SUMMARY:

Electronic Medical Records training and IT end user support professional highly skilled in the design and delivery of cost effective, high performance revenue cycle solutions in the health care industry. Strong technical and supervisory acumen coupled with equally effective organizational leadership and operations management will consistently improve processes, systems, methodologies and staff performance to reduce costs and consistently maintain a high level of customer service.

KEY SKILLS INCLUDE:

• Microsoft Office Suite
• Communication / Program Management
• New Process Introduction / Support
• Strategy Identification and Implementation
• Operations Staff Management
• Revenue Cycle Solutions
• Physician / Staff Training
• Quality / Cost Reduction Methodologies
• IT Liaison / Training Programs Delivery
• Implement/Train: Wound Expert/Kareo
• Healthcare Regulatory Compliance

PROFESSIONAL EXPERIENCE:

Confidential, Toledo, OH

Account Manager

Responsibilities:

• Review claims and payment data to determine managed care payers who qualify for audit
• Introduce service to clients
• Obtain contract and fee schedule information from client and/or payer
• Assist client in obtaining contract/fee schedule information when needed
• Review managed care payer contracts for reimbursement methodology
• Model fee schedules based on contract language
• Request/analyze variance reports using modelled fee schedules and client claims and payment data
• Create report detailing variances and present to client
• Appeal incorrectly paid claims
• Track reprocessing of incorrectly paid claims
• Maintain regular communication with clients via email or phone to obtain additional information and/or update status of payer audit(s)
• Research specific payer claims processing rules as needed to validate audit results
• Document audit status in proprietary tracking system

Confidential, Cleveland, OH

Activation and Reinforcement Specialist

Responsibilities:

• Learn Allscripts Touchworks, Encite and Medflow software
• Train staff using Best Practice per system standards
• Support multiple Pediatric and Adult specialties
• Support multiple levels of providers, Doctors (hospital based/private practice), Fellows, Residents, Nurse Practitioners, Physician Assistants, and Advance Practice Nurses.
• Reinforce information necessary to meet Meaningful Use metrics
• Trouble shoot connectivity, security, and configuration issues during practice Go Live
• Create tickets with Ambulatory Command Center and follow to resolution.
• Complete performance reports for assigned Providers and staff through first three weeks of activation
• Assist in resource scheduling by documenting provider schedules from Athena scheduling system.

Confidential, Mayfield Hts., OH

EHR Systems Administrator/ Trainer

Responsibilities:

• Learn EHR software
• Complete all configuration for multiple databases
• Create users and assign security
• Train providers to use EHR and audit initial documentation
• Train scheduling and billing staff
• Customize billing and scheduling functions
• Assign read only access to client facilities
• Train facility staff to retrieve patient records
• Assist with Practice Management set up and fee schedule
• Develop, distribute, and update training materials
• Remote training via GoToMeeting
• Live one on one and group training
• Support billing and scheduling staff

Confidential, Columbus, OH

Implementation Consultant

Responsibilities:

• Implementation, training and Go Live support for MedInformatix installations.
• Primary focus on Revenue Cycle processes.
• Analysis of current state workflow and development of future state workflows
• Guide client through configuration process of practice specific information
• Super User and End User training prior to Go Live
• Go Live Support for initial activation and Month End

Confidential

Contract Trainer

Responsibilities:

• Assist the corporate trainers in presenting new software to Super Users using corporate training script.
• Answer questions and work with individual users during practice exercises.

Confidential, East Cleveland, OH

Supervisor, Physician Billing

Responsibilities:

• Liaise with Patient Financial Services to resolve denials and claim edits for facility charges.
• Oversee physician accounts receivable and set policy and procedures for the billing company that performs physician follow - up.
• Monitor provider documentation in Epic for compliance and educate providers in proper documentation for reimbursement and continuity of care.
• Work with Cleveland Clinic Regional Epic IT Team to develop electronic billing for inpatient charges for Huron Providers in Epicare module.
• Train physicians in application to create charges and billing staff to work the billing queue.
• Work with IT and Finance to implement electronic billing for outpatient charges and align Huron Physician billing with Cleveland Clinic Main Campus and Weston in Florida.

Confidential, Atlanta, GA

Implementation Consultant

Responsibilities:

• Provided activation support, training end users on both revenue cycle and clinical solutions.
• Helped develop test plans for revenue cycle teams to use with clients across revenue cycle solutions.
• Worked with transformation team to assess client current state, suggest possible future and optimal states, and identify opportunities to better manage current state during implementation process.

Confidential, Cleveland, OH

Supervisor of Commercial Follow Up Team

Responsibilities:

• Managed workflow with account work queues, scanned correspondence, and revenue cycle reports.
• Worked with Epic and SMS.

Confidential

Supervisor

Responsibilities:

• Worked with physicians and other providers to resolve diagnosis / CPT issues.
• Balanced imports from interfaced systems.