Proficient in analyzing, configuring, and optimizing Epic's Resolute Professional Billing module with a focus on Single Billing Office (SBO) functionality
Optimize department billing practices by initiating automation via System Action Queues and Automatic Activities
Experience in managing full-cycle implementation projects, including system design, build, testing, training, and go-live support for Professional Billing SBO workflows
Adept at troubleshooting and resolving complex technical issues related to Professional Billing SBO, ensuring minimal disruptions to daily operations
Strong understanding of healthcare industry regulations and standards, including HIPAA and Meaningful Use, ensuring compliance within the Professional Billing SBO module
Provision Providers with billing and service credentials in SER and PAT
Created rules pertaining to charge sessions, provider compliance, statement intervention, and special billing related circumstances
Continuously stay updated with the latest Epic software releases and attend relevant training sessions to maintain technical proficiency in Professional Billing SBO
Actively participate in the testing and validation of SBO workflows, ensuring accurate billing, claims submission, and revenue reconciliation processes
Facilitated weekly project of updating the professional billing fee schedule, for our client in state of Wisconsin, maintenance such update in pricing, deletion of EAPS, and modification of EAP records.
Manager
The Laundry Station
09.2021 - 04.2023
Establish virtual customer service interaction for current due orders, route pickup requests, and temporary halts in service
Maintained PCI and US A2P 10DLC compliance
Manage, maintain, and acquire technological resources
Perform on site computer maintenance of computer system components with basic troubleshooting for software used for point-of-sale credit card systems and security systems
Persuaded in the conversion of customers to digital based platform with on demand route request vs traditional method of preset delivery dates/time/calls to route manager
Developed reports used for proposals to negotiate new stores with military contractors
Collaborated on campaigns to shut down, convert, and retain customers at non producing store
Assisted in processing remittance of payments in addition to researching and receiving payment for delinquent accounts
Managed special assignments: automating garment unload priority order for 4 companies price tables, establish emergency contact information with landlords (during inclement weather, establishing b2b link for specialized hangers
Maintaining/installing basic hardware and software.
Patient Financial Rep II
Baptist Health
Jacksonville, FL
08.2016 - 09.2021
Reviewed Insurance payments for deficiencies and errors based on contract terms
Performed basic troubleshooting for online patient concerns
Assisted patients with inquiries regarding billing, payment plans, and financial assistance programs.
Processed, reviewed, and submitted itemized billing requests from attorneys and home-based customer service representatives
Managed archives for attorney requests
Created excel report calculating: intake/output and workload percentage of attorney letters, checks, and records
Adjusted coding as needed to fit current contract terms and correct initial errors that affected reimbursement.
Responded to incoming calls from patients related to their bills and and or accounts in a timely manner.
Verified patient insurance coverage and eligibility for services rendered.
Education
B.S. Health Science/Healthcare Administration -
University OF west Florida
Certification
Epic Systems
Resolute Professional Billing Administration(SBO)- Cert# 536997827,
MyChart Billing Badge- Badge# 608513998
Resolute Professional Billing Extracts Badge- Badge# 608513998