Dawn Peppers
Festus,MO
Summary
Over 20 years experience in the Healthcare industry -Business, operations and IT
Over 6 years experience in Epic as an Analyst
Over 3 years experience as an Epic Consultant
Overview
14
14
years of professional experience
1
1
Certification
Work History
Senior HB Analyst/Consultant-Go Live Implementation Role
Optimum Healthcare IT/Christus Health
06.2023 - 09.2023
- Epic Hospital Billing Build for Implementation and Go Live, Go Live Command Center on-site, Service Now Incident Tickets, resolving Break Fixes, Optimizations, Work Queue build, created and implemented Go Live Resources and Go Live Epic PowerPoint for HB Analysts, and troubleshooting for resolution of accounts held up for billing
- Security access, service now tickets for end user access Built new Work queues, new Rules for work queue optimization and functionality
- Heavy work on Cost Center Assignment Tables and Fee Schedule optimizations and functionality Mentoring for New HB Analyst in Claims, Security, Work Queue building, Rules, CERs, Excel and functionality Supported Work Queue monitoring for high impact issues, resolving high impact issues promptly
- Input and feedback for Lessons learned meetings for learning experience for Wave 2 project.
Senior HB Consultant/Epic Application Lead, Revenue Cycle-Community Connect Project
Optimum Healthcare IT/Kootenai Health
05.2022 - 05.2023
- Lead Analyst on PBB Project-Heavy Router build from start to completion with successful implementation
- Heavy Chargemaster Charging issue resolution
- Worked closely with CDM for New Charge creation, routing, and Fee Schedule work
- Responsible for Epic Hospital Billing build, Resolved Service Now Tickets, resolved Break Fixes, System optimizations, Work Queue build and consolidation
- Troubleshooting for resolution of accounts held up for billing
- Security Access for end user, Template build
- Supported Epic Professional Billing with Go Live PB build, Turbo charger project for CRWQ Edits/Foundation, resolving Break fixes, Optimizations, supported Revenue Integrity /CDM with workflow and training, trouble shooting for resolution of accounts held up for billing
- Epic Upgrade Project, Nova Note build/Implementation
- Lead Revenue Cycle Reconciliation Training Project Lead Urgent Care and Occupational Medicine project restructure and implementation-25 clinics, troubleshooting and resolution for accounts held up for billing that improved cash flow with successful outcome.
Senior HB Consultant—Community Connect Implementation/Support Role
Optimum Healthcare IT/Aspirus Health
12.2021 - 05.2022
- Provided Epic Hospital Billing build and implementation with Beaker Go Live-HB build, Resolved Service Now Tickets, resolving Break Fixes, Optimizations, Work Queue build consolidation and troubleshooting for resolution of accounts held up for billing
- Security access-resolved security service now tickets for end user access Support for Home Health and Hospice Dorothy Comfort module-resolve break fixes and trouble shoot end user issues
- Epic Upgrade Project, Nova Note build/Implementation
- Conversion of Bed Charges pulling from Charge Router project Data courier migration/Change control/review
Senior Revenue Business Solutions Analyst-Hospital Billing/Sr. Chargemaster Clinical Specialist
Mercy Health Systems
12.2018 - 12.2021
- Hospital Billing Implementation Project Team, Build Team for a multi facility and clinic organization
- Build for new implementations-specializing in Community Connect, Mergers and Acquisitions for small (250 Bed to large 1200 Bed facilities, such as but not limited to Account, Charge Review and Charge Router Review Work queues, Rules, CER’s, LPP, Cost Center Build, Cost Center Assignment Table Build, Contract Build and maintenance, RSH record build and maintenance, Bed Charge Billing Tables build/updates and maintenance, reports/reporting, Charge Router build
- Support Hospital Billing end users and help with trouble shooting and break fixes in the Epic system to achieve resolution to improve system functionality
- Creation of End User Security Templates, Sub-templates, HB Security Classes, security validation and migration of end users from a test environment to production via Data Courier terminal mapping, unit layout, and end user security validations Conducted 5+ levels of testing that included application functionality, regression, user acceptance, integration, and performance to ensure the operational needs were met
- Chargemaster Fee Schedule Build/Update, Supply requests-EAP build/creation, Optime build, Supported Therapy service line, Audiology and Nutrition service line, Room and Bed Charging and build, worked with pricing team for correct pricing and charging
- Coordinated user support issues for EPIC through the help desk ticket system and finds problem areas that require more analysis and/or repair
- Epic Single Instance, Facility Structure Builds, Bed Charge Table conversion to Charge Router, Epic Upgrade Projects, Bundled Episodes, Patient Estimates Educated end users on new hyperspace workflows, processes, and system functionality
- Performed assigned activities on projects including analysis of processes and systems, recommendations of quality improvements, and necessary tracking and trending needs analysis
- Achieved in–depth knowledge of software to work collaboratively with cross-functional teams across multiple levels of an organization and serve as a bridge between end users and Epic implementation
- Assessed, implemented, and confirmed efficient clinical workflows for hospital staff, analyzing operational requirements and processes through document analysis, interviews, workshops, and workflow analysis.
