SUMMARY:

• 10 + years healthcare experience
• 10 + years IT experience hand on
• 10 + years system and application analysis
• 10 + years of Clinical and PM hands on practical experience
• 10 + years project management & implementation
• Enterprise Web and Server based application implementation, training and support
• Service Now Applications for help desk management

SOFT SKILLS:

Flexible, Excellent Communicator, Mentor, Professional, Volunteer Efforts, Planning Expertise, Problem Solving, Teamwork

AREAS OF EXPERTISE AND SPECIALTIES:

Healthcare Revenue Cycle Operations | Process Improvement |Work Flow Analysis | Project Management for Practice Management and Electronic Health Record Systems | Clinical Business Analyst |Account Management QA & Complex Problem Resolution | Staff Management Team Building and Development | Implementation Strategy

PROFESSIONAL EXPERIENCE:

Business Analyst

Confidential, MD

Responsibilities:

• Project Management and consulting services for Large Hospital based Radiology organization.
• Developing business office solution with Select Vendors.
• Vendor liaison for client to ensure installation and implementation is successful. Project management for bidirectional HL7 interfaces with 20 + hospitals and ambulatory outpatient imaging centers for billing purposes.
• Long range financial and business goals are reviewed and forecast for future growth.
• Software applications including Imagine, RadPayor, Availity, DataMedia, Tsys, and AR Assist.

Confidential

Subject Matter Expert (SME)

Responsibilities:

• Patient Collections Management, process improvement initiatives based on company goals
• IT technical resource
• Client Management and Relationship Building
• SDLC - Agile Software Development Life Cycle, User Stories, Business Requirements, Use Case Creation and Testing
• Quality Assurance
• Solomon Edwards-Leadership with project management for process improvement, best practice policy and procedures for Invo-Progressus Therapy. Spear headed and Project managed the implementation and rollout of their pre-existing but not implemented electronic medical record system, Clinicient for 4 states and 150+ therapists.- Clinicient PM and EHR
• Provided business analysis for remittance advice errors and corrected setup of the application for a client of Emdeon/ChangeHealth Care- Greenway Enterprise Medical Manager

Confidential

Project Management |Operations | Business Analysis

Responsibilities:

• Full SDLC planning, QA, Deployment, Training and management of Issues to resolution for the Clinical hospital application systems including proprietary Electronic Health Record and Revenue Cycle management solution
• Prioritized and Managed multiple projects and implementations for multiple facilities and ensure delivery was on time without issue
• Triage all support and enhancement requests presented to the development team securing information from outside sources and business users
• Coordination of team meetings, conference calls producing outcome status reports in a Project Server environment.
• Proven ability to think outside the box to initiate better workflow or to decrease number of support incidents and to improve customer satisfaction
• Organize, lead and initiate meetings for executive leadership to provide status updates on all project assignments
• Worked in fast paced environment to meet deadlines and government mandated enhancements
• Conducted all aspects for ICD10 preparation testing, go live and ongoing support efforts. Quality control of the ICD10 testing project as well as the Revenue Stabilization initiative. Improved processed improvement and workflow efficiency for managing the SDLC process for the development team. Interaction with Coding Vendor and Coding team for the purpose of ensuring 100% compliant for processing claims
• Design, create and utilize test scripts to ensure both Electronic Health Record, Coding Applications, Third Party vendors and Practice Management systems were accurately delivered.
• Team efforts and mentoring to other staff to ensure the progress and handoff was smooth

Confidential

Client Relationship/Project Management

Responsibilities:

