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Accounts Receivable Liaison Resume

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Philadelphia, PA

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SUMMARY:

I am reliable and motivated professional seeking a role in healthcare administration. I have managed, analyze, designed/implemented processes, projects and workflows. I am an expert in information technology & revenue life cycles for healthcare systems and networks.

KEY SKILLS & APPLICATION MANAGEMENT:

Network Admin. VPN, LAN/WAN, Avaya Admin., Windows & Linux Admin., SharePoint Admin., Novell Admin., Security Admin., Cloud Admin., Visual basics, Excel

EMR, PHR & EHR admin. (Qualifacts), data modeling, E - prescribing admin. (Dr. First, Emdeon)

CMHC5 admin. HCSIS & PROMISe application management, JIRA ticket

SQL Programming (Pentaho), data and report writing, data modeling, JavaScript, Queries/troubleshooting, risk analysis, GO-Live PHP, Azure, Data management

ICD 9-10, DSM-5 & CPT coding and application, HL7 application, clinical data analysis, HITECH / HIPAA complaint officer

WORK EXPERIENCE:

Confidential, Philadelphia, PA

Accounts Receivable Liaison

Responsibilities:

  • Manage claims accounting process; perform timely and accurate submission for HH&W Programs. Operating procedures consist of mapping, data management, and data analysis of documentation, authorizations and eligibility to ensure integrity of provider contracting.
  • Manage coding in EHR for 8 programs; perform insurance verification and precertification analysis for 400 clients. Identify errors in billing charges, payments and adjustments. Reconcile payments and review budget reporting. Maintain adherence to HIPAA healthcare regulations.

Confidential, - Plainfield, New Jersey

Compliance & Quality Improvement Coordinator/Project Manager

Responsibilities:

  • Administrator and Project Manager for all Electronic Health Record systems and databases.
  • Implement policies and operating procedures for compliance in EHR. Lead Clinical Analysis and IT resources for multiple analytic projects.
  • Trained & onboard eligible providers and clinicians.
  • Develop budget for IT dept. Manage clinical dashboards for all information system & manage billing coding.
  • Ensuring staff comply with company, health and safety regulations.
  • Administrator for all Network IT & Computer Systems (hardware, software, cloud, voice) & VPN’s; Supervised and developed Network security maintenance (LAN/WAN), troubleshoot network systems and securities (firewall, anti-virus & risk assessment) Report writing / SQL
  • Maintained printing presses, prepping stations and mounting plates. Query plates for mounting, query print files, and press equipment; Audit stock; assist in receiving sand shipping dept.

Confidential, Newark, New Jersey

Technical Support

Responsibilities:

  • Support and handling of hardware/software systems and applications.
  • System diagnosis/analysis, Setup and install program voice over IP on system networks

Confidential, Livingston, New Jersey

Internship

Responsibilities:

  • Installing, designing, configuring, maintaining systems hardware and software at facility

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