Looking for a job

Sylvester Ethon Fernandez

@sylvesterethonfernan

Senior medical billing and revenue cycle automation specialist improving reimbursements and reducing denials through workflow automation.

India

Message

What I'm looking for

I’m looking for a role where I can automate RCM workflows with Power Automate and UiPath, build Power BI dashboards, and collaborate cross-functionally to cut denials, speed up A/R, and improve reimbursement outcomes.

I bring 13+ years of medical billing and revenue cycle experience, specializing in Accounts Receivable, denial management, appeals, payment posting, and Medicare/commercial healthcare operations. I focus on measurable outcomes—improving reimbursement and operational efficiency while strengthening claim quality and follow-up accuracy.

Over 5 years, I’ve driven revenue cycle automation by partnering with development teams to automate manual billing processes using Microsoft Power Automate, UiPath, and Power BI. I’ve reduced days in A/R from 95 to 45, lowered denial rates from 18% to 10%, and increased clean claim rates from 75% to 88%, while building executive dashboards and implementing automation for ERA posting, appeals, eligibility, authorizations, and hospice billing.

Experience

Work history, roles, and key accomplishments

Medical Billing & RCM Specialist

Restore First Health

May 2025 - Jun 2026 (1 year 1 month)

Improved days in A/R from 95 to 45 and reduced denial rates from 18% to 10% while increasing clean claim rates from 75% to 88% through targeted follow-up and process improvements. Created executive Power BI dashboards and partnered with teams to identify and automate RCM workflows across payer portals, EOB retrieval, medical record submissions, and repetitive billing processes.

Denial Management Power BI Power Automate Workflow Automation Executive Reporting

Senior Healthcare Automation Analyst

Vohra Wound Physicians

Nov 2020 - May 2025 (4 years 6 months)

Analyzed end-to-end RCM workflows and translated business requirements into automation solutions, including process maps and automation documentation for developers. Implemented Power Automate and UiPath to automate ERA posting, appeals, eligibility, patient registration, authorizations, and hospice billing workflows, and built ROI and productivity dashboards in Power BI.

Revenue Cycle Management Process Mapping Business Analysis Power Automate Hospice Billing Power BI

Senior Medical Billing Specialist

Cerner Healthcare

Apr 2019 - Dec 2020 (1 year 8 months)

Managed credit balance accounts and handled refunds, recoupments, and reimbursement corrections. Provided client-specific training and supported quality improvements.

Credit Balance Management Refund Processing Customer Training Quality Improvement

Medical Billing Team Lead

Omega Healthcare

Jun 2012 - Mar 2017 (4 years 9 months)

Specialized in accounts receivable follow-up, denial management, and payer resolution. Prepared productivity reports and provided process improvement recommendations.

Denial Management Payer Solutions Process Improvement