Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
20
20
years of professional experience
Work History
Application Analyst II
Christus Health
Irving, TX
04.2014 - Current
Serve as liaison among system end-users, operational leaders, and external customers across multiple applications. Also, user profile setup within the applications
Monitored automatic cash posting software via remote desktop connections for accurate posting into RCMS Resolve OnBase.
Facilitated user acceptance testing to confirm software alignment with operational needs after upgrades.
Provided technical support for application-related inquiries, ensuring timely troubleshooting and resolution.
Tracked daily report transfers, correcting errors in payment batches for seamless cash posting from payors.
Creation of IPLAnS and Remarks code from request from users.
Mintor 835 files for sugggestful input and output into the system.
Uses of Service Now to track, maintain, and update troubled tickets that are resolved. • Monitor (Production, Test, and Clearview) servers for SSI Group software to ensure that jobs are completed effectively and efficiently. • Notify region contacts when issues or delays occur and correct those issues within server task jobs or applications. • Works collaboratively with staff to ensure that financial goals and objectives based on Revenue Cycle Scorecard are achieved monthly for each hospital serviced. • Assist in all updates to SSI software versions along with testing, creation of bill jobs, upload remits, scheduling, and process updates to the application. • Assist with the implementation of SSI Billing upgrades within the Revenue Cycle Team. • Troubleshoot incidents reported by end-users to schedule system changes and identify permanent solutions. • • Analyzed existing systems and databases and recommended
Quick&Payer Rejection Specialist
Miraca Life Sciences Inc.
Irving, TX
08.2012 - 03.2014
Research and create new rejection edits Streamlined and monitored quality programs.
Alleviate overdue compliance activities.
Provided operational support and quality assurance to initial claims front-end team.
Utilization included demographics, coding, and provider research.
Researched and provided resolutions in identifying electronic claims issues and reported findings to the Billing Support Team.
Increased efficiency by automating routine tasks with software solutions.
Account Receivables Client Representative
The Schumacher Group
Dallas, TX
04.2006 - 08.2012
Reviewed AR accounts by facility on weekly basis to ensure KPIs and reimbursement goals are achieved.
Provided feedback to management based on monthly review of Facility Report Cards.
Proactively resolved any cash restraining issues by seeking and identifying trends in each facility's AR with any carriers.
Interacted with offshore staff to ensure each ETM task were worked timely and accurately. Completion of escalated carrier accounts that offshore staff could not resolve.
Collections Management/ Worker's Compensation
10.2007 - 10.2011
Analyzed and processed worker's compensation claims.
Contacted hospitals and/or patient's places of employment for claim verification.
File claims and send to worker's compensation insurance carrier, Followed up on status of all filed claims.
Customer Service Representative
04.2006 - 10.2007
Answered all incoming patient calls and processed correspondence.
Processed attorney and bankruptcy court requests; made necessary changes to patient accounts. Resolved patient complaints promptly.
Initialized payment arrangements, if requested/required.
Education
Certificate - Connect And Protect: Network And Network
Coursera
04-2024
Certificate - Manage Security Risks
Coursera
03-2024
Certificate - Foundations of Cybersecurity
Coursera
02-2024
Certificate - Technical Support Fundamentals
Coursera
05-2022
Skills
System Hardware Integration
User Testing Assistance
Configuration management
Application Maintenance and Troubleshooting
Testing activities Maintenance and troubleshooting
Technical application support
Claim submission
Logging support tickets
Risk identification
End-user support
Verbal and written communication
Microsoft SQL Server
Insurance billing
Application Hosting Servers
HIPAA compliance
Timeline
Application Analyst II
Christus Health
04.2014 - Current
Quick&Payer Rejection Specialist
Miraca Life Sciences Inc.
08.2012 - 03.2014
Collections Management/ Worker's Compensation
10.2007 - 10.2011
Account Receivables Client Representative
The Schumacher Group
04.2006 - 08.2012
Customer Service Representative
04.2006 - 10.2007
Certificate - Connect And Protect: Network And Network