Eric De La Cruz Email & Phone Number

Dallas, Tx, Us

Dallas, Texas, United States

Role summary: Identify, address, and provide solutions for operational gaps for our products that cause customer dissatisfaction.• Operations o Developed business case and founded our business account team supporting all regional business units nationwide for advanced oncology solid tumor offerings. The team retained a new million-dollar account, and new half-million-dollar accounts were added to the service. o Implement department metrics for business account specialists to ensure we meet internal and external stakeholder expectations. o Assisted with creating and managing our pathology molecular assistant for Quest precision pathways. o Subject matter expert for FFPE procurement and solid tumor test offerings. o Created automations and user interface to streamline workflow using MS office 365 tools to satisfy client needs.• Growth strategies o After the implantation of the business account national team, volume increased by an average of 48% within weeks. o Commercial enablement: Develop and drive strategic direction for the Specialty Sales Team; Partnered with Marketing on product/solution marketing strategy. o Provide operational insight on staffing requirements and tools needed to scale products. o Evaluate, prioritize, and provide a roadmap of future improvements that will provide growth opportunities to key stakeholders.• New Haystack product o Developed a business case and managed our patient service specialists, who assisted patient inquiries regarding out-of-pocket estimations and financial assistance and arranged mobile phlebotomy. o Assisted in multiple aspects of product launch– requisition content, IT ordering architecture, marketing, specimen logistics, lab ops, client services, patient services, and reimbursement.

United States

Manage two separate esoteric departments, one is lab orientated and the other is medical billing.• Esoteric Client Serviceso Oversee the day-to-day operations of obtaining specimens from pathology groups.o Handle escalated issues to ensure client retention.o Analyze client ordering trends for commercial leadership.o Assist as a SME in developing companywide specimen retrieval systemo Meet with potential clients to discuss our White Glove Service specific to our lab.• Esoteric Billingo Investigate historical denial data to improve company reimbursement.o Created records management system for billing cases with Microsoft apps.o Meet with potential and current clients to discuss billing asks specific to our lab.o Handle escalated insurance issues to ensure minimal financial patient responsibility.• Employee Managemento Year over year positive increase from employee Glint survey ranging from 2 to 28 points above company scores.o Supervise remote employee.o Zero employee corrective action.o Deliver weekly and monthly reports to management leadership team for both departments.o Create and/or update department SOPs.o Create PowerPoints and present to internal/external stakeholders.o Work with each department to identify ways to automate tasks to increase client and patient satisfaction.o Recruit additional staff as the department volume increases.

Dallas/Fort Worth Area

• Updating monthly cash reports.• Manual data entry of HL7 failed files.• Updating billing consolidation rules in billing system.• Delivering weekly cash deposit reports to Director, VP and CEO.• Performed weekly QA/QC on cash posting.• Liaise with clients medical practice and/or business office staff to resolve issues in the area of A/R management and revenue cycle process.• Train incoming cash posters on system and cash posting process• Train incoming customer service representatives• Creating SOPs for cash posting process• Reconciliation and Balance of EFT and lockbox payments for all clients.• Clear Remit errors for all clients• Research missing EFT or paper checks and EOBs• Create reversal batches and money transfer batches for deposits• Update monthly cash reports• Process manual system adjustments• Manual data entry if HL7 file fail• Importing HL7 files daily into XIFIN• Update XIFIN consolidation rules• Create XIFIN cases for system changes or corrections needed.

Dallas, Texas

•Daily Review and tracking of received molecular cases until case is complete.•Organize, document, and communicate regarding all received paperwork, follow up on missing paperwork, and status of all paperwork required.•Obtain pre-certification/pre-auth for required cases.•Perform any necessary data entry functions in the accounts receivable system, spreadsheets, or forms as needed.•Assist AR collects specialist with billing, claim submission, follow-up and appeals as necessary.•Resolve billing edits as necessary, including researching, contacting clients, and resolving missing information edits.•Handle correspondence from insurance companies including denials, information requests or refund requests.•Report incoming revenue, unbilled and new cases to management weekly

United States

• Assist with designing publications for university events held by the Office of Administration• Take photographs of university events• Assist University web developer with gathering information needed for university website• Submit publications to be printed• Perform multiple tasks as requested by director

• Assign reports, projects, and workload to team members based on volume and variety.• Assist team members with meeting individual and department goals.• Support team members by training, sharing job knowledge, and informing them of workflow processes and changes.• Report month end unbilled numbers to management• Training Lab Operations associates on changes to workflow in Onbase via WebEx Conference.• Responsible for reporting weekly productivity to team members and supervisor.• Handle Escalated issues from team members• Created SOPs for Medical Imaging Department.• Created Productivity, batches to be purged, and QC indexing Data Base in Microsoft Access for Medical Imaging Department.• Assisted with creating standardized scanning processes for Lab Operations Company wide.• Assisted Data Entry Department when needed.

• Help with explaining to team members, billing and collections processes, including payment and rejection codes, payor rules, and claim filing processes• Help with explaining to team members, the claims submission process in Flowcast and Emdeon• Supported customer service team members by training, sharing job knowledge, and informing them of workflow processes and changes• Created new process for posting/referencing zero pay EOB’s received from insurance.• Provided backup when needed with answering phone calls from Patients regarding how insurance processed medical claims, account balance, filing claim and taking payments• Created SOPs for Live checks received and Correspondence.

Bachelor Of Business Administration - Bba

Advanced Technical Certificate In Professional Accountancy, Accounting

Bachelor Of Arts (B.A.), Atec

Associate Of Arts (A.A.), Art/Art Studies, General

Education record

Activities and Societies: Theatre, President of Theatre Club, Student Government, DECA, Dance Company, Cheerleading