Nikkia Fletcher
Murfreesboro
Summary
Accomplished Revenue Cycle Supervisor with a proven track record at Tennessee Oncology, enhancing revenue performance and optimizing billing cycles. Expert in healthcare compliance and denial resolution, I significantly improved cash flow and fostered strong insurance carrier relationships. My leadership and analytical skills drove team success, achieving notable improvements in revenue integrity and collections management.
Overview
19
19
years of professional experience
Work History
Revenue Cycle Supervisor
Tennessee Oncology
01.2019 - Current
- Developed key performance indicators for the team, monitoring progress toward goals and providing actionable feedback to staff members.
- Provided exceptional customer service by addressing billing questions and concerns in a timely, professional manner.
- Served as a subject matter expert on reimbursement regulations, maintaining up-to-date knowledge of industry best practices and compliance requirements.
- Optimized payment posting processes to improve cash flow and minimize delays in revenue recognition.
- Improved overall cash flow by identifying underperforming areas within the billing process, addressing issues proactively.
- Performed root cause analysis to identify issues affecting revenue cycle performance, implementing corrective actions to drive improvement.
- Streamlined billing procedures for increased accuracy, reducing errors and improving overall collections.
- Conducted regular staff meetings to review performance metrics, address challenges, and foster an environment of continuous improvement within the team.
- Collaborated with cross-functional teams to develop and implement revenue cycle policies and procedures.
- Established strong relationships with insurance carriers, improving communication channels for efficient claim processing and dispute resolution.
Quality Assurance Analyst
Eplus Cancer Care
07.2016 - 01.2019
- Mentored and coached team members on QA topics and strategies.
- Participated in regular meetings with cross-functional teams to discuss progress updates, communicate concerns or challenges, and ensure alignment of project goals.
- Reported progress, test metrics and results to project stakeholders.
- Maintained comprehensive knowledge of relevant industry regulations and standards, ensuring compliance throughout the QA process.
- Acted as a liaison between the QA team and other departments such as Development, Customer Support, and Product Management, ensuring effective communication throughout all stages of the project lifecycle.
- Collaborated closely with development teams to clarify requirements, resulting in more efficient bug resolution process.
Revenue Integrity Specialist
Ardent Health Services
05.2012 - 01.2016
- Ensured accurate charge capture for improved financial performance with meticulous data analysis and reconciliation procedures.
- Proactively identified areas of risk within the organization''s revenue cycle processes, formulating effective mitigation strategies accordingly.
- Implemented robust quality assurance measures for improved accuracy in billing documentation and submissions.
- Streamlined revenue cycle operations by implementing efficient workflows and reducing overall processing time.
- Conducted root cause analyses of payment variances, recommending targeted solutions to address underlying issues effectively.
- Enhanced revenue integrity by conducting thorough audits and identifying discrepancies in billing processes.
Medical Insurance Collector
HCA
11.2007 - 04.2012
- Proactively identified potential problems within the billing process by analyzing data trends and recommending solutions for improvement.
- Negotiated payment plans with patients experiencing financial difficulties, increasing overall recovery rate for unpaid balances.
- Reduced claim denials through thorough research of insurance coverage, patient eligibility, and claim accuracy.
- Established strong working relationships with insurance company representatives, facilitating efficient communication and prompt issue resolution.
- Increased cash flow for the organization through diligent monitoring of insurance reimbursements and timely appeals of underpaid claims.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
Medical Claims Processor
Amerigroup
09.2005 - 10.2007
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
- Researched and resolved complex medical claims issues to support timely processing.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Verified patient insurance coverage and benefits for medical claims.
- Managed large volume of medical claims on daily basis.
- Monitored and updated claims status in claims processing system.
- Evaluated medical claims for accuracy and completeness and researched missing data.
Education
Bachelor of Science - Health Information Management
DeVry University
Chicago, IL07-2025
Associate of Applied Science - Health Information Technology
DeVry University
Chicago, IL12-2023
Skills
- Denial resolution
- Claim submission
- Collections experience
- Patient registration
- Healthcare compliance
- Claims management
- Vendor relations
- Collections management
- Insurance coordination
- Revenue optimization
- Revenue performance
- Billing cycle expertise
- Account resolutions
- Revenue enhancements
Timeline
Revenue Cycle Supervisor
Tennessee Oncology
01.2019 - Current
Quality Assurance Analyst
Eplus Cancer Care
07.2016 - 01.2019
Revenue Integrity Specialist
Ardent Health Services
05.2012 - 01.2016
Medical Insurance Collector
HCA
11.2007 - 04.2012
Medical Claims Processor
Amerigroup
09.2005 - 10.2007
Bachelor of Science - Health Information Management
DeVry University
Associate of Applied Science - Health Information Technology
DeVry University
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