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Business Analyst Resume Profile

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Summary

Multi-certified Business Analyst professional with experience managing enterprise implementations of healthcare information and EMR systems 8 years expert in gathering, analyzing and defining business and functional requirements creating global metrics, trend charts and other decision-making tools leading data-modeling and process-mapping initiatives and designing/re-engineering processes, workflows and technology solutions for healthcare systems and networks. Proven ability to lead seamless implementations and deliver next-generation technical solutions improving revenues, margins and workplace productivity.

Expertise Highlights

  • Network Systems Administration
  • Strategic Technology Planning
  • Data/Business/Systems Analysis
  • Data Flow Process Mapping
  • CMS Regulations
  • Project Management
  • Systems Security Disaster Recovery Planning
  • Testing/Scripting/Documentation
  • Technical Writing Manuals/System Specs
  • HL7 integration Business / User Requirements

Professional Experience

Confidential

Soarian System Analyst III

  • Maintains effective communication and working relationships with customers and project team members.
  • Identifie the technical approach to be used on a given IT project and manages the system development process including the development of a strategic plan, systems analysis, technical design, coding, testing and acceptance of an IT system and/or application.
  • Develops IT system review schedules, audits and acceptance tests for each phase of a project.
  • Develops Requests for Proposals RFP , evaluates responses, and leads IT system selection teams.
  • Prepares and presents oral and/or written technical reports and project presentations.
  • Organizes and conducts project team meetings.
  • Works with appropriate customers to identify and coordinate new IT system developments and/or enhancements for all Soarian Reports.
  • Work with appropriate customers to develop project scope of work documents and project plans that include an analysis of benefit, cost, work schedule and any related risks.
  • Assign, schedule, train, review, and monitors project work to ensure that progress is within expected guidelines and is completed on time and within budget. Mentors and provides expertise to other project team members.
  • Work with appropriate customers to identify the roles of project team members, project reporting structures and frequency of interaction and any training requirements that may be needed for a team member to complete an IT project.
  • Define the responsibilities of parties involved in the project including customers, management, IT management, project team, vendors and others affected by the project.
  • Identify, track, monitor and communicate project-related issues, scope changes, variances and contingencies that may arise during the implementation of IT projects. Facilitate amicable solutions with the appropriate customer s .

Confidential

Utilization Resource Business Analyst

  • Documented workflows and executed comprehensive training plan to Utilization Resource staff that more than doubled EMR access from 45 to 100 and usage from 35 to 80 .
  • Gathered and assessed needs from internal business units created custom solutions to resolve issues e.g., system slowdowns, virus outbreaks and process bottlenecks and developed functional specifications for Utilization Management group.
  • Automated previously manual, time-consuming processes to drive gains in data tracking/accuracy, workgroup efficiency and profitability.
  • HL7 integration experience from a Business User requirement perspective e.g. Cerner Patient Tracking System Tele Tracking , Siemens ADT / EDM system, and Milliman Care Guidelines.
  • CMS Regulations, DRG Auditing, RAC Audits review, Milliman Criteria proficiency, Report writing, Efficiency development for inter-rater reliability monitoring.
  • Partners with the Project Management, team collaboration with Instructional Designers
  • Facilitate communication between the End User group and E HS
  • Provide standard deliverables: Requirements, Use Cases, Visio Diagrams, Test Scripts, Project Go-live support.
  • Write, design, present Financial and Clinical metrics for monthly C level Hospital Utilization Committee consisting of the following personnel Denver Health CMO, Medical Director, Chief of Rheumatology, UM Physician Advisor, Director of Utilization Management, Direct of Clinical Social Work, Director of Admissions, Director of Patient Flow R.N. Director of Enrollment Services and Physicians representing Emergency Department, Obstetrics Gynecology .
  • Six Sigma Black Belt certified, reporting data, metrics, workflow process improvement, Use Case Modeling, Creation and maintaining of Microsoft Access Database, Internet SharePoint.
  • Multiple Projects for Directors of Services Lines within the enterprise: CFO, Director of Finance, Director of Utilization Management, Director of HIM, Director of Center for Patient flow, Director of Enrollment Services, Director of Admission Patient Registration, as well as Multiple Physicians within the Enterprise.
  • Prepare departmental business and financial goals for upcoming year, to include the redesign of departmental policy and procedures to ensure each goal is obtained on a quarterly basis.
  • Strong Data analysis skill ensuring business requirements are met throughout the Revenue cycle department / Data integrity.

Confidential

Supervisor, Admissions Revenue Cycle Department

  • Oversee all department functions to ensure that a high quality of standards are met to service the needs of patients, physicians, regulatory agencies outside entities and all hospital departments.
  • Act as a liaison with physicians, patients, ancillary departments, nursing staff, finance and all other hospital departments, insurance companies and government regulatory agencies when problems occur.
  • Analysis of Front end ADT Siemens System transactions reconciling/ auditing success and errors with Back end HIM, Finance personnel streamlining implementing better business practice.
  • Writing Policy and Procedures for the department ensuring all processes are administered accurately.
  • Training and orientation processes for employees.
  • Provide feedback to associates concerning work performance based on daily, weekly and monthly Quality Review monitoring.
  • Oversee and manage the daily activities of all Patient Registration, Cashiers, Financial Counselors, and Outpatient Specialty Clinics totaling 16 direct reports.
  • Developed and promote patient growth for all outpatient radiology services within the hospital.
  • Monitor policy and procedure for departmental up front collections on a daily basis to ensure weekly, monthly and quarterly financial goals are obtained for all areas in Patient Access.

Confidential

Coordinator Patient Access Services

  • Maintaining/Troubleshooting day-to day Patient Access Registration, Reviewed incorrect registrations with staff, improving and coaching to meet standards
  • Data analysis for Cerner registration system.
  • Supervising staff-members, Overseeing and managing 6 member crew.
  • Cash handling, Financial daily reports through Microsoft Excel, Corresponding with staff and management through Microsoft Outlook
  • Liaison between upper management and staff members, ensuring day to day activities performed sufficiently
  • Answered phone calls, assisted patients/healthcare personnel pertaining to Admissions procedures.
  • Corresponding Healthcare information between patients and healthcare personnel.
  • Maintained constructed PEPR annual reviews, audited staff production i.e. QA scores, addressed needs and improvements. One on Ones with staff members.
  • Assisted Enrollment in CICP applications, entering in Health Track Indigent Care applications.
  • Corrected all technical system registration errors and edits.
  • Monitored daily departmental up front collections to meet month goals and standards.
  • Ensured departmental registration accuracy was obtained to at least 95 .
  • Ensured daily insurance verification/authorizations were obtained for all Inpatient, Observation and Day Surgery patients.
  • Monitored departmental billing/edit reports to ensure accurate and efficient patient billing.

Confidential

Lead Radiology Assistance

  • Schedule and organize patients' appointments with the radiology department.
  • Interact with patients and their families to obtain clinical information.
  • Organize reports and clinical records of patients for the radiologist to read and determine.
  • Assist and support radiology technicians in taking x-rays.
  • Load x-ray films onto the radiologist workstation.
  • Assist and support radiologists, physicians and nurses.
  • Handle and guide patients to positions appropriate to taking x-ray images.

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