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EXPERIENCESEPTEMBER 2006-CURRENTOPERATIONS AND PROCESS ANALYST, UF HEALTH JACKSONVILLE*Analyze the codes utilized to post payments and adjustments monthly and provide feedback to the Business Groups regarding trends, work processes and appropriate utilization of the codes.*Analyze adjustments of $2500 over to ensure the adjustments are appropriate or if additional follow-up of denied claims is required. This process sometimes result in additional revenue for charges initially written off.*Review charges that are posted with zero balance (adjusted as Charity) to determine if there is insurance available for adjusted charges. This results in possibly receiving money that may not have been collected without my reviews. This process resulted in additional revenue of over $1,000,000 yearly for the past three years.*Provide excellent customer service.DECEMBER 2005 -AUGUST 2006CHARGE CORRECTIONS SUPERVISOR, emory healthcare atlanta, gaSupervised a team of three to review denied medical claims. Research was done and the appropriate action was taken to either re-submit the denied claim or submit an appeal to obtain payment for medical services.EDUCATIONAUGUST 2018BUSINESS CLASSES, FLORIDA STATE COMMUNITY COLLEGEDid not obtain a diploma after obtaining employment in current place of employment.JANUARY 1977HIGH SCHOOL DIPLOMA, Vallejo senior highSKILLSComputer skills, 10-KeyFamiliar with EPIC systemFamiliar with CPT & ICD-10Team PlayerPersistent in getting resultsACTIVITIESActive member of the AAPC (American Academy of Professional Coders)Active member of Blessed Hope Baptist Church (Superintendent, Sunday School Teacher and member of the Praise Team).I love to read spend quality time with my family. |