David Creek Email & Phone Number

Washington, DC 20006

Baltimore, Maryland, United States

Detailed analysis of business requirements to determine impact on current processes across various platforms currently utilized in Government sponsored claim processing systems. Collaborated with team members to develop analysis documents to communicate identified risks and requirements to ensure success of the implementation of CMS mandates.

Frisco, Texas

Government AR oversight for 75+ hospitals, clinics, and various specialized facilities. Critical knowledge of Governmental processes and procedures to assure smooth assimilation into working systems. Instrumental in enhancing efficiency, introducing process improvements, and implementing change management strategies. Comprehensive background in client.

Responsibilities include coordinating government audits for Medicare and Medicaid initiated by Recovery Audit Contractors, CERT, Office of Inspector General, and Medicare Administrative Contractors. All level of government appeals were included in our efforts to recover any funds retracted due to the audit decisions.

Dallas/Fort Worth Area

Responsibilities included the transition and implementation of workload from various offices throughout the United States to the corporate office for Revenue Cycle accounts pending collection from Medicare and Medicaid. CCS is a national DME supplier. I am the Implementation lead and tester for Medicare and national Medicaid enhancements. Current projects.

Dallas/Fort Worth Area

• Responsible for multi-department coordination and implementation of multiple system software changes. This includes the oversight of project administrators required to analyze requirements, develop test plans, test.
• Project manager responsible for oversight of over 12 project administrators
• Change management review and analysis, including Federal Register guidelines
• Review and development of test plans, monitoring implementation schedules
• Averaging over 100 system modification per quarter
• Participate in early development conferences with CMS for future regulations

Dallas/Fort Worth Area

• This area included 6 project administrators required to review CMS Change Management requirements, analyzing, developing processes and reports to meet the necessary requirements for claims processing and creating work.
• Lead the implementation of new departmental requirements, utilizing 6 project administrators
• Statement of Work standards are identified, monitored and reported in the mandated timeframes
• Processing original claims, adjusting claims for CERT, RAC, ZPIC, Providers and all OIG projects
• Oversight of multiple departmental standards
• Hiring, training and development of direct reports – ranging from 20 to 60, which included clinicians

On-Going, Business Administration And Management, General

Additional course work with emphasis in Project Management and Accounting.

Assosciates, Computer Programming