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Click here or scroll down to respond to this candidateCandidate's Name
EMAIL AVAILABLE PHONE NUMBER AVAILABLE New Orleans, LASUMMARYSeasoned Revenue Integrity Chargemaster-Coordinator with 19 years of experience, adept in audit, Medicare, and Medicaid compliance. Skilled in Chargemaster maintenance, enhancing revenue integrity, and conducting training for clinical and coding staff. Seeking to leverage expertise as a Chargemaster Analyst to ensure accurate billing and optimize healthcare revenue cycles.WORK EXPERIENCESaint Lukes Healthcare Systems Kansas City, MOCharge Management Analyst Mar 2022 - Present Conduct research on change management best practices and develop employee training programs to facilitate organizational change. Design and implement comprehensive project plans, identifying key stakeholders and establishing timelines for each project phase. Perform organizational assessments to pinpoint potential conflict areas and coordinate communication to ensure clarity and understanding of changes. Monitor project progress, troubleshoot obstacles, and evaluate the effectiveness of change efforts against established objectives and metrics.Ochsner Healthcare Systems New Orleans, LARevenue Integrity Chargemaster-Coordinator Jan 2018 - Dec 2021 Analyzed departmental billing trends, ensuring accuracy and compliance by updating and maintaining HCPCS and AMA CPT codes. Coordinated with the EPIC Resolute Team to review and approve modifications to the Charge Master, enhancing revenue integrity and operational efficiency. Conducted thorough analyses of reports, contributed to cost accounting initiatives, and made recommendations to address compliance issues and optimize pricing strategies. Played a key role in the education of clinical and coding staff by identifying and communicating recurrent documentation discrepancies, fostering a culture of continuous improvement. Revenue Cycle Financial Analyst-Denials Management Nov 2016 - Dec 2018 Analyzed insurance denial data and improved financial reporting by creating pivot tables to support strategic decision-making for service departments. Enhanced financial performance by identifying trends, monitoring variances, and recommending actionable solutions to management. Collaborated with Managed Care, Charge Master, and Patient/Business Follow-up teams to mitigate denial occurrences and bolster cash flow.Revenue Cycle Admin 3 Authorization/Admits Oct 2014 - Sep 2016 Managed patient registration and account activity documentation in EPIC systems, ensuring accuracy in demographics and insurance information. Consistently delivered high-level customer service, reflected in 98-100% satisfaction ratings from Press Ganey Survey evaluations. Handled financial transactions, including collection of co-payments and account balances, while adeptly informing patients of their financial responsibilities and available resources. Burnett Staffing (Stewart Lender Services) Houston, TX HOA Specialist/Account Clerk/Administrator Jul 2012 - Aug 2014 Streamlined client communication by verifying and providing essential documents, ensuring timely updates on account statuses, and effectively coordinating between banking associates, homeowners associations, law firms, selling agents, and title vendors. Oversaw financial processes, including review of payoff/estoppel statements, management of scheduled payments, and creation of invoices, while ensuring accuracy in all outgoing correspondence and call management. Customer Services Representative Jul 2012 - Aug 2014 Delivered comprehensive customer support for Home Affordable Modification Program inquiries, ensuring adherence to federal guidelines and meticulous documentation of application materials. Enhanced client service processes, contributing to a significant revenue increase from $521.0M to $1477.8M over two years, while improving customer retention and reactivating three major accounts. Collaborated with sales representatives to facilitate new account openings and service upgrades, while maintaining exemplary satisfaction records through continuous service improvement efforts. Sunrise Senior Living Katy, TXLead Care Manager (Shift Supervisor) Apr 2010 - Jul 2012 Managed communication of client condition changes to management, facilitating appropriate adjustments in care and service levels while ensuring compliance with state regulations. Conducted training and oversaw task management for Care Managers, maintaining operational efficiency and client confidentiality. Directed staff during shifts, providing feedback and guidance, and contributed to the marketing and leasing efforts by promoting property amenities to prospective tenants. National Institute of Health Bethesda, MDComputer Operator/Help Desk Jun 2006 - Aug 2009 Provided comprehensive technical support, including security policy verification and system troubleshooting, enhancing response efficiency to internal customer inquiries. Collaborated with cross-functional teams, including Project Managers and System Analysts, to manage testing environments and address system issues, ensuring seamless operations. Conducted regular data backup operations and maintained detailed processing logs, contributing to the integrity and reliability of data management systems.Strayer University Rockville, MDFinancial Aid Advisor Assistant Jun 2005 - Jun 2006 Assisted in managing client support and improving time management for the financial aid process, ensuring operational efficiency and adherence to compliance standards. Maintained accurate records and handled correspondence, including the collection and processing of financial aid documentation in line with governmental regulations. Telesec Corestaffing Germantown, MDMail Clerk (Lehman Brothers)/Secretary (Eagle Mortgage) Jan 2004 - May 2005 Managed correspondence, scheduled appointments, and maintained filing systems, ensuring seamless office operations and support for loan officers. Handled mail logistics, including preparation, postage calculation, and shipment tracking, while also performing reception duties and supporting loan application processes. EDUCATIONStrayer UniversityBachelor of Business Administration, Business Administration Rockville, MD2008International Scrum InstituteScrum Master Certification, Scrum Master Certification Switzerland (Online)2021CERTIFICATIONSScrum Master Certification, International Scrum Institute 2021 Support Center Analyst CertificationLeasing 101 (HAA)SKILLSMicrosoft Office (Word, Excel, PowerPoint, Access) Typing Skill: AVG 60+ WPM Leasing 101 (HAA) Support Center Analyst Certification Remedy Medisoft Molina Visio-Tile Flow TaxWise Switchboard EPIC(Prelude/Adt & Cadence) Passport OneSource Nthrive Solutions The HUB Ticketing System Oracle Business Intelligence SharePoint AHI Software Microsoft Office CPT Coding Epic Experience Advance Excel Skills Powerpoint |
