Gregory Hebert Email & Phone Number

Oakland, California, Us

 Work directly with PPO claims dept and I/T to resolve any technical issues with our PPO claims.  Work directly with the 1100 B&T Physicians and their Practices for any claim submission issues they have while sending their original claims to B&T.  Continuing product and process improvements for B&T internal and Provider self service tools.. Handle Clearinghouse relationship with ChangeHealth for enrollments, EDI issues, claim processing and User and Provider security and Instamed for our 835 ERA and EFT transactions.

 Manage our “Managed” PPO Claims Department. Departmental responsibilities include pre-billing edits, billing edits, claim submission, claim follow-up, payment posting, working of Payer denials and rejections, and AP check runs for our rendering providers participating in the Managed PPO program.  Redesigning departmental workflows for added efficiencies.  Overseeing the department expansion of managed PPO payers within the B&T network. Handle Clearinghouse relationship with ChangeHealth for enrollments, EDI issues, claim processing and User and Provider security.

Oakland, California, Us

- Deploy and provide SME support for Allscripts EHR and GE Flowcast PM systems to Physician Practices within the Brown and Toland Physician Network.- Review, design and optimize the Physician or Practices current operational workflows. - Train Physician and their staff on Brown and Toland supported systems.- Interface testing. Verify vendor source system files store accurately into Allscripts EHR for Lab, Radiology, Transcription and Demographics (includes analysis of HL7 records).- ICD10 project lead for workflow team. Included workflow design, test script creation, testing with integration team and validation of testing results. -

Oakland, California, Us

SR Business Analyst – Revenue Cycle- Working in the Technology Solutions group on Revenue Cycle projects. - Responsible for gathering and writing requirements, creating “AS IS” and “TO BE” processes maps, working with EPIC programmers/Builders to review/approve the selected solution, and create the test plans for build validation and Business approval prior to implementation of the solution. - Validate the implemented solution is working as designed once it has been implemented.

System Implementation Analyst - Soarian- Actively participated in all phases of Invision to Soarian Implementation, including Planning, Design, Build &Testing- Responsible for Lead Role for Payers/Health Plans, Health Professionals, Guarantor Billing Rules/Statements- Performed Data Extracts and Data Validation of Legacy System Data to Soarian Financials Data design & adaptation- Participated in Design and Build worksessions for Patient Access Allowable Values and Adaptability Contexts, HPO/Hierarchy, and Revenue Management Billing Rules, Contracts, Services.- Used Invision skills to extract, verify and adjust information for the Soarian system build

Bad Homburg, Frankfurt, De

System Analyst - Soarian- Supported clinics, CAO’s, CBO’s and corporate finance department with daily operational issues with an emphasis on charge setup and work list corrections - Worked one on one with the Revenue Cycle Group to resolve any IS/IT issues they identified

San Francisco, Ca, Us

System Application and Device Analyst - Invision- Supported six (6) Invision Hospitals remotely for Catholic Healthcare West facilities in CA, NV & AZ- Support included PA, PM and after hours- Worked daily operational issues, as needed for the revenue Cycle Group - Handled all Billing and all Insurance Plan maintenance (new plans and plan changes)- Handled Adhoc reporting, HPPI, ROCs and Profile maintenance- Added new users and handled related security issues.- Wrote and ran OLIE emulation scripts

Oakland, California, Us

Lead Solutions Consultant – IS/IT Revenue Cycle- Worked with clinical staff to design or redesign workflows to insure compliant billing- Worked with Business and IS/IT to ensure redesigned clinical workflows provide results-based charge creation and capture - Created testing scenarios to verify captured charges are compliant and accurate from source systems to billing system (ePremis)

- Supported six (6) Invision Hospitals remotely for Catholic Healthcare West facilities in CA, NV & AZ- Support included PA, PM and after hours- Worked daily operational issues, as needed for the revenue Cycle Group - Handled all Billing and all Insurance Plan maintenance (new plans and plan changes)- Handled Adhoc reporting, HPPI, ROCs and Profile maintenance- Added new users and handled related security issues.- Wrote and ran OLIE emulation scripts

- Directed Centralized Billing for two (2) Service Centers for Outsourcing Division- Managed thirty-four (34) Employees , two (2) managers and thirty-two (32) employees- Managed Government Accounts (Medicare, Medicaid and Champus) - responsible for Eligibility, Billing and Collections, with clients in over twenty (20) different states- Billed for thirty-two (32) Clients, on our ePremis system or the client’s billing system- Managed Medicaid and Medicare eligibility projects worked by Perot’s India outsourcing group- Completed Fundamentals of Leadership (7 Day in-house leadership training)

Forchheim, De

- Responsible for twenty-two (22) Tenet’s Invision facilities in eight (8) states.- Standardized the Change Management process within Remedy.- Worked on daily operational issues and long-term projectsInstalled and supported Tenet’s custom Siemens program “Collection Tracks”. This is an automated process to assign accts for collection activities, statements or the transfer of accounts to Bad Debt. - Maintained tenet Corporate “Model Report Storage and Access” for Corporate and Facility employees- Worked with multiple Tenet vendors and Agencies- Received SMS certification in Patient Accounting, ADHOC and Receivables Policy Manager

- Responsible for all AR over sixty (60) Days- Processed over $18,000,000 in placements with over $8,000,000 in cash collections and a net AR day’s decrease of 10 days- Prepared daily and monthly reports to track collections, placements and account resolution for the facility and my company- Hired, trained and supervised a staff of fourteen (14)

- Medicare specialist familiar with all Payers- Trained both company and hospital staff on collection and billing procedures.

- Handled all IT functions for the facility, including new product review, electronic billing, statement production and the daily and monthly closing routine- Data processing coordinator- Insurance and self-pay collector

Bs Management, Business

Education record