Pamela Peters
Villa Rica
Summary
Accomplished and driven healthcare revenue cycle leader with 28+ years of experience in Medical Reimbursement, AR/Refund Management, Appeals, and Collections. Proven track record in streamlining operations, training high-performing teams, and ensuring compliance across Medicare, Medi-Cal, and commercial payers. Expert in leveraging data analytics, payer relations, and technology platforms to reduce denials, accelerate payments, and improve the patient financial experience. Seeking to contribute strong leadership and expertise to a Revenue Cycle Manager role.
Overview
16
16
years of professional experience
Work History
Strategic Payor Partner
iRhythm Technologies
01.2023 - Current
- - Oversaw daily revenue cycle operations and team scheduling.
- - Trained and mentored staff; ensured workflow compliance through audits.
- - Leveraged Salesforce and Waystar to monitor productivity and workload.
- - Led payer trend analysis and resolved underpayments through strategic collaboration.
- - Delivered insights to leadership, supporting policy changes and improved cash flow.
- Remote
Refund Specialist / AR Supervisor
iRhythm Technologies
01.2015 - 12.2022
- - Processed complex insurance and patient refunds, including Medicare offsets.
- - Managed AR staff, monitored claims aging, and ensured timely follow-ups.
- - Enforced compliance with payer guidelines, SOX, and HIPAA regulations.
- - Generated performance and variance reports; identified and implemented improvements.
- - Served as a liaison between billing, coding, and finance teams to resolve issues.
Medical Billing & Collections Specialist
iRhythm Technologies
12.2012 - 12.2015
- - Handled Medicare and contracted payer claims, denials, and adjustments.
- - Posted payments and write-offs accurately; maintained payer compliance.
- - Contributed to clean claims initiatives and aging resolution efforts.
Claims Follow-Up Lead
Summit Alta Bates
02.2010 - 12.2012
- - Led commercial claims follow-up with a resolution rate of 90–100%.
- - Processed refunds, denials, and reconciled aged AR accounts.
Medical Biller
Pacific Pulmonary Services
03.2009 - 02.2010
- - Submitted DME claims to Medicare and private payers.
- - Resolved claim denials and maximized recovery on aging accounts.
Education
Medical Billing & Coding Certificate -
Purdue Global
Lafayette, INSkills
- Revenue Cycle Operations, Medical Billing & Reimbursement, Denials Management & Appeals, Medicare, Medi-Cal & Commercial Payers, Refunds & Collections Oversight, ICD-10-CM, CPT, HCPCS Coding Knowledge, Leadership & Staff Development, SOX & HIPAA Compliance, Salesforce, Waystar, Microsoft Office Suite, Internal Audits & Process Improvement
References
Available upon request
Timeline
Strategic Payor Partner
iRhythm Technologies
01.2023 - Current
Refund Specialist / AR Supervisor
iRhythm Technologies
01.2015 - 12.2022
Medical Billing & Collections Specialist
iRhythm Technologies
12.2012 - 12.2015
Claims Follow-Up Lead
Summit Alta Bates
02.2010 - 12.2012
Medical Biller
Pacific Pulmonary Services
03.2009 - 02.2010
Medical Billing & Coding Certificate -
Purdue Global
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