ALSTON A. THURMAN
Murfreesboro,TN
Summary
Seasoned professional with a strong track record in analyzing financial, clinical, and operational data to identify trends and opportunities. Extensive experience across diverse industries enhances insight into effective process and tool enhancements for operational efficiency. Demonstrates collaborative leadership and a strong work ethic, fostering engagement and input from stakeholders. Excellent communicator with proven ability to deliver clear and actionable solution proposals.
Overview
11
11
years of professional experience
Work History
Patient Access Team Lead
Parallon
11.2024 - Current
- Calculate and collect patient liabilities
- Assign insurance plans accurately
- Verify insurance benefits and determine pre-certification/authorization status
- Secure all signatures necessary for treatments, release of information, assignment of benefits and payment for services.
- Ensure patient charts are completed and accurate
- Provide exemplary customer service
- Understand/explain policies regarding services, pricing, insurance billing and payment of account.
Director of Financial Planning and Analysis
Stay Fresh Cleaners Inc
11.2020 - 04.2024
- Achieved average revenue growth of 80% year over year since 2021.
- Increased company valuation by nearly 300% within 18 months.
- Developed and implemented special projects focused on cost savings and resource conservation.
- Established metrics and performance indicators to enhance productivity and operational efficiency.
- Identified strategic risks and executed measures to mitigate potential impacts.
Healthcare Economic Consultant
Optum
08.2017 - 03.2020
- Design and develop reports and analyze data to measure clinical outcomes, network performance and methodology levers.
- Identify patterns of claim payment abnormalities that will lead to new rule development through data analysis.
- Populate client test file templates and gather all supporting documentation for trend approval.
- Develop metrics to provide forecasting on new rule profitability.
- Monthly analysis of rule performance; forecasted vs. actuals.
- Maintenance of existing rules to drive maximum rule performance on output and efficiencies.
- Screen scrape and automation ideation as well as providing Data Analyst support for existing automations and scrapes.
Compliance Data Analyst
Community Health Systems
04.2015 - 07.2017
- Responsible for the life cycle of scheduled audits for approximately 200 facilities company wide, including Question development, Data mining and manipulation, review of submissions for appropriateness and data analysis for identifying and reporting trends to Executive leadership.
- Possesses extensive knowledge of government payer regulations and maintains an awareness of current laws, statues, rules, and regulations which impact healthcare operations and physician relationships.
- Performs validation audits based upon the defined scope and objectives.
- Works collaboratively with members of Corporate Compliance and other departments.
- Determines errors, patterns, trends (including error rates and financial impact) and structures tools for use with compiling data and trend analysis using Excel, Access, and/or other data analysis software.
Clinical Data Analyst
Novia Strategies
06.2014 - 04.2015
- Analyze and evaluate clinical, operational and financial data in support of hospital service lines and performance trends.
- Prepare and distribute reports and communicate findings to senior leadership.
- Perform data extraction and manipulation from various Information Systems
- Lead analytical projects by coordinating all stages of the development life cycle such as data mining, data scrubbing, secure transfers etc.
- Developed and implemented plans to measure and report on facility-wide health care delivery cost and utilization trends.
- Work with Consultants and hospital counterparts to streamline and improve processes in order to increase workflow and production.
- Collaborating and facilitating meetings with other departments in development and reporting of metrics.
- Manned for ad-hoc analytics including modeling of benefit scenarios.
Education
Bachelor’s of Science - Mathematics
Tennessee State University
Skills
- Ub-04 Claim data
- Ad hoc reporting
- Data analysis
- Data mining
- Communication
- Operational improvement
- Revenue Cycle
- SQL
- SAS
- Financial Planning
- MS Office (Word, Excel, Power Point, Outlook), Tableau, Mathematica, Clinview
Awards
Michigan Merit Award Scholarship, Rose Award for outstanding service
Timeline
Patient Access Team Lead
Parallon
11.2024 - Current
Director of Financial Planning and Analysis
Stay Fresh Cleaners Inc
11.2020 - 04.2024
Healthcare Economic Consultant
Optum
08.2017 - 03.2020
Compliance Data Analyst
Community Health Systems
04.2015 - 07.2017
Clinical Data Analyst
Novia Strategies
06.2014 - 04.2015
Bachelor’s of Science - Mathematics
Tennessee State University