• Led data gathering and analysis of prospective customer metrics to identify and present areas of opportunity for automation to functional and executive leadership.• Partnered with finance, product, and sales to strategically price productized and custom automation solutions. Provided benefit and market analysis to support internal functional guilds supporting middle revenue cycle and hospital supply chain functions. • Created a number of tools to expedite accurate pricing and benefit… Show more • Led data gathering and analysis of prospective customer metrics to identify and present areas of opportunity for automation to functional and executive leadership.• Partnered with finance, product, and sales to strategically price productized and custom automation solutions. Provided benefit and market analysis to support internal functional guilds supporting middle revenue cycle and hospital supply chain functions. • Created a number of tools to expedite accurate pricing and benefit analysis for productized, in-house custom, and partner solutions. Show less

• Assisted project leadership with implementation strategy and timelines for a cloud based claims adjudication software.• Partnered with business stakeholders, QA, and vendor product owners to create user stories to identify and define development needs to meet business requirements.• Partnered with vendor and business stakeholders to implement pricing software required for integration with claims adjudication software.• Mentored four business analysts on agile methodologies… Show more • Assisted project leadership with implementation strategy and timelines for a cloud based claims adjudication software.• Partnered with business stakeholders, QA, and vendor product owners to create user stories to identify and define development needs to meet business requirements.• Partnered with vendor and business stakeholders to implement pricing software required for integration with claims adjudication software.• Mentored four business analysts on agile methodologies, meeting facilitation, and other project management skills around the areas of claims ingestion, payment processing and correspondence, medical review edits and remark codes. Show less

• Developed and oversaw processes and procedures for the efficient and successful flow of interdependent information between the third-party billing vendor, the receivables department and Exact Sciences’ contact center.• Developed processes and policies for system configuration and utilization.• Worked with Client Support and Implementation Services (CSIS) team to ensure accurate and timely client HL7 implementations as concerns the revenue cycle. • Monitored RCM and initiated… Show more • Developed and oversaw processes and procedures for the efficient and successful flow of interdependent information between the third-party billing vendor, the receivables department and Exact Sciences’ contact center.• Developed processes and policies for system configuration and utilization.• Worked with Client Support and Implementation Services (CSIS) team to ensure accurate and timely client HL7 implementations as concerns the revenue cycle. • Monitored RCM and initiated appropriate escalation and corrective measures.• Monitored payor and contractual configuration and payor specific claim requirements.• Monitored all RCM processes to ensure compliance with performance metrics.• Monitored payor and client master files to ensure accurate and timely updates or changes.• Monitored error reports and resolved issues that relate to billing file maintenance; including but, not limited to, payor interface errors, system related eligibility error messages, and manual pricing releases.• Worked closely with vendor and payor partners to identify and resolve systematic issues. Show less

• Developed and oversaw all revenue cycle department priorities, procedures and policies.• Partnered with the Market Access and Legal teams to develop and execute key strategies to drive increased collection of earned reimbursement and increase coverage for Cologuard.• Developed processes and policies for exception handling, appeals and denials and patient billing.• Determine appropriated and effective performance metrics for three core functions of eligibility, cash and remittance… Show more • Developed and oversaw all revenue cycle department priorities, procedures and policies.• Partnered with the Market Access and Legal teams to develop and execute key strategies to drive increased collection of earned reimbursement and increase coverage for Cologuard.• Developed processes and policies for exception handling, appeals and denials and patient billing.• Determine appropriated and effective performance metrics for three core functions of eligibility, cash and remittance posting, and appeals and patient billing; oversaw technical support to ensure timely resolution of system issues.• Monitored all accounts receivable activity and escalated concerns to the appropriate payor contacts.• Partnered with the Finance department to develop and monitor timely and accurate cash posting processes to meet month-end cash reconciliation deadlines.Accomplishments:• Facilitated a reduction from 93 to 38 AR days over three years.• Saved (conservatively) $600,000 in FTE costs through process improvement and automation initiatives.Well versed in both Xifin and Epic RCM operational use and systematic configuration. Show less

2014 - 2016 - Claims & Remittance* ProMedica (Application Coordinator)* Bend Memorial Clinic (Application Manager)* Peninsula Regional Medical Center (Application Manager)* University of Rochester Medical Center (Application Manager)* Regional Health (Application Manager)2010 - 2014 - Health Information Management* University of Mississippi Medical Center (Application Coordinator)* St. Louis University Hospital (Application Manager)* University of Texas -… Show more 2014 - 2016 - Claims & Remittance* ProMedica (Application Coordinator)* Bend Memorial Clinic (Application Manager)* Peninsula Regional Medical Center (Application Manager)* University of Rochester Medical Center (Application Manager)* Regional Health (Application Manager)2010 - 2014 - Health Information Management* University of Mississippi Medical Center (Application Coordinator)* St. Louis University Hospital (Application Manager)* University of Texas - Southwestern (Application Manager)* Saint Francis Care (Application Manager)* University of North Carolina Healthcare (Application Manager) Show less

- Collected and analyzed relevant data through obtaining records and interviewing client personnel.- Prepared work papers and documentation in conformance with the firm’s quality control standards.- Formulated recommendations for clients to improve processes throughout the institution to minimize fraud, theft, and increase efficiency. - Produced written reports which clearly, appropriately, and accurately communicated the engagement results to the client.

Prepared individual tax returns for clients

- Dealt directly with vendors to pay invoices in a timely manner.- Assisted with month-end activities such as journal entries and account reconciliations.- Worked directly with other departments to share information and provide a positive customer experience.- Assisted with setting up and terminating leases.- Provided assistance to customers in regards to leases, payments, and any other issues that arose.