Daniel Alicea Email & Phone Number

Tampa/St. Petersburg, Florida Area

• Directly responsible for the IS Patient Access Systems Team who are involved in support, maintenance, and implementation of Cerner Revenue Cycle for all registration, scheduling across all 15 hospitals, 16 Outpatient imaging locations, and over 200 primary care/specialists’ locations.• Also responsible for all physician billing applications including, GE Centricity Business, Medaptus, Docuphase, Tavoca/Smartsource, ZocDoc, Optum Claim Scrubber, and Ecommerce.• Created primary and… Show more • Directly responsible for the IS Patient Access Systems Team who are involved in support, maintenance, and implementation of Cerner Revenue Cycle for all registration, scheduling across all 15 hospitals, 16 Outpatient imaging locations, and over 200 primary care/specialists’ locations.• Also responsible for all physician billing applications including, GE Centricity Business, Medaptus, Docuphase, Tavoca/Smartsource, ZocDoc, Optum Claim Scrubber, and Ecommerce.• Created primary and secondary roles for the different responsibilities on the team through reevaluating skills, job functions, documentation and experience. • Constantly applying project management processes to existing projects and new requests that are brought to our team. • Successfully upgraded the Practice management solution GE Centricity Business to 6.2.• Research, recommend and implement new software applications/modules to increase efficiencies or to support new/expanded functions.• Improved team member relations with Baycare customers including, Central Business Office and Operations through understanding the customer needs and providing solutions, plans, workflows that would meet their needs and goals. • Constantly negotiating contracts with vendors to reduce costs and find improved solutions to be financially responsible for our customers. • Assisted in improving the teams TMAC score from an average of 3.75 to 4.08 through improved team work and enhancing the customer experience. • Ensure that billing formats are kept up to date and in accordance with changing regulations and internal needs. • Oversee and implement system changes needed to minimize errors and the impact on all downstream system applications including, Soarian, Cerner, PACS.• Currently responsible for the Baycare goal to implement an electronic Pre-Registration system for all Baycare Medical group and Baycare Urgent care locations. Show less

• Provides support on the Practice Management System (PMS) applications. Review and distributes information that originates from the Clinical Practice Billing Systems.• Escalate unresolved insurance billing errors to the appropriate committee members (Billing, Coding, Charge Entry, Registrations)• Lead Project manager and support for ETM – Electronic Task Manager.• Review and maintain insurance fee schedules for updating invoice charges.• Develop monthend reports for Payment… Show more • Provides support on the Practice Management System (PMS) applications. Review and distributes information that originates from the Clinical Practice Billing Systems.• Escalate unresolved insurance billing errors to the appropriate committee members (Billing, Coding, Charge Entry, Registrations)• Lead Project manager and support for ETM – Electronic Task Manager.• Review and maintain insurance fee schedules for updating invoice charges.• Develop monthend reports for Payment analysis, outstanding A/R, Payment rejections, End User productivity, Service/Codes Analysis. • Oversee and implement system changes needed to minimize errors and rejections on our PMS applications• Conduct daily, weekly, and monthly revenue cycle quality assurance audits to track updates, resolution attempts. • Maintain and run month-end process to close books and department financial reports. • Create and maintain KAVART system reports to run manually or automated based on department needs. • Set up, Edit and Maintain end user security for our GE Centricity application. • Provide training to end users for KAVART Reporting tools and how to effectively mirror month end financial and productivity reports needed. • Create data entry scripts to automate jobs requiring manuals updates to dictionaries and payment posting. • Lead Project Manager for ICD10 code updates, this includes rules for gender based codes, age based codes, pregnancy codes. Report analysis to assist in use of the proper crossover codes from 9 to 10. • Track insurance/patient claims via electronic and paper production Show less

