RM

Open to opportunities

Rudy Mercado

@rudymercado

Licensed Optician and Optical Manager specializing in insurance claims and revenue cycle data.

What I'm looking for

I’m seeking a remote Revenue Cycle Data Specialist role to use my deep insurance expertise, licensure credentials, and data management skills—driving accurate claims, compliant workflows, and clean revenue cycle reporting in a fast-paced healthcare environment.

I’m a detail-oriented Licensed Optician and healthcare operations professional with 10 years in the optical industry, including 6 years in management. California-licensed since 2020, I’m known for accuracy-first insurance claim processing, reconciliation, and compliant documentation across complex workflows.

In my current role as an Optical Manager, I oversee optical department operations—driving data entry, insurance verification, and claim submission for VSP, EyeMed, MetLife, Davis Vision, and IEHP. I audit patient records and billing data in EHR/practice management software, monitor revenue cycle metrics like denials and resubmissions, and ensure HIPAA compliance and practice data governance.

Previously at LensCrafters, I handled high-volume vision insurance claims while maintaining data integrity, reconciling daily financial and insurance reports, and correcting discrepancies. I also supervised lab operations, coordinated scheduling with workforce tools, trained teams on insurance processing standards, and supported inventory data management—work that’s shaped my focus on dependable revenue cycle data and workflow optimization.

Experience

Work history, roles, and key accomplishments

BE

Current

Optical Manager

Current

Bel Villaggio Family Eyecare

Jan 2024 - Present (2 years 4 months)

Oversee optical department operations, including insurance verification, claim submission, and maintaining accurate patient and billing records across VSP, EyeMed, MetLife, Davis Vision, and IEHP. Audit revenue cycle data, manage denials and payment reconciliation, and train staff while ensuring HIPAA compliance and data governance.

Vision Insurance Processing Denial Management HIPAA compliance Revenue Cycle Management Workflow Optimization

ER

Current

Restaurant Server

Current

Emilio's Restaurant

Jan 2011 - Present (15 years 4 months)

Maintained accurate records of transactions, orders, and billing in a high-volume restaurant environment. Focused on data accuracy and multitasking to manage competing priorities efficiently.

Order And Billing Accuracy High Volume Management Multitasking Organizational Skills

LE

Licensed Lab Manager

LensCrafters

Jan 2016 - Jan 2024 (8 years)

Processed high-volume vision insurance claims and managed billing data using practice management systems while ensuring data integrity. Reconciled daily financial and insurance reports, coordinated lab operations and scheduling, trained staff on insurance verification and compliance, and maintained inventory data for optical supplies.

Billing Management Data Auditing Denial Management Practice Management Systems HIPAA compliance Staff Training

Education

Degrees, certifications, and relevant coursework

HD

High School Diploma

High School Diploma, General Studies

Earned a High School Diploma in Hemet, California.

Tech stack

Software and tools used professionally

Remote

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