Armand Demosthenes
Fort Lauderdale,FL
Summary
I am a healthcare professional/analyst with an extensive background in customer service/patient experience (Net Promoter Score). Proven capability of creating insights with patient/customer survey data to improve products and services. I also have significant experience with Qualtrics, Epic EHR, and healthcare claim processing/billing. Familiar with CMS 1500, UB04, CPT, and ICD-10 as well. Demonstrated proficiency in Microsoft Office applications.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Collection Financial Analyst
Jackson Health System
Miami, FL
03.2025 - Current
- Identify and resolve issues related to patient accounts utilizing the JHS Patient Accounting Systems. Guarantee prompt payment and assess accounts in accordance with established thresholds.
- Analyze account balances, process adjustments or payment transfers, and secure the required approvals from management.
- Maintain accurate patient demographic and financial information, including insurance eligibility and payment status.
- Verify payments align with payer agreements and understand various payment mechanisms (DRGs, Per Diem, Percent of Charge, etc.).
- Contact payers and debtors, investigate and address overdue accounts, and record all follow-up actions in the system.
- Report payer problems or denial trends to management for process improvement.
- Stay informed about the regulations surrounding Medicare, Medicaid, and third-party payers while maintaining adherence to HIPAA and JHS guidelines.
- Utilize JHS systems effectively, adhere to IT security guidelines, and propose improvements to workflows.
Appointment Specialist I
Cleveland Clinic Florida
Weston, FL
11.2023 - 03.2025
- Preregistered new patients to the Cleveland Clinic, following the specific guidelines of Cleveland Clinic of Florida (CCF).
- Determined correct physician within the specified department with the correct insurance and credentialing.
- Verified patient insurance eligibility to procure referrals for HMO patients seeing CCF specialists.
- Arranged and confirmed patient appointments for various medical departments, ensuring alignment with physicians' availability and patient preferences utilizing electronic health record (Epic EHR).
- Adhered to hospital policies, procedures, and HIPPA regulations to ensure patient confidentiality and data security.
- Met standards related to call responses, accuracy, and customer service.
Leadership Equity Alliance Program Intern
Florida Blue
Jacksonville, Remote
05.2021 - 05.2023
- Processed health care claim entry for professional (CMS 1500), institutional (UB04) and member submissions. Resulted in quality and timely resolution of claims.
- Used Florida Blue's healthcare claim submission/adjudication and payment platform (Claims Connect)
- Became familiar with CPT/ICD-10 codes and medical terminology.
- Completed special project to identify itemized bills for Nurse Review and Audit. Resulting in medical savings.
- Completed compliance training for various topics to ensure that the work I completed was compliant with Federal, State, and company policy or mandates.
- NPS Member Experience data mining and reporting.
- Performed analysis and trending of both relation and transaction survey data.
Retail Associate
Kohl's
Plantation, FL
09.2020 - 01.2021
- Consisted of working sales floors, answering questions about services and merchandise, and ensuring customer satisfaction.
- Additional duties included stocking shelves and organizing displays.
- Unloaded and accounted merchandise inventory. Managed inventory levels and corroborated with management to ensure accuracy and minimize discrepancies.
Education
MBA - Business Analytics
University of West Florida
01.2027
B.S. - Business Management
Florida Gulf Coast University
01.2024
Skills
- Microsoft Word
- Excel
- PowerPoint
- Presentations
- Spreadsheets
- Graphs
- Charts
- Tableau
- Customer Service
- Patient Experience
- Epic EHR
- Communication
- CPT
- ICD-10
- Qualtrics
- Conflict Resolution
- Data Mining
- Data Analysis
- Healthcare Claim Entry
- Medical Terminology
- Net Promoter Score
Websites
Certification
FL 215 - Life, Health, and Variable Annuities Agent License
Timeline
Collection Financial Analyst
Jackson Health System
03.2025 - Current
Appointment Specialist I
Cleveland Clinic Florida
11.2023 - 03.2025
Leadership Equity Alliance Program Intern
Florida Blue
05.2021 - 05.2023
Retail Associate
Kohl's
09.2020 - 01.2021
MBA - Business Analytics
University of West Florida
B.S. - Business Management
Florida Gulf Coast University