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Click here or scroll down to respond to this candidateCandidate's Name
Sr Credentialed Trainer/Analyst- Riverside Health SystemHampton, VA Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLESeeking an opportunity where I will be able to utilize my strong organizational skills, multiple years of experience, and exceptional customer service to allow me to grow personally and professionally within the medical field.Authorized to work in the US for any employerWork ExperienceCredentialed Trainer/Analyst IIRiverside Health SystemOctober 2017 to PresentCredentialed trainers are required to work/monitor all work queue's in iCare (Epic) to identify trends of low productivity or inaccurate processes for all team members. This monitoring will assist in identifying team members who would be required to go through refresher training. Understands and analyzes operations reports processes and volume flow to identify monitor and develop process improvement plans as identified. Provides one-one and group classroom training as necessary when incorrect processes are being followed. Acts as a liaison between departments across RHS; providing consistent and detailed information on issues and trends. Responsible for conducting twice monthly at a minimum onsite visits to all locations under each Trainer/Analyst's department of specialty (Call Center, Access, HIM, CBO, Revenue Integrity). Develops and provides classroom training to all persons throughout the Health System who require iCare training of any Revenue Cycle courses; which will include all departments, for Acute, RMG, and LLH Divisions, clinical and non-clinical team members. Develops and maintains training materials, computer based learning modules, webinars, and reference guides, consistent with Revenue Cycle and iCare policies. Build and maintain the master schedule of all classes offered. Manage all classes in the NetLearning Computer Based Learning system to include: building classes with dates/times/locations, assigning appropriate classes and CBL's to each team member as required, monitoring each team member for completion of CBL's prior to class attendance, logging in their attendance. Will ensure all training meets/exceeds the expectations of the DNV Organization. Also work closely with all Credentialed Trainers throughout Revenue Cycle to coordinate training dates/times and ongoing maintenance of training materials. Will measure the competence/effectiveness of all Revenue Cycle Credentialed trainers. Will assist with the scheduling, enrollment, and proctoring of specialty Revenue Cycle specific certification exams, to include but not limited to, the NAHAM CHAA (Certified Healthcare Access Associate) and the CHAM (Certified Healthcare Access Management) Actively identifies, initiates and leads departmental projects and system implementations. Strong attention to detail, problem solving skills, aptitude for learning, critical thinking, independent working and ability to make sound business judgements. Served as a leader and role model for the department by displaying a positive, patient centered, and solution oriented approach and attitude. Ability to direct, coach and train team members and implement process changes as needed to ensure that quality assurance standards are met. Possessed the ability to understand and analyze system functionality and clerical processes and adapt them to a highly integrated process flow. A strong collaborative team member approach and the ability to participate on multiple concurrent initiatives. Demonstrated ability to facilitate team or group activities and demonstrated leadership qualities including professional verbal and written communication skills, prioritize workload and decision- making skills.Revenue Cycle Team Lead IIIRiverside Health SystemOctober 2015 to October 2017Worked under the department Managers and Director. Effectively utilizes all department specific computer systems including Medipac, Invision, Athena, Clinical, Imaging, Centricity, Midas and others as required. Responsible for leading day-to-day operations of assigned team; participates in the development and delivery of staff education, training and orientation. Sets the example for the department as the expert in accurate, thorough and effective work processes. Managers team workload, special projects; identifies issues and develops action plans to correct; reports trends. Monitored staff productivity that indicates timeliness and accuracy of tasks. Acted as a liaison between the department and outside departments providing consistent, detailed and relevant detail on issues and trends. Provided day to day coaching and development of their team members. Demonstrate strong problem solving skills, high attention to detail and an aptitude for learning. Served as a leader and a role model for the department by displaying a positive, patient centered, and solution oriented approach and attitude. Responsible for managing the assigned portion of the accounts receivable including appropriate and timely follow up pf all insurances, identifying issues and reporting trends. Responsible for productivity reporting for all billing and insurance follow up staff. Ensure the privacy of my customers by complying with HIPAA regulations, corporate compliance and patient rights. Responsible for meeting project deadlines Demonstrate attentiveness with all customers focusing on nothing but their needs and responding appropriately, Supported departments by delivering kindness and respect through team work, caring service behaviors, promoting the healing environment and always listening to the voice of the customer. Worked with management staff to provide staff education and communication including but not limited to update sessions, daily correspondence/communication of information pertaining to job performance, individual counseling and skill development, staff morale and motivation. Approachable and helpful to others. Completed daily rounds and interacts with all billing team members. Effectively manages the team workload and special projects, by appropriately delegating to team members, while