SUMMARY:

• Requirements Gathering in Agile, Waterfall and Unified Process (RUP)
• Modeling using Use Case, Activity and Sequencing diagrams
• Screen mock ups using I - Rise.
• Documentation of Business and Functional Requirements.
• Testing assistance in System and User Acceptance testing.

TECHNICAL SKILLS:

Methodology: SDLC, RUP, Agile

Project Management: Microsoft Project, Microsoft office

Modeling Tools: Microsoft Visio, Rational Rose, I-Rise

Operating Systems: Windows Family, UNIX

Databases: Oracle, MS Access

Language: SQL, PL/SQL using SQL navigator, HTML, XML

Change Management Tools: Rational Requisite Pro

Internet Tools: Java Script

PROFESSIONAL EXPERIENCE:

Business Analyst

Confidential

Responsibilities:

• Apply RUP methodology with its various workflows, artifacts and activities to manage life cycle from Inception to Transition phase.
• Act as liaison between clients and developers to generate and standardize product.
• Create requirements specification documents such as URS/FRS/Use Cases.
• Gather client’s business requirements and design specifications in order to deploy the application package per the business need.
• Employ UML methodology in creating UML Diagrams, Use Cases and workflows.
• Involved in conducting functionality testing, Integration testing, Regression testing and User Acceptance testing (UAT).
• Provided analysis and insight to QA Team in defects and bugs tracking
• Provide management oversight of the Epic revenue cycle application teams (Cadence, ADT, Resolute Hospital Billing, Resolute Professional Billing, Claims, and HIM)
• Assist application team leads and analysts with the prioritization, resolution, or escalation of application and integrated issues.
• Work with other teams to identify and correct issues in a timely and professional manner
• Provide guidance to project teams relating to clinical and revenue cycle application integration
• Develop and maintain documentation of business/system requirements
• Actively participate in all phases of the testing lifecycle
• Complete and maintain regular status reports and provides verbal and written status to project leadership as required
• Provide guidance to project teams relating to clinical and revenue cycle application integration

Business Analyst

Confidential

Responsibilities:

• Applied RUP methodology and conducted brainstorming sessions to understand the client specifications and requirement.
• Identified and analyzed issues and risks, and recommended solutions to minimize cost by having benchmark and standard for duplicate invoices, and overbilling to the client.
• Document the business process through Business Requirement Document and Functional Requirement Specifications document.
• Conducted weekly meetings with the vendors and end client to review functional specifications and resolve open issues.
• Involved in Gap analysis requiring the identification of business rules, business and system process flows, user administration, requirements and assumptions.
• Supported in QA testing and implementation of business solutions throughout the Software Development Life cycle

Business Analyst

Confidential

Responsibilities:

• Worked with Physicians and support staff to development business requirements.
• Prepared Business Requirement Documents for the assigned modules.
• Provide requirements walkthrough to the QA and Development teams.
• Review the testing artifacts are provide sign-off.
• Review defects logged by the QA team and assign to the developer for defect fixes.
• Provide status updates to project lead.

Confidential

Reimbursement Manager

Responsibilities:

• Establish and implement the operational objectives needed to successfully maintain a complete revenue cycle; provide leadership, organization and support to the PFS staff including Patient Accounts, Patient Access and Telecommunications.
• Managed from 15-25 team members
• Control, monitor and resolve current AR
• Interact with management staff
• Identify and resolve problems, and implement changes and improvements
• Promote a team approach, building a line of communication between staff, leadership team and physicians
• Monitored staff performance, evaluating deficiencies, and providing development
• Ensure that all month-end reports are correctly completed and forwarded to the appropriate Management in a timely fashion
• Provide in person, by phone or electronic systems for staff on collection procedures
• Create a motivated team that succeeds in the of the goals for all parties concerned

Manager

Confidential

Responsibilities:

• Oversee the day-to-day operations of account follow up, collections and refunds processes.
• Maximized collection productivity and accuracy by ensuring account follow up is done according to collection Philosophies and standards.
• Provided and implementation of tools through in-service for staff and admitting dept.
• Ensured that account follow-up and collection techniques meet laws, regulations and guidelines governing billing and collections in a health care facility.
• Served as liaison with hospital departments to respond to common inquiries and complaints in a timely and efficient manner.
• Maintained strong levels of motivation and leadership in the department effectively communicating and demonstrating urgency in the resolution of account balances.
• Analyzed monthly A/R aging reports and review with Account Follow up Reps to determine areas of improvement and appropriate action plan.
• Analyzed trends affecting A/R. Make recommendations for appropriate action to change policies or procedures. Insure refunds are processed in accordance with hospital policies and procedures.
• Prepared productivity reports for monthly reporting to CFO.
• Communicated with patients, clients, hospital staff and management both verbally and in writing to ensure questions and concerns are processed in a timely manner

Manager Patient Financial Services

Confidential

Responsibilities:

• Responsible for managing accounts receivable, cash management and patient registration.
• Responsible for the activities of Billing, Credit & Collection, Patient Registration, Insurance Verification, Scheduling, Cash Posting, Refund Processing, and Cashiering. Coordinates operation with other hospital units and medical staff.
• Interpreted policies and recommend policy changes to Chief Financial Officer.
• Interviewed and hired new employees and assigned them to various work areas.
• Minimized investment in A/R and bad debt write offs. Identified of charity. Assured professional level of customer service minimizing patient complaints.

Manager

Confidential

Responsibilities:

• Managed the billing operations and Fiscal Reporting
• Assures timely billing and manages the accounts receivable processes.
• Prepares internal and external reporting including performance ratios, AR reports and related summaries.
• Works collaboratively with key program leaders to promote efficiency and to problem solve areas for performance improvement.
• Supervises billing staff and maintains dialogue with operating unit staff to assure open and honest communications.
• Responsible for Revenue Cycle Management
• Project Manager for Clinical/Billing Software Implementation
• Create a motivated team that succeeds in the of goals for all parties
• Monitored staff performance, evaluating strengths and deficiencies, and provided necessary development

Supervisor Admitting

Confidential

Responsibilities:

• Managed 8-10 admitting registrars
• Ensured all pre-admitting procedures were followed properly.
• Identified and resolved problems, implementing change and improvements where needed.
• Supervised the pre-registration system, patient data flow and ensure that all individuals, units and services receive correct and timely information.
• Ability to efficiently and proactively manage others. With a strong ability to resolve conflicts in a regarding patient priority and bed availability, as well as staffing conflicts.
• Ability to create and implement effective schedules for the admitting staff to ensure coverage