Committed professional offering 15+ years of experience in healthcare. Seeking to expand talents by bringing a wealth of expertise to a well-established company. Highly motivated and committed to learn.
Overview
20
20
years of professional experience
Work History
Consultant
Oracle
08.2022 - Current
Evaluate client needs and expectations, establishing clear goals for each consulting engagement.
Identify areas of improvement for clients operations, implementing targeted solutions to increase productivity.
Collaborate with cross-functional teams to successfully deliver comprehensive solutions for clients.
Consult with clients on service line workflow and guide them through interdependencies and design decision
impacts.
Provide solution oversight, direction, and expertise to stakeholders drive client-specific solution configuration design to meet workflow requirements and make recommendations
to clients.
Mitigate solution risks and issues
Execute workflow and process improvement strategies
Lead client meetings and events
Drive internal team initiatives
Go Live Support
Assist clients with their Cerner Charge Services Data Collection Workbooks
Liaised with customers, management, and sales team to better understand customer needs and recommend appropriate solutions.
Health Claims Specialist
Revecore
01.2022 - 08.2022
Coordinated insurance benefits for patients.
Maintained confidential information, whether verbal, written, or electronic
Maintained proper account documentation in AccuClaim.
Closed/returned claims to claims to clients upon resolution using correct text and procedures regarding denial
process.
Billed Insurance
Insurance follow up regarding authorizations, claim status, and payments.
Resolved accounts as quickly and accurately as possible, obtaining maximum reimbursement.
Charge Services Specialist
Humboldt General Hospital
07.2021 - 11.2021
Ensured new charges are assigned appropriate numbers based on department standards
Performed audits of the charge description master and ancillary systems to ensure standardization
Performed all required data entry for maintenance of the charge description master accurately and timely
Worked with administration on pricing for all codes applicable to hospital, physician, and ancillary billing
Maintained corporate charge master including entity charge master in Cerner and maintains a database of the
standardized charge master in designated software
Worked closely with departments and clinical informatics on any new order/charge build
Solutions Development Analyst
Ascension Technologies
12.2017 - 07.2021
Level 2/3 Incident Management
Worked closely with customers, other product team members, and vendors to resolve issues
Gathered data from each site in preparation of National Support Model
Symphony-PeopleSoft interface support
File Transfer Protocol (FTP) support for MFT/ODI
Trained to support other interface engine(s) for 26 Ministries
Maintained Procedure Master File September 2015 -December 2017
Built surgery items/surgery procedures, while working closely with Charge Services team
Assisted with implementation of Cerner RevCycle for the Indiana Market hospitals and clinics. Assisted with the initial phases of planning and design for the Cerner Indiana Market conversion. Managed DDM and DCW efforts onsite.
Verification of Benefits Coordinator
The Oxford Center
02.2015 - 09.2015
Co-Coordinated process for reoccurring verification for all outpatient/inpatient services
Coordinated coverage for verification of benefits specialist for inpatient services
Worked closely with insurance companies to understand coverage levels and reimbursements expectations
Coordinated schedules for verification of benefits staff with vacations and unplanned absences
Diagnostic and Surgery Coordinator | Registration
Tennessee Orthopedic Alliance
02.2006 - 02.2015
Coordinated insurance verification and patient responsibility based on contract reimbursement
Coordination of surgery schedules and diagnostic test
Obtained insurance prior authorization for treatment
Orchestrated daily communication updates through email, fax and system comments for schedules
Completed daily office deposits and transactions
Responsible for coding tickets for surgical procedures
Reviewed physician documentation and provided training and support for revision
Developed and maintained physician templates.
Responsible for the coordination of staff for daily support for the Registration/ Scheduling department
Team Lead for the Pre-Registration/Scheduling department