maintaining oversight and ensuring accurate completion. Demonstrated flexibility to changes and adapts to varying work environments and assignments. Strong understanding of department policies and procedures. Ability to identify issues/trends and input corrective action, display strong team building ability required. Detailed analytical ability, strong problem solving skills, positive and clear communication skills and leadership ability.Accounts Receivable Rep IIIRiverside Health SystemJanuary 2015 to October 2015Responsible for overseeing 19 staff members on resolving hospital claim barriers with all Payor's and all departments. Maintained quality assurance of 100%. Submitted secondary claims as well as resubmitted primary electronic claims with previous errors or resolved edits. Assisted manager on special projects in Excel when needed. Posting payments and Payor contractual write-offs to the account. Customer service skills used with insurance representatives, and patients on denial inquires. Performed patient billing and reporting activities in a timely manner. Review patient accounts to identify delinquent and due accounts. Follow collection procedures to receive the payments. Utilize computer software to process, print and e-mail patient medical bills. Maintaining a database of client accounts and billing information. Address billing issues and inquiries from patients, contact insurance companies for claim processing and reimbursement status. Also coordinated with insurance companies to resolve payment problems and reimbursement issues. Responsibility for creating reports for the billing team. Acted as a role model by articulating ideas and actively engaging co-workers, customers in a positive tone and manner in writing and in person. Proactivity follows-up with customers, co-workers on status of issues. Demonstrates responsiveness and flexibility to meet customer and co-worker expectations. Retail Sales AssociateMacy's IncSeptember 2013 to October 2015Ensuring that all customers receive excellent service through direct salesmanship, and prompt and courteous service. Assisting customers with questions, needs and purchases. Attending weekly sales meetings. Cultivating successful relationships with retail customers. Completing each transaction in a quick and efficient manner. Leading all social media sales initiatives. Cleaning shelves, counters, and tables. Greeting each customer that comes into the store in a warm manner. Identifying customer requirements. Preparing merchandise for display. Assisting customers with purchase decisions. Assisting in physical inventory counts. Balancing cash drawers and making nightly deposits. Implementing all visual merchandising standards. Setting up merchandise on the sales floor. Making sure that customers receive receipts on all purchases. Helping customers try on or fit merchandise Watching out for loss prevention through leakage and theft Maintaining individual 90% or better in weekly productivity sales Creating a positive work atmosphere Opening and Closing procedures for Fine Jewelry Maintaining open and close procedures for all Fine Jewelry safes Medical Records ClerkCHKD -ENT DepartmentJuly 2014 to January 2015 Responsible and accountable for the maintenance of health records. Organizing and maintaining an approved system of records. Ensures all medical records filing is up to date. Performed clerical/technical duties: Pull and file medical records daily as needed. Prepare and type reports and correspondence as requested by the manager. Answer telephone, relay messages, and transfer calls as appropriate. File and correcting invoices generated from inside and outside the institution such as laboratory reports, radiology results, completed consultant reports, and medication administration as requested. Supplying nursing staff with required forms and documents. Maintain data collection and skills acquisition files. Protect medical records from loss or defacement prior to the end of retention periods. Maintain current face sheet for every patient served. Process admission and discharge records accurately, and in a timely fashion. Maintain strict confidentiality of all medical records Keeps health care providers informed by communicating availability or unavailability of the record. Enhances medical records and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments. Maintaining master patient index by completing assigned portion of daily audit trail; corrects and communicates problems according to established procedures. Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and DNV organization standards. Resolving medical record discrepancies, maintain historical reference by abstracting and coding clinical data. Prepares statistical reports by collecting and summarizing medical care and census information, provides medical record information by answering questions and requests. Following release-of-information protocols.EducationBS in Health Information ManagementDeVry UniversityJanuary 2020 to PresentAssociates of Applied Science in Health Information Technology DeVry UniversityJuly 2008 to August 2019DiplomaJackson High SchoolAugust 1982 to May 1986Skills CODING (Less than 1 year) EPIC (10+ years) HIPAA (10+ years) MEDIPAC (2 years) IMAGING (2 years) Typing Databases Insurance Verification ICD-10 Healthcare Management EMR SystemsAdditional InformationSkills & Abilities Experienced with all of Microsoft Office with the ability to learn many other systems quickly Strong knowledge of HIPAA laws and violations, medical terminology and most coding Knowledge of multiple medical computer systems (ex: SMS, HBOC, Clindoc, First Comply, HDS, Adminstar, Quadax, Chart Release, Datasmart, Epic, Bridges, ChartMaxx, NextGen, Moneta, Medical Manager, PeopleSoft, Medipac, Medassets, Ability (Medicare & WPS), iCare, and Compass (reporting) Knowledge of multiple imaging systems (ex: Streamline, OnBase, Soarian Document Imaging, and MediaManager)Very strong organization, time management, attention to detail, professionalism, documentation skills, data entry management, quality focused, communication, interpersonal and management skills |
