Ronald O.
Mid-Level Revenue Cycle Management Specialist
Open to offersNew to PlatformAbout
Ronald O. is an experienced Team Leader – RCM Specialist in the healthcare industry, currently leading authorization teams at AdaptHealth to optimize initial medical service authorizations. With a proven background in Revenue Cycle Management (RCM), he drives team performance to streamline billing and reimbursement, reduce authorization delays, and ensure compliance with regulatory standards and payer policies. Ronald O. utilizes Brightree and Microsoft Excel for advanced data analysis, KPI monitoring, and continuous process improvement. His expertise extends to managing insurance changes and Medicare requalifications, collaborating with clinical and billing teams to enhance operational efficiency. Ronald O.’s career also includes customer service roles in the retail and travel sectors, where he supported customers through digital channels and complex disruptions, always maintaining adherence to policy and documentation accuracy.
Experience
Team Leader- Initial Authorization Specialist
Adapthealth · 2023 — PresentLead the authorization team to ensure the prompt and precise handling of initial medical service authorizations. Develop workflows aimed at reducing delays and improving turnaround times while ensuring compliance with payer requirements and organizational policies. Collaborate with clinical staff and insurance providers to address and resolve authorization challenges. Monitor key performance indicators related to authorization metrics, provide coaching to team members, and advocate for continuous improvement and technology utilization. Mentor team members to promote a culture of excellence aligned with revenue cycle goals.RCM Specialist- Insurance Change/ Medicare Requalification
Adapthealth · 2019 — 2023Process patient insurance changes accurately, updating coverage details to avert claim denials and delays. Manage timelines for Medicare requalifications by coordinating with patients and healthcare providers to gather necessary documentation. Ensure compliance with CMS guidelines and payer requirements while streamlining verification and requalification processes to alleviate administrative workload. Collaborate with clinical teams and billing departments to ensure smooth transitions in patient coverage. Offer guidance to patients about insurance changes and Medicare requisites to build trust.Customer Service Specialist
Fusion Cx · 2015 — 2019Delivered exceptional customer support in both retail and travel company contexts across various channels, including phone and email. Resolved inquiries and complaints while adhering to company policies. Managed flight disruptions by providing timely support for rebooking and rerouting, coordinating with airlines for accommodations, and monitoring real-time flight information. Implemented contingency plans and maintained accurate documentation to ensure compliance.
Skills & Expertise
Education
- BS Computer EngineeringUNIVERSITY OF SAN CARLOS · 2008 — 2013
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