Summary
Overview
Work History
Education
Skills
Timeline
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Dana Roberts

Summary

Highly motivated analyst seeking a managerial role within Parallon Corporate Compliance where I can continue my career in a culture that fosters regulatory adherence and ensures ethical integrity. A position where I will continue to learn, grow, and be a vital part of organizational success.

Overview

16
16
years of professional experience

Work History

ESC Financial Analyst

Parallon
05.2024 - Current
  • Conducted analysis to identify and evaluate changes in trends and potential areas of improvement.
  • Assisted in preparation of presentations, data tables and other documents for meetings.
  • Review Chargemaster App Enterprise Standard Chargemaster (ESC) requests, including review of local chargemaster build of CPT/HCPCS and Enterprise CPT usage to confirm the need.
  • Propose new CPT/HCPCS codes to add to ESC for the Governance.
  • Monitor Compliance Mailbox and work Regs helpline Pharmacy requests, and add to PA Masterfile for ESC code activation.
  • Prepare the monthly ESC email and assist with evaluation of quarterly ESC updates
  • Generate reports for team (Q category WCFW exception facility, M Category approvals, Power BI reports, Chargemaster Manager Queue aging report, ESC report and upload to SharePoint)
  • Department projects as needed

Billing (Revenue) Integrity Quality Assurance Nurse

Parallon
05.2022 - 05.2024


  • Experience with HCPC/CPT coding daily.
  • Assist the Team lead in duties as needed with pulling Power BI reported mans annually uploading FBOV (OBS I&I) accounts for the team.
  • Responsible for the training of other Billing Integrity Nurses who join the Global Team.
  • Assisted Team-Lead with Vendor rebuttals on QA results.
  • Provide side-by-side evaluations of Med Nec accounts for Global vendors and assist with education meetings.
  • Perform daily QA of Vendor Bill Edits, Medical Necessity, Observation, and Injection/Infusion Charging accounts.
  • The sole Nurse to perform the high-dollar review Medical Necessity accounts per CMS guidelines for the SRT Team.
  • Experience with Excel, Power BI, HPF, Meditech 5, Meditech Expanse, Cerner, Epic, 3M, and Artiva systems.
  • Earned March 2024 Superlative Award: nominated by the Manager

Revenue Integrity Clinical Analyst Nurse

Parallon
11.2015 - 05.2022
  • Experience with HCPC/CPT coding and the Chargemaster process.
  • Assisted facilities with new Chargemaster updates and REGS Corporate guidelines and standards.
  • Review of medical Necessity, bill, and assurance edits.
  • Performed audits for process improvement and attended FECC meetings to report findings on charging trends and Chargemaster issues.
  • Analyze charge and Batch net reports for the assigned facility.


Registered Nurse

Baptist Medical Center South
10.2009 - 11.2016
  • Worked as a Nurse on a progressive, medical-surgical, and renal unit.
  • Worked diligently to establish a trusting relationship with my patients, Physicians, and coworkers to provide outstanding collaborative care for all patients.
  • Competent in the daily routine of medication administration, accessing port-a-caths, Intravenous access, phlebotomy skills, and Nursing skills.
  • Performed safe and sterile Peritoneal Dialysis treatment for acute patients.
  • Charge Nurse as needed.
  • I interviewed possible new nurse applicants.

Education

MBA -

Western Governors University
Salt Lake City, UT
07-2026

Bachelor of Science - Nursing

Jacksonville University
Jacksonville, FL
08-2016

Associate of Arts -

Florida State College At Jacksonville
08-2016

Associate of Arts - Nursing

Florida State College
Jacksonville, FL
05-2009

Skills

  • Organization
  • Customer Service
  • Communication
  • Teamwork
  • Critical Thinking
  • Collaboration
  • Problem solving
  • Leadership
  • Multitasking
  • Perseverance
  • Organization

Timeline

ESC Financial Analyst

Parallon
05.2024 - Current

Billing (Revenue) Integrity Quality Assurance Nurse

Parallon
05.2022 - 05.2024

Revenue Integrity Clinical Analyst Nurse

Parallon
11.2015 - 05.2022

Registered Nurse

Baptist Medical Center South
10.2009 - 11.2016

MBA -

Western Governors University

Bachelor of Science - Nursing

Jacksonville University

Associate of Arts -

Florida State College At Jacksonville

Associate of Arts - Nursing

Florida State College

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Dana Roberts