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Scott Sachs

About

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Revenue Cycle & Payment Integrity Analyst | Underpayments, Denials & Revenue Recovery | $11M+ AR Recovery
Jersey City, New Jersey, United States

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Résumé


Jobs verified_user 0% verified
  • CorroHealth
    Revenue Account Executive (Payment Integrity, Short-Term)
    CorroHealth
    Feb 2026 - Apr 2026 (3 months)
    Worked within a payment integrity analytics environment analyzing hospital claims to identify underpayment trends and reimbursement variances across zero-balance accounts. Focused on uncovering revenue opportunities through data analysis and payer methodology review, contributing to identification of additional recovery opportunities across complex claims datasets.
    • Analyzed hospital and facility claims to identify underpayment trends and reimbursement variances
    • Leveraged Access and MySQL to evaluate large datasets and uncover revenue recovery opportunities
    • Interpreted reimbursement structures (DRG, percent-of-charge, Medicare-based) to quantify financial impact
  • Manhattan Pain Medicine PLLC
    Out-of-Network Reimbursement Specialist → Revenue Cycle / Billing Manager
    Manhattan Pain Medicine PLLC
    Feb 2025 - Sep 2025 (8 months)
    Led revenue cycle performance improvement in a high-volume out-of-network practice, focusing on underpayment recovery, payer strategy, and vendor management to drive financial outcomes.
    • Recovered $11M+ in aged AR by prioritizing high-value opportunities and implementing targeted payer strategies
    • Directed outsourced billing operations, aligning vendor performance with financial goals and accountability metrics
    • Developed KPI dashboards to guide leadership decision-making and improve recovery performance
    • Identified denial trends and implemented corrective strategies to improve reimbursement outcomes
  • T
    Revenue Cycle Manager
    Total Urology Care of NY
    Jan 2024 - Sep 2024 (9 months)
    • Assumed RCM ownership during leadership gaps, overseeing A/R, billing, eligibility, and front-end
    • Drove recovery of aged A/R (30–180+ days), prioritizing high-value accounts to accelerate collections
    • Rebuilt front end processes and VOB workflows, increasing point of service collections by 25%
    • Identified operational gaps and implemented workflow improvements across the revenue cycle
  • S
    Revenue Cycle Specialist / Anaylst
    Sanova Dermatology PRS Managed Services
    Jan 2023 - Feb 2025 (2 years 2 months)
    • Led A/R team for a multi‑state dermatology group, providing training, troubleshooting, and workflow support
    • Acted as liaison between legacy billing team and offshore vendor, ensuring smooth transition
    • Supported revenue operations across medical, surgical, and high-volume cosmetic billing
    • Applied urology-specific coding and payer expertise to strengthen denial resolution and reimbursement
  • Sanova Dermatology
    Temporary Billing Specialist & Team Lead
    Sanova Dermatology
    Jan 2023 - Aug 2023 (8 months)
    Led 5-person team to clean up A/R collections processes for multi-location practice to ensure accuracy
    Submitted medical claims for medical services through provider portals
    Incorporated promotions & package discounts into patient invoices
  • M
    Billing Coordinator & Revenue Cycle Analyst
    Med X Inc
    Jun 2022 - Nov 2023 (1 year 6 months)
    Managed full revenue cycle: charge review, payment posting, denials, A/R follow-up, & third-party pricing negotiations for 7 physical therapy practices
    Analyzed data to identify areas of process improvement & increased financial performance
    Implemented procedures to reduce billing errors & improve client satisfaction
    Monitored A/R process to ensure timely follow-up
    Ensured flawless claims processing & payments according to out-of-network fees
    Negotiated with 3rd party pricing vendors re: proposal offers & settlements
  • M
    Billing Coordinator & Revenue Cycle Analyst
    Med X Inc Billing Consulting
    Jun 2022 - Nov 2023 (1 year 6 months)
    Performed denial resolution and AR follow-up to accelerate reimbursement and ensure compliance with payer requirements.
    • Resolved denials and conducted AR follow-up to improve reimbursement speed
    • Ensured compliance with payer guidelines and regulatory requirements
  • Liberty Physical Therapy PC
    Revenue Cycle Manager
    Liberty Physical Therapy PC
    Aug 2020 - Jan 2021 (6 months)
    Led billing and collections strategy to improve cash flow and AR recovery performance.
    • Improved collections by approximately 25% through targeted AR recovery initiatives
    • Conducted root-cause analysis of denial drivers and workflow inefficiencies
  • M
    Hospital Physician Billing & A/R Specialist
    MediCentrix
    Oct 2019 - Feb 2020 (5 months)
    Managed denial resolution and billing corrections across multi-specialty physician accounts.
    • Managed insurance follow-up and denial resolution for hospital physician billing
    • Investigated coding and registration issues contributing to payment delays
  • M
    Physician Billing & A/R Specialist
    MediCentrix
    Oct 2019 - Feb 2020 (5 months)
    Worked with insurance carriers to resolve outstanding claims
    Addressed issues with coding, system errors, claim edits, & registration that caused payment delays
    Presented performance trends, benchmarks, & additional metrics, as requested, to senior management
  • N
    Revenue Cycle Billing Manager
    NY SPINE MEDICINE
    Jan 2012 - Mar 2019 (7 years 3 months)
    • Oversaw billing operations for multi-provider practices, including coding, charge entry, and claims
    • Led appeals and authorization workflows for high value procedures and medications
    • Trained billing staff to improve accuracy, compliance, and workflow efficiency
    • Drove denial resolution and A/R recovery through workflow redesign and process optimization, boosting net collections 20% and reducing denials to single digits
Education verified_user 0% verified
  • James Madison University
    James Madison University
    James Madison University
    Jan 1996 - Jan 1998 (2 years 1 month)
  • Christopher Newport University
    Christopher Newport University
    Christopher Newport University
  • Christopher Newport University
    Bachelor's degree, Music Performance, General
    Christopher Newport University