Maya Holland

RCM Analyst/Supervisor/Biller

Accounting / Finance

Columbus

About Maya Holland:

I have a strong background in healthcare administration, revenue cycle, accounts payable, accounts receivable, claim submission, adjustment, management, event coordination (with staff and patients), Customer Service and Payroll. Combined with my exceptional skills in process optimization, billing, and collections. With expertise in Physician, Facility, Hospital, Provider, ABA billing/AR, Medical & Telehealth billing. I am confident in my ability to contribute effectively to any team and help improve financial operations at any company that matches my qualifications.

In my role in Revenue Cycle Management, I am responsible for overseeing end-to-end processes for primary billing, secondary billing, tertiary billing, payment posting, appeals, obtaining authorizations, credentialing, provider/NPI, collections, insurance verification and reimbursement. I worked closely with physicians, medical staff, and insurers to ensure accurate and timely submissions of claims while reducing claim denials. Through my efforts in streamlining billing workflows and implementing data-driven solutions, I helped achieve an 86% reduction in claims rejections, denials and appeals which lead to improvement in cash flow collection rates.

I develop and maintain strong relationships with healthcare providers to ensure high levels of satisfaction and streamline collaboration. I serve as the primary liaison between providers and internal departments to resolve issues and align on care delivery objectives. I also acted as a key point of contact for provider inquiries, ensuring timey resolution of concerns and effective communication of policy changes and updates.

I am highly skilled in identifying areas for process improvement and implementing best practices to ensure efficient revenue cycle management. My experience with various healthcare management software systems, such as Epic, AS400, Central Reach, Practice Fusion, Centrix, Practice Suite and Next Gen, Waystar , Meditech, Office Ally, Raintree, Availity, UKG, UltiPro, ADP payroll, QuickBooks, MFiles, Care Medic, Meditech, Cerner, GE, Emdeon, Change Healthcare, to name a few, along with my commitment to staying up to date on industry regulations and standards, ensures I can manage the entire revenue cycle effectively. I also monitor provider performance metrics and collaborated on improvement plans to enhance quality and operational efficiency.

I am confident that my proactive approach, attention to detail, and leadership skills make me a strong fit for any position best suited with my experience. I look forward to the possibility of contributing to any organization's growth and success.

Experience

My role as a Revenue Cycle Management Analyst for the last 6 ½ years, involves ensuring the team’s success in optimizing ABA, Hospital, Physician, and Facility billing, reducing denials, improving collections, AR management, strengthening the organization’s compliance with healthcare regulations including HIPPA through advance monitoring and customer service. I mentor and lead team members in intake, scheduling, AR and billing. I promote seamless communication and collaboration across departments. Constant monitoring AR Improved follow up process, increasing collection rates for outstanding balances. Analyze performance tracking using the metric for KPI such as days in AR, first claim acceptance rate, aging report analysis, improving team accountability,

Streamline primary & secondary billing and collections processes to ensure faster payments and reduce delays.
Analyze and manage the full revenue cycle process, including charge capture, billing, payment posting, and account reconciliation.
Perform detailed reviews of aging reports to identify and resolve unpaid claims, denials and underpayments.
Implement proactive denial management processes to identify and correct issues before claims are submitted.
Conduct audits for claim scrubbing and real time eligibility verification to reduce claim rejections and denials.
Collaborate with payers to investigate claim rejections and initiate appeals when appropriate.
Monitor trends in denials and reimbursement issues to recommend process improvements and reduce AR days.
Work cross-functionally with coding, authorization, and compliance teams to ensure accurate billing and maximize revenue.
Utilize a wide variety of billing systems (e.g., Epic, GE Centricity, Central Reach, Availity and others) and clearinghouses to track claim status and submit corrections.
Prepare financial reports and dashboards to support decision-making and identify revenue recovery opportunities.