Healthcare Business Analyst recently relocated to Tulsa, Oklahoma with 8+ years of experience delivering project management, billing solutions, financial analysis and planning advisory/support services to leadership. Proven success in managing departmental goals, driving profitability, and increasing organization revenue through skillful strategic planning, consulting, and financial advisory services.
Overview
7
7
years of professional experience
Work History
Senior Business Analyst
UNIVERSITY HOSPITALS HEALTH SYSTEM
04.2022 - 10.2023
Supported business operations, practice and support functions to achieve departmental goals
Responsible for budget management, quarterly reporting, finance, and physician recruitment and deployment
Demonstrated the ability to complete projects and practice leadership goals through positive relationships with internal and external stakeholders
Successfully executed broad and complex initiatives in operations, quality, and finance
Developed and secured approval for operating and capital budgets with input from practice leadership
Assisted with managing an operating budget total of $18 million and a physician compliment of 70+ FTEs with a physician salary budget of $15 million
Managed overseeing annual gross revenue of $40 million
Interfaced with physician leaders to develop physician recruitment strategic plans and secure budget for critical positions
Create and submit business plans for ongoing growth of physician compliment
Ensure all contracting, onboarding, orientation and follow up activities occur in a timely manner to meet business plan targets for new providers
Coordinated joint efforts for lab technical and physician professional charges with Revenue Team to resolve charge errors to positively impact revenue
Collaborates with CWRU Pathology administrative staff to facilitate Research Merit Pay and grants reconciliation
Serve’s as a key resource on complex matters related to finance, strategic decision making and the development of programs, processes, and infrastructure to enhance system
Develops short and long-term forecasting, budget preparations and financial planning processes and budget review for compliance and opportunities
Practice Revenue Analyst II, Electronic, Oversight
UNIVERSITY HOSPITALS HEALTH SYSTEM
05.2019 - 04.2022
Supported Director with operations through the setup, configuration, analysis, monitoring, and maintenance of system training support
Performed audits, analyzed accounts and transactions for accuracy, identifies issues, and built solutions
Generated reports, queries to perform analysis on data within Electronic Charge Capture process
Facilitated departmental meetings, including presentations, speakers, development of reports, etc
Educated and provided onsite professional fee billing training for Physicians and health care providers
Coordinated with leadership during Physician onboarding by providing Electronic Charge Capture solutions/education, presented revenue optimization, forecasting and development solutions
Identified appropriate electronic charge solutions, training and implementation for go live support
Performed audits, common data analyses of accounts transactions for accuracy, identified issues, and offered solutions
Generated annual reports utilizing business intelligence software and report to leadership of my findings
Evaluated and implemented fee schedule changes, daily reconciliation process for charge generation, daily charge posting activities, etc
Developed and designed computerized scheduling and billing system reports using Power BI
Used critical thinking skills, decisive judgment with an ability to work under minimal supervision
Implemented computerized scheduling and billing for 15 Attending Physicians
Developed scheduling and billing policies, management reports and daily operating procedures.
Billing System Analyst
UNIVERSITY HOSPITALS HEALTH SYSTEM, Speciality Care
05.2018 - 04.2019
Supported ambulatory practices with departmental operations including billing solutions, revenue optimization and patient access, employee management and non-staff productivity
Prepared monthly, quarterly and annual summary and detail reports of operational performance, revenue, recovery, and billing/ expense information
Ensured the master file was current, and supply expenses aligned with case volume and revenue
Assisted in the development of department strategic initiatives aligned with the institute and specialty practices
Provided onsite education to Physicians, providers, ambulatory and inpatient staff on professional billing workflow
Achieved 25% increase in outpatient professional billing productivity and charge generation
Supported components of application upgrades, testing, troubleshooting, and supported efforts
Worked closely with senior level leadership and stakeholders across the organization for optimal billing solutions
Developed and managed project plans while providing status updates to leadership
Managed departmental operations includes budget development, clinical operations and patient access, employee management and non-staff productivity
Maintained knowledge of ICD Diagnosis, ICD Procedure codes, CPT codes and medical terminology
Trained end-users in best practices to minimize errors to maximize revenue, participated in change management activities to support successful system deployments and enhancements
Observed staff to learn workflow to optimize revenue within the practice to better understand business system needs
Managed physician practices on a daily basis accountable for their growth and success.
Patient Access Representative
University Hospitals Of Cleveland
05.2016 - 04.2018
Streamlined patient registration processes by implementing efficient data collection methods and reducing wait times.
Improved patient satisfaction scores by actively addressing concerns and providing prompt assistance during the check-in process.
Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
Trained new hires on department procedures, policies, and software systems, ensuring consistent quality service delivery from all team members.
Assisted with administrative tasks such as filing, data entry, and report generation to support streamlined office operations.
Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
Streamlined the claims process for clients by guiding them through required paperwork and simplifying communication with insurers.
Education
MBA - Health Care
Ohio University
Athens, OH
Bachelor of Science - Healthcare Administration / Business
The University of Toledo
Toledo, OH
Skills
Web-Based Reporting Tools
Project Finance
Process Optimization
Operations Analysis
Business Administration
Forecasting and Planning
Analytical Tool Implementation
Business Solution Development
Billing Systems and Software
Physician Interaction
Microsoft Office
Revenue Cycle Management
Medicare and Medicaid Knowledge
Insurance Claims and Denial Processes
Policy Requirements and Eligibility
Timeline
Senior Business Analyst
UNIVERSITY HOSPITALS HEALTH SYSTEM
04.2022 - 10.2023
Practice Revenue Analyst II, Electronic, Oversight
UNIVERSITY HOSPITALS HEALTH SYSTEM
05.2019 - 04.2022
Billing System Analyst
UNIVERSITY HOSPITALS HEALTH SYSTEM, Speciality Care
05.2018 - 04.2019
Patient Access Representative
University Hospitals Of Cleveland
05.2016 - 04.2018
MBA - Health Care
Ohio University
Bachelor of Science - Healthcare Administration / Business
The University of Toledo
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