Claims Finance Process Manager, Kpcc-Finance
Rancho Cucamonga, Ca.
The Kaiser Permanente Claims Connect Finance (KPCC-Finance) team is responsible for all the accounting & finance elements of the Epic Tapestry implementation across all 7 KP regions and for supporting the National Claims Accounting & Finance (NCA&F) team’s transition to Tapestry.Once fully implemented, KPCC-Finance’s processes, desk level procedures (DLPs) reports, tools and templates will process and reconcile the roughly $7 billion paid external claims processed by KP annually.Top Accomplishments:• Designed, developed, implemented and supported a set of revolutionary daily “soft-close” reconciliations tools & templates capable of detecting claim-level errors within 24 hours of occurrence for the Epic Tapestry Claims system.• National Claims Accounting & Finance (NCA&F) reconciled $65 Million to the penny in March-2016 through our semi-automatic Month-End Close process by identifying 35 claim-level adjudication errors.• Through partnership with our reporting team, developed a suite of fully automatic reconciliations between the key financial reports, based on Epic Clarity data. These automatic reconciliations both 1) guarantee the accuracy of the financial reports and 2) allow for easy error detection and resolution.• Developed processes, desk-level procedures (DLPs) and training to ensure successful performance of the accounting & finance functions related to the claim system.• Mastered the extremely complex accounting and finance functionality within Tapestry-2015 and can facilitate communication between workgroups with vastly different levels of technical knowledge, business knowledge, abilities and backgrounds.• Created an automatic T-Account Maker to demonstrate complex scenarios, their related transactions and their impacts on the General Ledger.• Made the National Claims Accounting & Finance (NCA&F) team’s lives a lot easier through automating as many processes as possible in Excel.