Accounts Analyst Resume Profile

PROFESSIONAL SUMMARY

Business Analyst offers 20years in the Healthcare industry. Expert on business and systems requirements, user acceptance
testing, process improvement and end-user training. A highly motivated Revenue Cycle professional with a verifiable
record of accomplishment who excels in establishing excellent working relationships with customers, employees, vendors
and contractors

SKILLS

l Strong leadership and Management skills l Demonstrated ability to lead complex implementation
l Superior verbal and written communication skills projects involving cross department
l A/R and Problem Collections l Skilled trainer

WORK HISTORY

The Senior Staff Analyst

Confidential

l Managed NYS Medicaid application processing and charitable facility discounts
l Oversaw operations of 5 team members, offering constructive feedback on their work performance
l Perform billing account analysis ensuring balance billing is accurate.
l Update members account balance as applicable monthly
l Initiatedrefunds processes for patients identified with over payments.
l Responds to requests for information from patients and insurance carriers by retrieving source documents and
interacting with internal departments
l Follows-up on work-lists through the proprietarysystem for aggressive account follow-up.

Medical Biller

Confidential

l Daily supervision and training of office operations for staff of 8 employees on multiple medical billing programs l Worked directly with the Financial Management Office to manage hundreds of accounts receivable accounts.
l Reduced overhead by taking on more responsibility with creative and administrative projects.
l Contacted patients regarding unpaid and underpaid accounts improving timely paying of bills by developing flexible
payment plans for patients.

Patient Accounts Analyst

Confidential

Acts as Business Office Liaison between management, front end users, and IS departments
Audits billing edits to ensure CCI necessity make recommendations for reducing edits
Recommended reporting for tracking and resolving edits which prevented delays in claims submission
Implements reports/processes for follow-up requests to other departments
Works ePremis reports and make recommendations to prevent denials and inaccurate payments
Researches need for pre-billing edits to be maintained in proprietary and ancillary billing programs
Reviews problem areas and makes corrections prior to submission of the claim
Researches required information and maintains status on pending/ follow-up items on a daily basis
Reconciles Billing Batch report and Clearinghouse's Billed insurance report
Assists with training staff in understanding processes and information required to produce clean claims
Managed Inpatient and Outpatient billing and hospital electronic clams submission in compliance with NYS and federal