Dynamic, experienced and innovative business professional with strong capabilities to support business change and improvements. Possess proficiencies in root cause analysis, meeting deadlines in demanding environments, implementation using either waterfall or agile approaches with exceptional communication skills. Experienced with electronic billing, companion guide review, use case development, business requirement writing, quality assurance, user acceptance testing and post-implementation support.
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Business AnalystQuick Med Claims, LlcTampa, Fl, Us -
Director - Product Development AnalyticsCarecentrix Aug 2023 - May 2024Exciting position leading a team that is focused on driving top line revenue growth and helping implement complex healthcare products. Partnering with cross-functional teams, will establish and maintain Health Information Exchange capabilities and provide analytics to drive prioritization of strategic product enhancements and new capabilities. These will be strategically positioned within the organization's Product initiatives. -
Senior Business Analyst - Product Design And DevelopmentCarecentrix Feb 2020 - Aug 2023United StatesIn my role with Product Design and Development, I have the exciting opportunity to manage incoming ADT records from various contracted vendors. These records ultimately create care events for members eligible for our Post-Acute Care program. The goal is to minimize a patient's hospital stay, avoid readmissions, and whenever possible - help the patient heal at home. -
Sr Manager - Value Program DevelopmentCarecentrix Oct 2018 - Feb 2020The focus of my role with the Value Program Development team was to develop a portal for external users. The design included the ability to securely access the platform as well as enter requests for services. The team worked collaboratively in an Agile environment while ensuring compliance and security standards were met. -
Manager - Business Strategy And Development/Revenue Cycle ManagementCarecentrix Dec 2013 - Oct 2018Tampa FlParticipate in large operational improvement projects including the documentation of detailed business and system requirements, data analysis and User Acceptance Testing. Develop project documentation according to company and industry standards; participate in the development of test scripts, execute test plans and manage defect resolution. Serve as a liaison between business owners, end users, and IT partners ensuring cohesive approach, create comprehensive solutions , and excellence in delivery. Respond to ad hoc requests for support and analysis. Require limited supervision and technical assistance. -
Sr. Operations Manager - AnesthesiologyMckesson - Business Performance Services Sep 2012 - Dec 2013Clearwater, Fl• Manage operations for Anesthesia client, billing $50M annually. Management includes the collection, scanning and batching of anesthesia records; coding for accurate billing; charge entry for encounter creation; electronic billing; payment posting; and health plan/patient collections.• Identify and implement process improvements to all areas of the business to improve overall business success and efficiencies.• Health plans include Medicaid, Medicare, Workers Comp, Commercial and Self Pay as well as coordination of benefits.• Managed staff of 30+ employee’s; including staff evaluations, monthly report cards, monthly audit and quality reporting, attendance management and goal setting. -
Business Integration ManagerCarecentrix Sep 2005 - Sep 2012Tampa/St. Petersburg, Florida AreaBusiness Integration Manager - 02/2009 - PresentFinancial Operations Supervisor - 09/2005 - 02/2009• Provide support to the National Billing Center for a home health care organization billing over $830M annually. Manage the implementation of electronic billing to new contracted carriers and change requests to existing customers. Implement solutions for new system enhancement requests and manage the quality assurance and user acceptance testing for system changes and corrections. Work collaboratively with cross functional teams which include Regional Care Center, Provider Relations, National Claims Center, National Billing Center, Compliance, IT Groups and the contracted health plans.• Review companion guides for new contract implementation. Conduct analysis to remediate any limitations from current system functionalities and those requested. Work closely with the new health plan to confirm requirements. Share finalized written requirements with IT and work closely with developers to mitigate any obstacles. Lead the quality assurance and user acceptance testing for internal and payer testing. Train internal business users on new functionalities.• Manage system enhancement projects through the coordination, facilitation and/or participation of requirement gathering sessions. Provide insight to business users in regard to improved functionalities that would further enhance their desired result. Worked with IT to share written requirements and developed test scripts. Oversee user acceptance testing, the development of user reference guides, user training and support post-deployment.• Supervised collections of commercial and governmental contracts. Through analysis, identified root causes of claim payment errors. Worked closely with the IT and implementation departments to identify system limitations causing billing errors. Worked closely with health plan partners to explain where their system limitations or processes were causing errors in payment. -
Operations ManagerCom Usa Ums Jun 2002 - Apr 2005• Managed the operations of a unified-messaging software company. • Turned around a financially troubled company to one of positive cash flow and profitability through improved operational processes and customer retention.• Directed critically needed attention to mis-utilized inventory purchases and usages.• Responsible for all operational accounting functions including general ledger and financial statements.• Forecasted and implemented appropriate goal direction for sales.
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Divisional ControllerFuelman Div Of Wesco Dec 1996 - Jun 2002Greater Grand Rapids, Michigan AreaDivisional Controller - 09/1998 - 06/2002Operations Manager - 12/1996 - 09/1998 Managed the operational and financial operations that included extending customer credit, collections, accounts payable, customer service and customer retention. Developed strong business relationships with other state locations to align best practices and improve business efficiencies. Managed a successful and focused team through motivation, clear objectives and consistent direction. • Developed cost savings and more efficient processes to improve financial results and improve operational difficulties.• Implemented and trained associates on new procedures, software and product changes.• Ensured smooth software functionality and level 1 support to software sales.• Performed basic administration of an AS400, support to 5 remote sales laptops, seven personal computers, Goldmine database software and synchronization server, Client Access and all related application software.
Rebecca M. Education Details
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Baker College Business And Corporate ServicesComputer Information Systems
Frequently Asked Questions about Rebecca M.
What company does Rebecca M. work for?
Rebecca M. works for Quick Med Claims, Llc
What is Rebecca M.'s role at the current company?
Rebecca M.'s current role is Business Analyst.
What schools did Rebecca M. attend?
Rebecca M. attended Baker College Business And Corporate Services.
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