Maureen Mann Email & Phone Number

Skillful member of IT analyst team that builds, implements, supports and optimizes Epic application for revenue cycle operational users.Lead analyst and operational team in ongoing workgroup to roll out templates, optimize estimates for shoppable services, link estimates to scheduled orders, and improve estimate accuracy.Indispensable participant in rollout of No Surprises Act for 2022, setting up Good Faith Estimates, Out-of-Network Consents/Estimates, workqueues and supporting compliance and operational processes. Also working with Epic for future development to further improve available options.Continue to be an essential member of the COVID task force setting up COVID testing and COVID vaccine administration charging and billing processes as well as COVID Uninsured Testing and Treatment Fund workflows.Constructed hospital billing financial assistance programs with complex copay and services structure and linked all to workqueues and system actions for additional requirements.Created bundled billing episodes for orthopedic surgeries provided under global contractual agreements.Develop and execute specialized operational requests utilizing available Epic functionality such as setting up client billing processes for hospital charitable foundation programs; creating inpatient downgrade process to improve collection on high dollar level of care denials; adjusting Epic Foundation functionality to meet requirements for insurance small balance write-offs.Integral contribution to smooth Epic implementation for hospital billing module, as well as ongoing participation in application upgrades for hospital billing and patient access.

Denver, Colorado, United States

Capably led team of Business and Application Analysts supporting system implementations and optimization efforts for Managed Care business users.Successfully implemented and optimized numerous changes created by the State of Colorado around Medicaid Choice enrollment.Actively engaged with business users to optimize file processing, timing, accuracy and communication around enrollment and claim service delivery.Established an improved service request and incident ticketing system to assist in streamlining and prioritizing requests for the IS analyst team and defined turnaround times for incident response.Worked with other Managed Care leaders to strategize more manageable ways to arrange and resource large organizational projects. Worked in concert with Finance team and Commercial team to strengthen enrollment and effectuation processes improving Exchange data integrity between Cognizant’s QNXT application and Colorado’s Health Insurance Exchange, ConnectforHealth.

Effectively managed teams across several states during successful Epic implementations for five hospitals. Allocated and coordinated analysts ensuring implementation, optimization and support project goals were met. Removed roadblocks, paving the way for analyst teams to resolve operational and technical challenges.Productively collaborated with other application teams to establish seamless cross-application build and workflows. Oversaw successful implementation of consolidated charge description masters for two market areas; co-led integrated team for charge creation and charge testing for five hospital concurrent implementations.Led project team in development of standard workflows across markets, leading to acceptance by operational leaders. Evaluated and administered divergence process to meet operational needs outside of standard workflows.

Renton, Wa

Managed and motivated employees with different roles, achieving positive results. Engaged in and promoted technology advancement and strengthened accounts receivable performance.Actively participated as Epic HB Claims Readiness Owner for three Washington hospital Epic implementations.Successfully managed daily operations of Commercial and Regulatory Insurance Billing and Follow-Up, Denials, Cash Posting and Credit Balance Teams. Maintained meaningful standards and expectations for this variety of revenue cycle teams in alignment with departmental and organizational goals.Facilitated weekly AR performance improvement meetings, resolving challenging high dollar accounts and billing data variances; encouraged increased accountability for resolution of accounts stuck in revenue cycle. Achieved and maintained high clean claim rates for ten hospitals; increased electronic claim transmissions; introduced electronic secondary billing and electronic claim corrections; improved consistency of response to and resolution of claim edits.