Business Analyst Resume
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Chapel Hill, NC
SUMMARY
- Serve as a liaison between departments (Emergency Medicine, Family Medicine, Pediatrics, Orthopedics, Pathology, and Radiology) and Revenue Cycle Analytics.
- Provide mentorship and guidance to Reimbursement Analyst who assist with the departments
- Work closely with clinic managers, staff and physicians to review denials, physician’s notes and aged claims to improve reimbursement by insurance payors.
- Facilitate weekly meetings and phone calls to present Key Metrics to leadership within the healthcare.
- Analyze denials from insurance payors to identify trends and determine root cause of denial.
SKILLS:
- Ability to work independently or with a team while managing multiple tasks and meeting stringent deadlines.
- Create tools using Excel to increase production and decrease errors using advanced formulas.
- Familiar of programs such as Business Objects, Access, SharePoint, VBA, SQL, Power BI and SAS.
- Highly self-motivated, dependable and willing to take initiative.
- Strong interpersonal skills to interact with all levels of management and build strong partnerships across all Lines of Business.
- Created and implemented Dashboard style reports to help maintain timely referrals for all loans.
EXPERIENCE:
Confidential,Chapel Hill, NCBusiness Analyst
Responsibilities:
- Serve as a liaison between departments (Emergency Medicine, Family Medicine, Pediatrics, Orthopedics, Pathology, and Radiology) and Revenue Cycle Analytics.
- Provide mentorship and guidance to Reimbursement Analyst who assist with the departments
- Work closely with clinic managers, staff and physicians to review denials, physician’s notes and aged claims to improve reimbursement by insurance payors.
- Facilitate weekly meetings and phone calls to present Key Metrics to leadership within the healthcare.
- Analyze denials from insurance payors to identify trends and determine root cause of denial.
- Utilize Business Objects to create reports to fulfill internal and externals ad-hoc requests, as well as maintaining ongoing scheduled reports.
- Draft system edits and logic for Epic to ensure claims are routed to the work queues.
Bankruptcy Analyst
Responsibilities:
- Provided analytical support for the Delinquent Tax team for process improvement and the change control process.
- Created forecasting for Tax workflow volume to ensure proper staffing.
- Design and maintain Microsoft Access database.
- Analyze raw data using data mining techniques to determine trends and patterns within processes, identifying gaps and efficiency opportunities.
- Make recommendations to management based on analyses for process improvements.
- Develop detailed reports using information pulled from Microsoft Access and PowerPoint for management presentations.
- Provided direction to team members of prioritization of work based on daily/weekly volume.
Customer Accounts Representative
Responsibilities:
- Analyzed customer financials to assist in developing a payment schedule.
- Provided information to the customer to fully understand their circumstances offering payment cure solutions when possible.
- Conducted skip tracing in order to locate customers who have relocated.
- Prepared documentation for uncollectible accounts for management and/or recovery collectors.