Michael Roberts
Columbia
Summary
Oversaw revenue cycle management for hospital corporations and mental health facilities, driving operational improvements. Leveraged business management expertise to optimize processes and enhance service delivery. Actively pursuing a second degree and certification in computer information technology to further strengthen leadership capabilities.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Revenue Cycle Specialist
Athena Health Care Systems
Nashville, TN
03.2024 - Current
- Executed timely verification of insurance benefits through website navigation and direct communication with payors.
- Facilitated precertification and authorization processes to ensure compliance with service delivery standards.
- Conducted thorough reviews of referrals and pre-certifications to support efficient scheduling of healthcare services.
- Facilitated resolution of outstanding claims by coordinating with third-party payors to ensure timely processing.
- Identified emerging trends and partnered with revenue cycle manager to address and resolve issues.
Billing Specialist / Account Manager
AVA Billing & Consulting
Costa Mesa, CA
03.2020 - 02.2024
- Assisted executive leadership in refining account onboarding to improve client integration efficiency.
- Compiled and communicated detailed metrics reports to support informed decision-making for staff and management.
- Evaluated retention representatives' performance and provided actionable feedback to support achievement of customer retention goals.
- Developed and implemented strategies aimed at enhancing customer satisfaction through consistent evaluation of employee performance.
- Addressed customer inquiries and resolved complaints to strengthen overall satisfaction and retention.!
- Led collaborative discussions to address accounts receivable issues and drive operational efficiency improvements.
Financial Services Specialist II
Quorum Health Corporation
Brentwood, TN
04.2019 - 03.2020
- Managed submission of bills and liens to adjusters and attorneys utilizing FACS, HMS/AS400, DAR, and Meditech systems to enhance recovery outcomes.
- Managed and addressed complaints from debtors and attorneys to uphold organizational standards and foster positive relationships.
- Engaged with business office managers and staff to facilitate issue resolution and enhance workflow
- Managed comprehensive inventory control processes to ensure accurate tracking of accounts for community health system facilities across various states.
- Conducted comprehensive legal research to optimize collection efforts via suit filing, service of process, and enforcement actions.
Medical Claims and Appeals Specialist
Medical Management Services of Nashville, Inc
Spring Hill, TN
07.2018 - 04.2019
- Facilitated claims submission via EDI and paper forms to ensure compliance with processing standards.
- Oversaw training programs for new employees on operating system usage and daily operational workflows. Guided staff in navigating insurance billing processes and effective communication strategies. Fostered a collaborative environment for learning collection talk-offs.
- Oversaw posting and batching of electronic remittances to ensure timely processing. Managed deposits received via EFT from insurance companies to maintain financial accuracy. Facilitated efficient transaction tracking within the system.
- Oversaw office management functions in owner’s absence to maintain productivity and achieve revenue goals.
Work Comp, MVA, Liability Analyst
Professional Account Services, Inc.
Brentwood, TN
10.2010 - 07.2016
- Facilitated communication with patients to confirm insurance coverage and attorney details for accurate record-keeping.
- Executed billing and lien processing to support adjusters and attorneys in maximizing recovery outcomes.
- Oversaw report generation and streamlined work queues to pinpoint areas for enhanced focus. Facilitated the evaluation of high-value accounts and older accounts necessitating strategic intervention.
Education
Bachelor of Science - Business Management, Minor Business Administration
Middle Tennessee State University
Murfreesboro, TNBachelor of Science - Information Technology
Middle Tennessee State University
Murfreesboro, TNQuickStart IT Technician Certification - Information Technology
University of Tennessee, Knoxville, TN
Knoxville, TN02.2026
Skills
- Claims review
- Claims processing proficiency
- HIPAA compliance
- Professionalism and ethics
Certification
Computer Fundamentals Certification
Hardware and Operating System Certification
Microsoft 365 Fundamentals Certification
Capstone Project: IT Technician Certification
Windows Client Certification
Timeline
Revenue Cycle Specialist
Athena Health Care Systems
03.2024 - Current
Billing Specialist / Account Manager
AVA Billing & Consulting
03.2020 - 02.2024
Financial Services Specialist II
Quorum Health Corporation
04.2019 - 03.2020
Medical Claims and Appeals Specialist
Medical Management Services of Nashville, Inc
07.2018 - 04.2019
Work Comp, MVA, Liability Analyst
Professional Account Services, Inc.
10.2010 - 07.2016
Bachelor of Science - Business Management, Minor Business Administration
Middle Tennessee State University
Bachelor of Science - Information Technology
Middle Tennessee State University
QuickStart IT Technician Certification - Information Technology
University of Tennessee, Knoxville, TN