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Swaphia Dorns

@swaphiadorns

Healthcare operations and revenue cycle consultant at Evolve Behavioral Health Consulting who improved timely reimbursement by 17%.

United States
Message

At Evolve Behavioral Health Consulting, I managed end-to-end revenue cycle operations for behavioral health and human services organizations, from eligibility and claims through reimbursement and financial reconciliation.

I analyzed accounts receivable and reimbursement activity, conducted revenue cycle and compliance audits, and implemented workflow changes to address recurring denials. My work contributed to a 17% improvement in timely reimbursement.

At Children of Promise, I oversaw daily practice and revenue cycle operations, including patient registration, insurance verification, billing, and reimbursement follow-up. I also monitored Medicare, Medicaid, Managed Care, and commercial reimbursement activity.

Earlier, at Flushing Hospital Medical Center, I coordinated unit admissions and documentation for Mother & Baby / Labor & Delivery. I hold an MBA in Health Services & Risk Management and have experience across healthcare, behavioral health, human services, nonprofit, and consulting environments.

Experience

Work history, roles, and key accomplishments

EC

Revenue Cycle Analyst & Consultant

Evolve Behavioral Health Consulting

Jan 2021 - Jul 2026 (5 years 6 months)

Managed end-to-end revenue cycle operations across behavioral health and human services organizations, including eligibility, claims, reimbursement, accounts receivable, denials, appeals, payment posting, and financial reconciliation. Advised leadership on reimbursement, compliance, financial discrepancies, and operational workflows to improve efficiency and revenue performance.

CP

Practice Manager

Children of Promise

Nov 2019 - Jun 2021 (1 year 7 months)

Oversaw daily practice and revenue cycle operations, coordinating administrative workflows, patient services, financial operations, and clinical support functions. Managed patient registration, insurance verification, billing, accounts receivable, payment posting, reimbursement follow-up, and financial reporting.

FC

Unit Clerk - Mother & Baby / Labor & Delivery

Flushing Hospital Medical Center

Mar 2011 - Apr 2014 (3 years 1 month)

Coordinated admissions, transfers, discharges, patient census activity, clinical documentation, and administrative workflows within a fast-paced hospital environment. Maintained accurate patient records and supported documentation integrity, HIPAA compliance, and communication among physicians, nursing, ancillary departments, and administrative teams.

Education

Degrees, certifications, and relevant coursework

MY

Metropolitan College of New York

Master of Business Administration, Health Services and Risk Management

MBA in Health Services and Risk Management from Metropolitan College of New York, completed in January 2023.

BC

Berkeley College

Bachelor of Business Administration, Health Services Management

Bachelor of Business Administration in Health Services Management from Berkeley College, completed in April 2020.

BC

Berkeley College

Associate of Applied Science, Health Services Administration

Associate of Applied Science in Health Services Administration from Berkeley College, completed in January 2018.

Tech stack

Software and tools used professionally

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