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Click here or scroll down to respond to this candidateCandidate's Name
Findlay, Ohio Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLE LinkedInDedicated Health Informatics Specialist with a Masters degree in Health Informatics and over 4+ years of experience in healthcare and clinical data management. Proven track record in optimizing EHR systems, implementing data-driven solutions, and managing complex projects. Expertise in HIPAA compliance, Tableau, SQL, and clinical staff management. Adept at leveraging analytical skills to improve patient care and operational efficiency. Committed to driving innovation and growth in healthcare environments with a focus on enhancing organizational performance and patient outcomes.SkillsData Analysis & Reporting: Proficient in statistical analysis and report creation; experienced in developing evaluations of performance, quality, and costs.Technical Skills: Advanced EHR systems, MS Office (Excel, Word, Visio, Access, PowerPoint), Tableau, HL7.Programming Languages: SQL, SAS, SPSS.Project Management: Strong ability to manage multiple projects and meet deadlines in fast-paced environments.Regulatory Knowledge: Deep understanding of HIPAA compliance and data quality best practices.Other Skills: Time management, advanced clinical data management, Salesforce, patient care coordination.EducationMaster of Science in Health Informatics May 2024University of Findlay Findlay, Ohio GPA: 3.8Bachelor of Dental Surgery (BDS) April 2020Malla Reddy Institute of Dental Sciences IndiaExperienceProgram Specialist IIEversana Life Sciences United States July 2024 PresentSpearheaded data-driven investigations into complex insurance benefits issues, effectively collaborating with cross-functional teams to streamline processes and improve claims processing efficiency by 20%.Analyzed historical claims data to identify bottlenecks and propose targeted solutions.Developed comprehensive reports and presentations to communicate findings to stakeholders.Optimized Electronic Health Record (EHR) systems for patient assistance applications, resulting in improved reporting capabilities and significant reductions in administrative burdens for healthcare providers.Designed and implemented training programs for staff, increasing EHR usage efficiency by 30%.Enhanced system functionalities based on user feedback, leading to greater satisfaction among healthcare teams.Conducted thorough statistical analyses to assess payment and coverage discrepancies, ensuring strict adherence to HIPAA regulations.Implemented a systematic approach to audit claims, reducing error rates by 15%.Collaborated with legal teams to address compliance issues, resulting in a 25% increase in regulatory adherence.Providing dedicated, personalized support delivered over the phone and via online portal.Completing investigations and answer questions regarding insurance benefits, including information about coverage and out-of-pocket costs. Collaborate with patients and doctors to assist with issues related to payments, reimbursements, payment denials, and appeals. Make outbound calls to customers for additional information.Assisting with prior authorization and medical necessity processes, benefit verification and prior authorization assistance.Administering comprehensive searches for alternate reimbursement resources, such as state and federal assistance programs, and enrollment assistance for qualified patients.Responding to inquiries from customers, sales representatives and business partners, and follow up on requests in a timely, courteous and professional manner. Maintain positive attitude and a helpful approach to customers and clients.Entering orders, change orders, track shipments, and enter customer notes to complete customer/consumer transactions. To include maintaining logs and records as required.Processing patient assistance applications according to business rules of program.Other tasks and projects assignedData Management Specialist and Associate Dentist April 2018 - May 2022Sunshine Dental Care IndiaDirected clinical operations and established efficient data reporting processes that led to a 10% reduction in operational costs.Managed scheduling and resource allocation, ensuring optimal staffing levels and patient flow.Initiated cost-saving measures that did not compromise patient care quality, positively impacting the practices bottom line.Developed and implemented a comprehensive digital registration system, significantly improving data management and reporting efficiency.Reduced patient registration time by 40%, enhancing overall patient experience.Established protocols for data entry and management, improving data accuracy by 20%.Utilized advanced data analysis tools to create dynamic dashboards for tracking key financial and operational metrics.Identified trends and patterns in patient demographics and treatment outcomes, aiding in strategic planning.Provided actionable insights to management that informed marketing and outreach initiatives, resulting in a 15% increase in patient engagement.Intern India April 2019 - March 2020Malla Reddy Institute of Dental SciencesProvided patient diagnosis and education, employing data insights to tailor treatment plans and improve health outcomes.Conducted follow-up assessments and collected patient feedback to continuously improve care strategies.Collaborated with healthcare teams to analyze patient data and identify trends, leading to the development of targeted community health programs.Assisted in organizing and leading seminars focused on dental health issues, contributing to community health awareness through evidence-based practices.Developed engaging educational materials and presentations that increased community participation by 30%.Facilitated workshops that promoted preventive care, resulting in improved public knowledge about oral health issues.Certifications, Training, and ConferencesAdvanced Health Informatics CertificationHIPAA Compliance TrainingProject Management CertificationBasic Life Support and Airway Management WorkshopContinuing Education in EHR Systems and Data ManagementConflicts of Interest, CITI Program - 2022Public Health Research, CITI Program - 2022Social and Behavioural Conduct of Research, CITI Program 2022Biofilm and Lip Reposition SurgeryMedicolegal Issues in Medical and Dental PracticeAdditional InformationAvailable for relocation and remote work.Fluent in English |