Team Lead/Billing Specialist- Hospice/Home Care
Mercy South (St. Anthony’s Medical Center)
08.2009 - 12.2018
- Build and implementation Lead for medical billing, collection, coding, and auditing experience for payers/specialties: Medicare, Medicaid, Managed Care, 1500 Professional Billing, Hospice and Homecare, Inpatient, outpatient, behavioral health, clinical trial
- Epic Certified: Resolute Hospital Billing: Billing Readiness Epic Certified: Resolute Hospital Billing Insurance Follow-up, current and up to date Coding experience with Facility, Outpatient, Home Health, Hospice, ICD-10 Hospice and Home Care intake/referral process Hospice HIS/CMS entering and exporting information per CMS guidelines
- Home Care Oasis reviewing/exporting information per CMS guidelines
- Responsible for all Hospice and Home Care Accounts Receivables/Revenue Cycle build and implementation
- Payment posting for Hospice and Home Care
- Experience with payment posting, cash processing, reading EOBs and working denials
- Experience with Hospital RAC Billing/Tracking, OIG, CERT
- Took part in exclusive RAC Medicare demonstration
- Experience with writing appeal letters with successful turnaround results Medical chart auditing and quality review Training experience, implementation of new processes with success
Education
Associate - Basic
Jefferson College
Hillsboro, MOBachelors - Businesd
Lindenwood University
St Charles, MoSkills
- Certified Professional Coder
- Certified Professional Biller
- Microsoft Office Proficient level
- Highly analytical and meticulous
- Effective communicator
- Supervising/Management experience
- Medical billing software experience
- Staff training experience
- Marketing and Development experience
- Epic Community Connect Specialist
- Small 250 Bed Facility to Large over 1200 bed Facility
- Epic Usability Badge
Certification
- Epic Hospital Billing Administration – SBO NVT 2022
- Epic HB/Single Billing Office NVT 2022
- Epic HB/Insurance Billing NVT 2022
- Certified [Job Title], [Company Name] - [Timeframe]
Timeline
Senior HB Analyst/Consultant-Go Live Implementation Role
Optimum Healthcare IT/Christus Health
06.2023 - 09.2023
Senior HB Consultant/Epic Application Lead, Revenue Cycle-Community Connect Project
Optimum Healthcare IT/Kootenai Health
05.2022 - 05.2023
Senior HB Consultant—Community Connect Implementation/Support Role
Optimum Healthcare IT/Aspirus Health
12.2021 - 05.2022
Senior Revenue Business Solutions Analyst-Hospital Billing/Sr. Chargemaster Clinical Specialist
Mercy Health Systems
12.2018 - 12.2021
Team Lead/Billing Specialist- Hospice/Home Care
Mercy South (St. Anthony’s Medical Center)
08.2009 - 12.2018
Associate - Basic
Jefferson College
Bachelors - Businesd
Lindenwood University
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