Vincent Piscitelli

EmpathyIQ/AI, an AI-driven medical billing support platform that helps healthcare providers recover revenue, reduce admin costs, and deliver more patient-friendly billing experiences. EmpathyIQ/AI deploys virtual billing agents that handle calls, emails, and claim inquiries with consistent, compliant responses, integrating directly with EHR and billing systems. By automating 80–90% of routine billing questions and reducing human variability, EmpathyIQ/AI aims to cut call handling costs, lower claim denials, and lift collections while improving patient satisfaction.

Provide revenue cycle consulting to physician groups and RCM vendors, assessing front-end, billing, payment posting, denials, and AR workflows to identify revenue leakage and process gaps. • Design and implement best-practice RCM processes and KPI dashboards that increase clean-claim rates, accelerate collections, and reduce write-offs and rework. • Lead multi-client engagements focused on overpayments, refunds, credit balances, and denial analytics, improving compliance and audit readiness while driving sustainable cash lift.

Led end‑to‑end revenue cycle operations for multi‑specialty client portfolios, overseeing medical billing, payment posting, AR/collections, and denial management to meet SLAs and maintain payer and regulatory compliance. Standardized claims, payment posting, refund, adjustment, and appeals workflows across clients, reducing errors and improving throughput while strengthening revenue integrity. ​ Owned key revenue cycle KPIs, including cash collections, days in AR, denial rate, net collection rate, bad debt, and refund timeliness, and drove cross‑functional action plans to improve performance. Directed overpayment and credit‑balance controls, refund compliance, and root‑cause analysis of denials and underpayments, partnering with analytics and IT to build reporting and automation (worklists, posting tools, denial queues) that highlighted revenue leakage and operational bottlenecks. Hired, coached, and developed onsite and remote supervisors and leads, improving productivity, quality, and retention, while serving as primary revenue cycle contact for key clients and leading QBRs, performance reviews, and roadmap discussions with executive stakeholders.

Served as Lead Revenue Integrity Specialist overseeing payment posting and revenue integrity workflows, acting as the primary escalation point for complex payer, billing, and posting issues while guiding staff through high‑complexity scenarios. Monitored clean‑claim rate, posting accuracy, denial trends, and refund activity; performed QA audits and introduced process changes and job aids that improved accuracy and reduced rework. ​ Trained and coached new and tenured team members on billing systems, workflows, and policies, providing ongoing feedback and input into performance evaluations to elevate team capability. Collaborated closely with coding, front office, finance, and IT to resolve cross‑department issues impacting claim accuracy, payment posting, and denial prevention, strengthening overall revenue integrity. ​

Managed complex payment posting for insurance and patient payments, denials, and adjustments, reconciling daily batches and deposits to ensure accurate, complete cash posting and visibility into reimbursement issues. Resolved posting exceptions, including unidentified payments, misapplied funds, PLB adjustments, and missing remittances, and managed end‑to‑end refund and recoupment workflows in alignment with payer contracts and regulatory requirements. ​ Conducted audits of payments, adjustments, and write‑offs, analyzed denial and variance trends, and recommended process changes that improved billing accuracy and overall revenue integrity. Partnered with billing, coding, and clinical teams to address recurring documentation and charge capture issues affecting reimbursement, while leading overpayment identification and resolution initiatives that recovered $75K–$200K+ and reduced refund processing time by 35% through redesigned workflows. ​

Managed complex commercial and government payer claims, reviewing documentation, ensuring accurate coding and billing, submitting claims, and performing AR and denial follow‑up to protect reimbursement and reduce aging AR. Posted payments and adjustments, reconciled patient and payer accounts, and performed account audits to identify errors, denials, and revenue leakage, implementing corrections in partnership with leadership. ​ Applied payer rules and state/federal regulations to maintain compliant billing and documentation, helping reduce rejections and denial rates. Handled escalated patient billing inquiries and served as a go‑to resource for other billers, assisting with training and occasionally stepping in as lead to keep workflows on track. ​

Entered patient demographics, insurance details, and charges into the PM/EHR system and prepared and submitted insurance claims, supporting accurate and timely reimbursement for clinic services. Verified insurance eligibility and benefits, posted payments and adjustments from EOBs and remittances, and helped keep patient and payer balances up to date. ​ Corrected basic claim errors and assisted with entry‑level denials under senior biller guidance, while answering routine patient and payer billing questions to resolve balance and coverage concerns. Built a strong foundation in medical billing processes, billing software, and HIPAA‑compliant handling of patient and insurance information.