CHARNISSA FRANKLIN
Arlington,TX
Summary
I am an enthusiastic and goal oriented professional in the Medical Field. I thrive in challenging and results driven environments. I have strong expertise with EPIC, and Cerner implementations, go live ATE support, chart migration, medical records management, troubleshooting, create and track tickets, training, registration and scheduling go lives, processing medical claims, collections, pre-certifications, authorizations, claims follow-up, billing and cash applications. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Hardworking and passionate job seeker with strong organizational skills ready to help team achieve company goals.
Overview
23
23
years of professional experience
Work History
Cerner Trainer Specialist II/Adoption Coach/Conversion Specialist
FTIC/ATGI
01.2022 - Current
- Led Training (ILT) for Veterans Affairs (VA)
- Delivered classroom Instructor Led Training (ILT) for Patient Accounting
- Provided one-on-one and Over-the-Shoulder (OTS) training; provided ongoing support using Revenue Cycle, MPages, Clinical Documentation, Iview, CPOE/Quick Orders, Message Center, PowerChart
- Attended meetings, conference calls and briefings as directed by the Government Site Lead; Coordinate and/or perform administrative functions necessary to deliver and document training programs
- Trained and supported physicians and nurses in both out-patient and inpatient clinics
- Engaged in training End-Users for specific role functionality and workflows.
EMR Implementation Consultant/Analyst
CERNER/ATHENA/SOARIAN/NEXTGEN
01.2014 - 01.2023
- Provided IT support with systems training, conversions and go-live in Ambulatory, Cadence, ASAP, Prelude, Grand Central, HB/PB, HIM, Radiant, Willow, Care Everywhere, Beaker and ClinDoc
- Managed and oversee to ensure quality, efficiency and safety of the patient
- Assisted staff with progress notes, registration and scheduling
- Assisted nurses with order entry, vitals and system assessments
- Reviewed and documented information in a navigator
- Troubleshooted work flow related issues and redirected high priority to Pegasus
- Installed and tested software upgrades, and maintainied software applications.
- Educated and assisted user areas with application utilization and knowledge of assigned applications per user area
- Served as an informal workforce leader
- Served as initial point of contact for all issues regarding schedules
- Monitored Call Center Rep calls and performed quality management review on randomly selected calls
- Monitored and documented representatives performance results
- Engaged in one on one phone-based Member education and communications
- Provided go-live support to Outpatient Ambulatory facilities
- Behavior health account cleanup and followed up on denials
- Worked credit balance project for hospital
- Ensured all over-payments, misapplied payments and adjustments were researched and adjudicated accurately and timely
- Registration and Patient Access
- Re-billed claims and cash posting
- Corrected claims and balanced monthly reports
- Applied/re-applied/reversed adjustments and transactions due to billing errors.
INDEPENDENT REVENUE CYCLE CONSULTANT, Revenue Cycle Consultant
WAYNE PERRY & ASSOCIATES
01.2015 - 01.2022
- A/R Follow-up and cleanup for 5+ years, fine tuning accounts to a zero balance
- Posted daily deposits, balanced and ran monthly cash reports including A/R Aged Balance, A/R Detail and monthly billing reports
- Oversee the activities of billing facility claims to various payers for the hospital
- Ensured proper and timely submission of all patient accounts released for billing by the medical records dept
- This includes the responsibility for preparation and processing of primary and secondary claims, identification and correction of errors, re submission and appeal of denials, transmission of electronic claims and distribution of paper claims
- This will include working the lifespan of the claims from production to account resolution
- Re-billed Medicare, Medicare HMO, Illinois Medicaid, Iowa Medicaid, Ohio Medicaid, Texas Medicaid, Louisiana Heart Hospital, Bakersfield California Heart Hospital and all Commercial accounts as well as Behavioral health for timely filing, follow-up, and denials/write offs and reversed write-offs in general account ledgers to make them billable using the Soarian scheduling system as well as E-primus and Epic system
- Researched and verified employment for the purpose of filing garnishments, judgments or wage attachments in the General District Court
- Payment posting and processing as well as posting charges and performing adjustments
- Processed claim referrals, new claim hand offs and requests regarding litigation.
Epic Trainer
Tanner Health System
01.2020 - 01.2021
- Administered classroom evaluations, assessments and provides course updates to management
- Built out and maintained training environments for go-live, post-live and system upgrades
- Delivered orientation, on-boarding, and pathway training for adult learning in a classroom setting or virtually
- Proficient in software to modify e-learning such as HealthStream
- Managed classroom training, materials such as exercise booklets, lesson plans and power points
- Collaborated and attended weekly operations meetings with directors, supervisors, and staff for continuous training support within the department
- Investigated and provided technical support for Help Desk/Service tickets that are generated for system or billing issues within the department
- Provided leadership and consultation as needed for special projects that require knowledge of computerized applications or processes that affect patient care and/or new implementation.
