Chris Ricciardone
Antioch
Summary
Results-driven Denial Management & Revenue Cycle Specialist with a proven track record in financial reconciliation, invoice dispute resolution, contract analysis, prior authorizations, and claims management. Expert in identifying and resolving billing discrepancies, implementing process improvements, and collaborating with cross-functional teams to optimize revenue cycle workflows. Proficient in utilizing EMR systems, Microsoft Office Suite (Excel, SharePoint, Word), and financial reporting tools to enhance efficiency and maximize reimbursement accuracy. Committed to delivering exceptional results and ensuring the financial success of the organization.
Overview
7
7
years of professional experience
Work History
Program Support Assistant
Department of Veterans Affairs-CPAC
03.2024 - Current
- Reconcile over 500+ financial accounts, ensuring accuracy and compliance with federal guidelines
- Analyze billing workflows and collaborate with stakeholders to resolve financial discrepancies
- Utilize financial data to generate reports, enhancing budget planning and forecasting
- Efficiently managed multiple competing priorities under tight deadlines by utilizing strong organizational skills and attention to detail.
Denial Management Analyst
Sarah Cannon Research Institute
05.2023 - 03.2024
- Investigated and resolved invoice disputes by reconciling client receivables and verifying contractual agreements
- Reviewed clinical trial revenues and expenses, identifying and rectifying financial variances
- Conducted detailed trend analysis on denied claims, implementing corrective actions to optimize reimbursement rates
- Collaborated with finance, billing, and operations teams to streamline revenue cycle management workflows
- Served as a subject matter expert on management analysis principles, providing valuable counsel to stakeholders during critical business planning sessions.
Utilization Review Coordinator
Community Health Systems
10.2021 - 04.2023
- Evaluated insurance authorization requests to ensure compliance with payer policies
- Facilitated communication between case managers, physicians, and billing teams to expedite approvals
- Identified billing discrepancies and coordinated resolution efforts to reduce claim denials
- Ensured compliance with regulatory guidelines by maintaining accurate documentation and records for all utilization review activities.
Medical Registration & Authorization Specialist
Phillips North America
02.2019 - 10.2022
- Processed over 40+ patient authorizations weekly, ensuring timely approvals and accurate billing
- Implemented new billing software, enhancing prior authorization efficiency and reducing turnaround time
- Ensured compliance with payer policies by reviewing documentation and verifying insurance eligibility
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Demonstrated adaptability with changing insurance requirements, maintaining up-to-date knowledge through continuous education efforts.
Appeals Specialist
Parallon Business Solutions, Inc.
02.2018 - 11.2019
- Created and maintained claims tracking reports, improving dispute resolution efficiency
- Trained staff on best practices for appeals, reducing errors and optimizing claim resolution rates
- Collaborated with cross-functional teams to gather necessary documentation and evidence to support the appeals process.
- Achieved successful appeal outcomes by meticulously reviewing and analyzing claim denials, identifying errors, and presenting persuasive arguments.
Education
Health Promotion -
Middle Tennessee State University
Medical Billing & Revenue Cycle Training - Ongoing Professional Development
Skills
- Dispute Resolution Skills
- Contract Interpretation
- Investigating Denials & Processing Appeals
- Efficient Claim Processing
- ICD-10 Compliance Coordination
- Prior Authorization Coordination
- Proficient in Office Applications
- Proficient in EMR Management
- Claims Processing Software Expertise
Timeline
Program Support Assistant
Department of Veterans Affairs-CPAC
03.2024 - Current
Denial Management Analyst
Sarah Cannon Research Institute
05.2023 - 03.2024
Utilization Review Coordinator
Community Health Systems
10.2021 - 04.2023
Medical Registration & Authorization Specialist
Phillips North America
02.2019 - 10.2022
Appeals Specialist
Parallon Business Solutions, Inc.
02.2018 - 11.2019
Medical Billing & Revenue Cycle Training - Ongoing Professional Development
Health Promotion -
Middle Tennessee State University
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