• Advisory to PM and Clinical EHR Build and implementation for new Entity owned by the hospital.
• Initiate and Maintain Client relationships while developing staff and policy and procedures for new business office of Hospital Owned practices under a new corporate entity consisting of 200+ physicians
• Ability to collaborate with the vendor, training team and developers to test software and workflows are delivered as expected
• Escalated issues as needed to vendor with examples and possible resolution
• Performed analysis of data for the purpose improving error tracking, denial management and resolution for correct claim payments based on government issued fee schedules
• Identified Collection Vendors and financial Auditors to determine outsourcing of accounts receivables
• Communication with all senior management from COO, CFO, CIO, VP, Directors as well as Hospital IT/IS staff to Senior management overseeing the Central Business Office.
• Organized, conducted and attended all meetings for the purpose of Revenue Cycle Management processes which included in person meetings, emails and formalized brainstorming meetings to assure successful roll out with both leadership and physician practice staff members
• Consulting with vendors and other consultants for the purpose of redesign and configuration of new revenue cycle application and electronic health record.
• Implementation, training and support of Bank Of America Web based Payment Application with direct deposit and identified improvements to application with vendor developers that improved performance and added new functionality

Confidential

Business Analyst, Project Management/Process Improvement Consultant

Responsibilities:

• Project Management of a Multi-State ambulatory surgery center corporate business office providing Client to vendor technical liaison analysis
• Meetings with client executive leadership and vendors providing status reports of the resolution optimize reimbursement and automation
• Direct communication via in person, emails and conference calls with VP of Operations at client site and implementation management teams from Emdeon and Fifth-Third Bank
• Review Large quantities of Data for the purpose of identifying anomalies, short-pays, denials, and error rates for establishing process improvement
• Established protocol for automated processes for inventory, purchase orders and supplies with bar code scanning and on line inventory order purchases
• Results were manifest by the Improved collections with highest documented reimbursement in history of surgery center

Confidential

Client Relationship/Project Management

Responsibilities:

• Client Relationship and Account Retention Initiatives
• Deployed proprietary medical practice management solution with bidirectional interfacing of the proprietary Electronic Health Record.
• Software for revenue cycle including electronic claims processing and automated payment posting from Emdeon, McKesson and Availity
• Led multiple projects for implementation, of Electronic Medical Record system, Wireless Handheld charge capture, and practice management deployment
• Created documentation for user implementation, setup and training for practice management system
• Migrated existing clients from third party platforms to the proprietary software practice management solution
• Evaluated Electronic Health Record and Practice management software to continually identify improvement of scalability and processes
• Collaborated with offshore resources to ensure improvements were documented and tracked

Confidential

Client Relationship/Project Management / Revenue Cycle Management

Responsibilities:

• Lead Account Technical Management while Collaborating on strategic planning and direct involvement with executive leadership to ensure optimum revenue cycle management for both the company and our ASP clients
• Managed projects from design through implementation and quality control of multi module applications and custom interfaces
• Provided full client services including user documentation and training and ongoing technical support in a “Tier 3” capacity
• Interfaced with health care software vendor senior level management to ensure quality of delivery and innovative solutions
• Assisted sales team with enterprise client acquisition to realize $187K unplanned revenue
• Managed 10+ staff with matrix access to all company resources and perform related scheduling, administration and financial management to ensure employee development
• Developed policies and procedures which resulted in the implementation of incentive sales plans, organizational processes and functional definitions
• Automated client business processes through configured modules (scheduling, back-office management, EDI-billing and collections, clinical records, managed care, etc.) and custom interfaces, with the result being increased financial and operational performance
• Drove the company in the migration to this technology through deep strategic planning efforts and product analyses in order to select only those qualified fully to ensure customer satisfaction
• Performed product management functions to identify, assess and resolve product gaps in functionality and improve solutions
• Analyzed client business operations, industry trends, regulatory and government compliance requirements, and technology advances in order to drive continuous product improvements
• Participated in all aspects of the software development life cycle, including product testing to ensure compliance to documented specifications and quality solution deployment
• Developed national Practice Management and Enterprise Manager implementation plans for large MSO clients (30-2000 seats) utilizing a Unique Identifier across platforms
• Designed and Customized Revenue Cycle Practice Management system to accommodate business operations and work flow for greater efficiency
• Reassignment of staff by 50% through customization and automation of systems