analytics to drive cash flow improvement, reduce days sales outstanding (DSO), and minimize bad debt losses.
In my current role as Director of Revenue Cycle Management at Patient Care America, I oversee home infusion billing and collections, ensuring compliance with federal, state, and local regulations. I lead billing and reimbursement activities, optimizing claims submission processes to increase clean claim rates and reduce denials. My collaborative approach with finance, IT, and compliance teams has led to the development of standard operating procedures and technology-driven solutions that enhance operational efficiency and financial performance.
Passionate about staff training and process automation, I have successfully mentored billing specialists, ensuring adherence to industry best practices. I am committed to implementing innovative strategies that not only enhance operational efficiency but also contribute to the overall financial health of the organization.
Experience
Work history, roles, and key accomplishments
Director of Revenue Cycle Management
Patient Care America
Feb 2015 - Present (10 years 5 months)
Oversee home infusion billing and collections for various payers, ensuring compliance with regulations. Lead billing activities, optimize claims submission, analyze payer trends, and manage contract negotiations. Collaborate with cross-functional teams to implement technology-driven solutions and train billing specialists.
Lead Billing Specialist
Atlantic Pharmacy and Compounding
Oct 2013 - Feb 2014 (4 months)
Managed billing operations for home infusion and specialty pharmacy services. Conducted claim error analysis and denial resolution, developed billing SOPs, and provided staff training on payer policies and revenue cycle compliance.
Pharmacy Technician & Revenue Cycle Specialist
Various Healthcare Companies
May 2006 - Sep 2013 (7 years 4 months)
Processed insurance claims, conducted eligibility verifications, and performed reimbursement audits. Assisted in denial management and gained experience in electronic remittance advice and clearinghouse management.
Education
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