Revenue Cycle/AR Specialist
Custom Solutions
01.2015 - 01.2016
- Reviewed the account information and necessary system applications to determine the next appropriate work activity
- Verified claims adjudication utilizing appropriate resources and applications
- Initiate telephone or letter contact to patients to obtain additional information as needed
- Reviews accounts receivable on a daily basis and performs follow-up on delinquent accounts, according to established policies and procedures, including but not limited to: addressing outstanding receivables, short payments, split bills, over payments, and reviewing for accuracy and payor requirements (i.e
- Rates, authorizations, correct pay source, and billing codes)
- Recommends departmental/ agency corrective action as required
- Performed appropriate hospital billing functions, including manual re-bills as well as electronic submission to payers using the Eprimus system and Epic system
- Edited claims to meet and satisfy hospital billing compliance guidelines for electronic submission
- Managed and maintain desk inventory, complete reports, and resolve high priority and aged inventory.
Provider Relations Representative
AETNA
01.2011 - 01.2015
- Handled customer service inquiries and problems via telephone, internet and written correspondence
- Educated members with benefits, copay, deductibles, out of pocket expenses, their eligibility and their rights and responsibilities in accordance with contract
- Verified and updated demographics and insurance coverage in the system
- Performed review of member claim history to ensure accurate tracking of benefit maximums and /or coinsurance/deductible, along with reworks and payments rendered
- Assisted with appeals and pre-authorizations not handled by Clinical Claim Management.
Education
Graduate - Pharmacy Technology
Southwestern Professional Institute
Houston, TXBachelor of Science - Healthcare Management
West Coast University
Dallas, TX2023
CT - Epic Cadence, Ambulatory, Grand Central&Prelude
Wellforce
2022
Cerner, Patient Accounting, Certified Revenue Cycle Trainer - Hospital Billing
Cerner
Kansas City, MO2022
Certified Phlebotomist, Graduate -
NW Phlebotomy School
Houston, TX2022
Associates of Healthcare Administration - Healthcare
West Coast University
Dallas, TX2021
Diploma - General Education
Thomas Jefferson High School
Port Arthur TX05.1992
Skills
- Medical Software Knowledge
- Eprimus, Epic (Cadence/Prelude, Grand Central, Prelude, Radiant, Beacon, ClinDoc, Ambulatory, HB/PB/SBO), Resolute Professional Billing, Commercial and Government Hospital Billing, Care Everywhere, CPSI, Medi-Cal, MHS Genesis, Cerner Soarian Scheduling, Soarian Financials, Denials, Follow-ups,, Soarian Clinicals, McKesson Star, Athena, Cattails, AllScripts, Zirmed, Microsoft Word 97-2017, Excel, Access Windows 98-2010, Meditech, MediSOFT, Citrix, Siemens OAS Gold, Siemens Doc Imaging, Stockamp (Trac), CPT-4 coding, ICD-9 coding, ICD-10 coding, IDX, OnbaseII, Advanced Claims, AHCCCS, Med Assets, Centricity, CM1500 forms and UB92 forms; Microsoft Office, ECW, Centricity, Quadax, Expeditor, Paragon, Siemens Envision System, Physicians Billing, Star HBOC, EC2000, IDX,HMS, SMS, Rumba and AS400
- Workflow Processes
- Accurate Documentation
- Client Retention
- Inbound Calls
- Patient Information
- Customer Accounts Management
- Billing Practices
- Complex Problem-Solving
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
The person who says it cannot be done should not interrupt the person who is doing it.
Chinese proverb
Timeline
Cerner Trainer Specialist II/Adoption Coach/Conversion Specialist
FTIC/ATGI
01.2022 - Current
Epic Trainer
Tanner Health System
01.2020 - 01.2021
INDEPENDENT REVENUE CYCLE CONSULTANT, Revenue Cycle Consultant
WAYNE PERRY & ASSOCIATES
01.2015 - 01.2022
Revenue Cycle/AR Specialist
Custom Solutions
01.2015 - 01.2016
EMR Implementation Consultant/Analyst
CERNER/ATHENA/SOARIAN/NEXTGEN
01.2014 - 01.2023
Provider Relations Representative
AETNA
01.2011 - 01.2015
Graduate - Pharmacy Technology
Southwestern Professional Institute
Bachelor of Science - Healthcare Management
West Coast University
CT - Epic Cadence, Ambulatory, Grand Central&Prelude
Wellforce
Cerner, Patient Accounting, Certified Revenue Cycle Trainer - Hospital Billing
Cerner
Certified Phlebotomist, Graduate -
NW Phlebotomy School
Associates of Healthcare Administration - Healthcare
West Coast University
Diploma - General Education
Thomas Jefferson High School
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