ROCHELLE GLOVER

Led full-spectrum revenue cycle operations, from pre-registration to collections, ensuring financial integrity and maximizing revenue. Successfully negotiated payer contracts and maintained comprehensive financial records, including charge master data.

Analyzed extensive claim and remittance data using SQL and advanced modeling tools to identify financial opportunities. Identified critical trends, underpayments, and retraction risks, leading to optimized reimbursement and reduced financial exposure.

Established and optimized comprehensive business office workflows for a startup behavioral hospital, ensuring efficient operations. Managed critical financial functions including census reporting, financial counseling, billing, and Accounts Receivable (AR) follow-up.

Assessed and optimized insurance operations through comprehensive audits and analytical reviews. Streamlined workflows, significantly enhanced customer service, and improved overall team productivity.

Supervised billing and Accounts Receivable (AR) teams, resolving complex patient issues efficiently. Oversaw claims submission, processing, collections, and comprehensive denial management.

Managed Medicare/Medicaid accounts and led a team, ensuring efficient processing and resolution of related financial matters. Provided guidance and support to team members.

Provided financial services to patients, assisting with billing inquiries and payment arrangements. Ensured accurate and timely processing of patient accounts.

Handled insurance claims and related inquiries, ensuring proper submission and follow-up. Assisted patients with insurance-related questions and issues.

Pursued an Associate's Degree, gaining knowledge in relevant fields to support professional development.

Completed high school education, building foundational knowledge and skills.