New York, Ny

• Maintain, submit and implement enhancements to the GE Centricity Business applications; Which include: Billing & Accounts Receivable, Web Framework, Claim Form Generator, EDI Transactions sets, Database Management System, Security Plus, Registration and Charge interfaces.• Supervise business analysts who maintain GE Centricity Business applications• Oversee all employees on the edit team, and duplicate patient registration team. • Research, recommend and… Show more • Maintain, submit and implement enhancements to the GE Centricity Business applications; Which include: Billing & Accounts Receivable, Web Framework, Claim Form Generator, EDI Transactions sets, Database Management System, Security Plus, Registration and Charge interfaces.• Supervise business analysts who maintain GE Centricity Business applications• Oversee all employees on the edit team, and duplicate patient registration team. • Research, recommend and implement new GE Centricity Business software applications to increase efficiencies or to support new/expanded functions; project leader for upgrade• Support and maintain the Stockamp application through security requests, workfile/worklist creations, report enhancements for weekly analysis. • Provide estimation, reporting, and planning for projects • Troubleshoot and resolve EDI issues with departments and trading partners. • Project lead for the TES implementation and support.• Liaison with GE Healthcare: report and resolve problems and maintain enhancement lists • Monitor system development activities and functions; recommend improvements to increase productivity• Develop and customize existing GE software applications; consult with users to determine functional specifications; implement software features or work with vendor to customize; test, implement and validate software features; design and customize dictionaries, forms, screens Show less

This position is the Agency’s primary manager for the Agency’s Healthcare related systems. The role includes coordinating IT functions with billing and clinical operations, providing interfaces and support for various healthcare applications and software.Responsibilities• Understands and promulgates Agency-wide philosophy, policies and procedures. As a member of the IT Management team, formulates and insures adherence to internal Information Technology policies, procedures and… Show more This position is the Agency’s primary manager for the Agency’s Healthcare related systems. The role includes coordinating IT functions with billing and clinical operations, providing interfaces and support for various healthcare applications and software.Responsibilities• Understands and promulgates Agency-wide philosophy, policies and procedures. As a member of the IT Management team, formulates and insures adherence to internal Information Technology policies, procedures and practices related to software applications, security, and external regulatory requirements.• Partners with revenue management teams and operating programs to ensure the Agency’s cash flow by managing the integrity and operations of GE Healtchare systems and related applications. • Manages GE Analysts, other technical staff and consultants and coordinates activities with GE staff. Uses all resources to attain rapid problem resolution and optimal usage of the GE system.• Ensures that billing formats are kept up to date and in accordance with changing regulations and internal needs.• Coordinates the evaluation and implementation of third-party and internally developed software related to programmatic data collection, revenue management, reporting and analysis.• Coordinates upgrades and enhancements to GE systems and related software. Show less

The IDX Systems Analyst works with a team of IT professionals to provide support for the ongoing operation and usage of the GE Healthcare Centricity (formerly IDX Flowcast). The IDX Systems Analyst will perform a wide range of activities within the IDX system and its various modules and components. In addition, the IDX Systems Analyst will work with projects to bring up new modules, related products and interfaces.

• Perform financial reporting and analysis from IDX system. • Assist in developing a reporting tool to track productivity• Research and implement a analytical application for IDX reporting • Advise on any Patientkeeper projects within the FPA Departments• Run daily charge and payment reports for all departments via DBMS• Developed and maintain project calendar for all monthly reports• Run monthly edits and rejection reports.• Provide a monthly analysis on payor… Show more • Perform financial reporting and analysis from IDX system. • Assist in developing a reporting tool to track productivity• Research and implement a analytical application for IDX reporting • Advise on any Patientkeeper projects within the FPA Departments• Run daily charge and payment reports for all departments via DBMS• Developed and maintain project calendar for all monthly reports• Run monthly edits and rejection reports.• Provide a monthly analysis on payor contracted payments vs contracted fee schedules. Show less

• Provide analytical and operational support to CPP Management.• Update and create dictionary entries in IDX • Transmit EDI claim runs electronically via modem to insurance company’s and verify remittance/confirmation files to Blue Shield, GHI, and Medicare • Plan, create, run and analyze queries in IDX using SQL.• Assist in planning and implementation of billing policies and procedures.• Review Provider and Insurance Fee Contracts against payment reports.• Maintain… Show more • Provide analytical and operational support to CPP Management.• Update and create dictionary entries in IDX • Transmit EDI claim runs electronically via modem to insurance company’s and verify remittance/confirmation files to Blue Shield, GHI, and Medicare • Plan, create, run and analyze queries in IDX using SQL.• Assist in planning and implementation of billing policies and procedures.• Review Provider and Insurance Fee Contracts against payment reports.• Maintain Security- Create and modify accounts in IDX and COGNOS Analyzer.• Lead Project Manager on implementation of Flowcast system to two hospital Systems (NSU and LIJ)Patient Keeper/Pocket Pc Administrator• Setup user profiles (Billers/Physicians) on Patientkeeper Web and Devices• Create new departments/billing areas along with h-pickers depending on department needs. Show less