Timothy Anderson
Gallatin
Summary
Dynamic Revenue Cycle Specialist with over 20 years of expertise in medical billing and revenue cycle management, demonstrating a strong track record of optimizing billing processes and enhancing collections. Proven ability to ensure compliance with healthcare regulations and HIPAA laws while effectively training staff on new procedures to streamline operations and maximize revenue. Recognized for strong analytical and communication skills that drive success in the revenue cycle industry. Committed to fostering a culture of continuous improvement and operational excellence.
Overview
28
28
years of professional experience
Work History
Senior Operations Manager
Tend Healthcare
07.2025 - Current
- Lead and managed a team of 8 employees responsible for verifying insurance coverage, billing dental claims, handling denials, and rejections to optimize the revenue cycle process.
- Oversee the end-to-end process of claim follow-ups, including researching denials and rejections, contacting healthcare providers, and submitting appeals when needed.
- Utilize healthcare web portals to retrieve EOBs (Explanation of Benefits) and ERAs (Electronic Remittance Advices), ensuring accurate processing of claims and minimizing delays.
- Coordinate with internal dental studio representatives to verify patient insurance information, ensuring accurate and up-to-date data for billing purposes.
- Monitor team performance, including time and attendance, and provide coaching and support to ensure individual success and overall team efficiency.
- Drive continuous process improvements to streamline billing workflows, reduce errors, and accelerate payment cycles.
- Provided weekly and daily reports to the leadership team to identify any trends, achievements, or areas for improvement.
Night Auditor/Assistant Manager
La Quinta Inns & Suites
09.2024 - 07.2025
- Performed all front desk duties including answering phones and checking guests in and out
- Booked and canceled reservations for guests over the phone and online.
- Ran all Audit Reports and prepared the Audit Package nightly and scanned and emailed it to the Manger, District Manager and corporate office.
- Prepared schedules and help set quality goals for staff.
- Performed property walks to ensure safety and to check for any maintenance issues.
- Provided customer service to the guests by providing towels, fresh linen, and various requests as needed.
- Helped prepare breakfast in the mornings for our guests.
Client Resource Supervisor
PathGroup Labs
02.2022 - 08.2024
- Manage a group of 10 medical billing specialists. Supervising the team with the review of medical records, invoices, and insurance claims to ensure accuracy and compliance with billing regulations and guidelines.
- Developed schedules and workloads to delegate to our team to ensure claims are worked in a timely manner.
- Processed data and compiling excel reports to present to management to show production and accuracy goals are being met.
- Provided comprehensive training and mentorship to our team members to enhance their skills and knowledge in medical billing and research.
- Identified discrepancies and resolved billing issues promptly to minimize payment delays and optimize revenue collections.
- Utilized medical coding systems such as ICD-10 coding system to accurately assign CPT codes, diagnosis codes and descriptions to medical procedures to ensure accurate billing.
- Contacted clients and insurance companies for follow-up and to ensure claims accuracy.
Revenue Cycle Team Lead
LifePoint Hospitals
10.2014 - 10.2021
- Lead a team of 10-15 medical billers and collectors who were responsible for billing and follow up of claims to Commercial Insurances, Medicare and Medicaid for specialties such as Emergency Room, Hospitals, Gastroenterology, Sports Medicine, Family Practice, Obstetrics and Urology.
- Contacted payers for denial resolution by email and phone.
- Posted over $500K per month in payments.
- Managed over $1million in AR with aging under 90 days.
- Generated and mailed statements to patients with an outstanding balance.
- Researched and corrected no pay and short pay claims returned.
- Created daily, weekly, and monthly spreadsheets to work Accounts Receivables.
- Attended weekly conference calls with the Marketing Director, CFO, CEO, Office Manager, and Controller to discuss progress in collections and any problems hindering collections.
- Ensured office practices followed HIPAA regulations.
Medicare Billing Coordinator
Vanguard Healthcare
09.2013 - 10.2014
- Process billing for inpatient and outpatient claims for 26 Skilled Nursing Facilities to Medicare through E-Solutions.
- Corrected all rejected, denied, and returned to payer claims using the Medicare DDE system.
- Resolved missing resident information needed to bill claims to Medicare by working directly with administrators, nurses, medical records coordinators, and intake representatives at the facilities.
- Submitted quarterly Credit Balance Reports to the fiscal intermediaries for all facilities.
- Compiled daily reports and spreadsheets for management to forecast payments being received and to monitor denial and rejection trends.
- Implemented strategies for the team to reduce the number of denials and rejections of claims sent to Medicare for processing.
Medical Biller/Collector
HCA Healthcare
10.2009 - 08.2013
- Prepare daily and weekly spreadsheets to determine outstanding claims and balances.
- Billed inpatient and outpatient medical claims electronically and on paper via HCFA and UB04
- Determined patient eligibility using the Medicare DDE system.
- Monitored claim status and corrected claims using the Medicare DDE system.
Assistant Store Manager
Champs Sporting Goods
04.2006 - 09.2009
- Opened and closed the store daily
- Monitor and report cash register transactions and bank deposits
- Set schedules and sales goals for associates
- Process shipments in order to stock and maintain the sales floor
Sales Manager
Aaron's Sales and Leasing
09.2003 - 04.2006
- Manage the overall sales functions of the store, inside and outside sales.
- Perform daily inventory audits
- Assist customers with product selection and final purchases
Collections | Billing Representative
Metro Hospital
06.1997 - 08.2003
- Process Medicare and Medicaid accounts
- Work directly with beneficiaries to secure payments on accounts
- Post and reconcile insurance and patient payments.
- Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts
Education
Some College - Pre-Law
Mississippi State University
Starkville, MS06.1996
Skills
- HIPAA (10 years)
- Medical Office Experience
- Microsoft Excel (10 years)
- ECW (10 years)
- Medical Records
- Epic (10 years)
- CPT Coding
- Medical Coding
- Microsoft Outlook (10 years)
- Negotiation
- Insurance Verification
- Microsoft Word (10 years)
- Athenahealth (10 years)
- ICD-9
- ICD-10
- Medical Billing
- EMR Systems
- KPI reporting
- Employee coaching
- Staff hiring
- Delegation
Timeline
Senior Operations Manager
Tend Healthcare
07.2025 - Current
Night Auditor/Assistant Manager
La Quinta Inns & Suites
09.2024 - 07.2025
Client Resource Supervisor
PathGroup Labs
02.2022 - 08.2024
Revenue Cycle Team Lead
LifePoint Hospitals
10.2014 - 10.2021
Medicare Billing Coordinator
Vanguard Healthcare
09.2013 - 10.2014
Medical Biller/Collector
HCA Healthcare
10.2009 - 08.2013
Assistant Store Manager
Champs Sporting Goods
04.2006 - 09.2009
Sales Manager
Aaron's Sales and Leasing
09.2003 - 04.2006
Collections | Billing Representative
Metro Hospital
06.1997 - 08.2003
Some College - Pre-Law
Mississippi State University
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