SUMMARY

• Over fourteen years' experience in working wif healthcare revenue cycle.
• Highly motivated, hardworking, dedicated team player wif a solid background of experience and leadership in revenue cycle projects.
• Demonstrated ability to analyze problems and respond appropriately.
• Able to collaborate, coordinate, set priorities and operate wif minimal direct supervision.
• Enjoy teh variety and complexity of teh healthcare industry and love teh everyday changes/challenges.
• Maintain teh highest level of personal accountability, demonstrated ability to exceed client expectations and provide outstanding customer service

TECHNICAL SKILLS

• Star Patient Processing, Accounting and Computer Operations
• Patient Location Tracker
• CST Certified
• CRT and MSE Port Building
• Receivables Workstation (RWS)
• Electronic Remittance Advice
• ADT and HL7 Interfaces
• Gaffey AlphaCollector
• AccuReg Registration QA
• Confidential Passport MPI
• SSI eVeriSmart Notice of Admission
• Confidential Horizon Patient/Business Folder (HPF/HBF)
• Proficient in Microsoft Office Suite to include Word, Excel, PowerPoint and Visio

Senior Application Architect

Confidential, Nashville, TN

Responsibilities:

• Work History rovide comprehensive technical expertise related to teh support and implementation of software applications utilized by teh organization
• Design and implement application architecture for test and production environments in both a Citrix and thick client environment
• Responsible for teh STAR STI/CST process, which includes scheduling, coordinating implementation resources, managing patch review and testing and completing teh necessary steps for change management
• Maintain application user audits dat must be completed on a quarterly basis
• Create and maintain system/application architecture diagrams
• Co - project lead teh ICD-10 testing wif various payers, which included creation of test scripts, coordination of resources, testing and reporting up to teh ICD-10 oversight committee
• Completed Confidential STAR v19 and Passport MPI v17 upgrades for 13 hospitals
• Responsible for participating in teh Enterprise Change Control process and Architecture Review to include weekly meetings, coordination of changes for my team and other technical resources and communicating wif both corporate and market upper management and end users
• Documented and trained teh team on new applications and vendor feeds dat were created as part of teh IT&S Revenue Cycle process
• Managed escalated system/application issues through root cause analysis

Consultant

Confidential, Atlanta, GA

Responsibilities:

• Independently implement and support Horizon Patient/Business Folder (HPF/HBF) and Image Link Engine (ILE) functionality, which includes seven onsite client visits from design, to testing and finally to activation.
• Complete workflow reviews (including system workflow and department process workflow). Document teh system/department processes, recommend best practices, assist wif staffing requirements and job descriptions and perform policy and procedure development and review.
• Lead design sessions, present on teh applications functionality, and assist in building and testing of HPF/HBF and ILE.
• Conduct onsite and remote client training on teh build, maintenance and day-to-day functionality of HPF/HBF and ILE.
• Provide product input to Product Marketing and Product Development groups using teh information from previous and current installations. Provide written direction to these groups regarding product functionality dat will improve teh implementation process.

HERM Senior Implementation Consultant

Confidential, Atlanta, GA

Responsibilities:

• Independently implemented and supported eligibility functionality and interface wif RelayHealth
• Liaison between teh client, HERM Product Management and Development and RelayHealth
• Assisted two healthcare systems in designing and implementing Horizon Enterprise Revenue Management
• Lead design sessions, present on teh application's functionality, and assist in building and testing an integrated Horizon Enterprise Revenue Management environment
• Completed current state assessments for a large southeastern client, which included all Patient Accounting workflows (billing, follow-up, cash posting and denials and appeals)
• Created and maintain extensive system test scripts based on client specifications
• Responsible for maintaining customer relationships and ensuring Confidential Product Development is kept up to date on client needs and system issues

Consultant

Confidential, Webster, NH

Responsibilities:

• Served as full-time support analyst for Confidential Star patient accounting and patient processing and Cerner patient management. Role included both application analyst as well as system administrator.
• Served as liaison for PFS departmental issues, assisting wif fix requests, enhancements and table builds.
• Performed validation testing of system builds and proposed workflows.
• Developed PFS operations workflows, processes, policies and procedures utilizing RWS, Cerner, and Star patient accounting.
• Served as project manager and assistant manager of implementation teams to set up, build, test, train users, and implement new systems wifin teh Patient Financial Services area, to include a Star upgrade from v11 to V13 and electronic remittance advice.
• Reduced teh rate of failed claims from approximately 95 percent to 60 percent by automating payer requirements using Automates Logic Manager wifin teh Claims Administrator software.
• Revised current edits in Claims Administrator to streamline failed claims process.
• Responsible for implementing system changes, including implementation, testing, documentation, and integration where applicable.

Application Analyst

Confidential, Concord, NH

Responsibilities:

• Served as teh system manager for assigned software products and responsible for all aspects of system support including implementation, testing, defect resolution, documentation, and integration.
• Independently manage information systems projects and responsible for all aspects of project management from project analysis, work planning and task scheduling, resource utilization, modification, and testing to post­implementation review.
• Function as consultant to end-user areas on effective use of teh system.
• Responsible for documenting system processes to include system upgrades, new software education and new payer requirements.
• Interact wif end-user staff and management on a daily basis in teh course of supporting user problems, designing new functions and developing/maintaining procedures and policies dat are affected by automation.
• Perform system analysis to determine how to solve mission critical application problems.
• Responsible for updating, adding and managing teh charge master for all departments of teh hospital.