Experienced healthcare IT systems professional adept at optimizing Epic software for efficient medical billing workflows. Strong analytical skills, problem-solving abilities, and technical proficiency in system configuration and troubleshooting. Known for collaborative approach, adaptability to changing requirements, and commitment to delivering impactful results. Reliable team player dedicated to achieving organizational objectives and ensuring seamless integration of applications.
Maintain and optimize the Epic PB and ROI system for Exact Sciences specific needs. Primary analyst on most Epic upgrades. Primary analyst on a new product launch/implementation. Member of the “Testing Workgroup”. Subject matter expert on many billing workflows and SmartTool build. Certified in Resolute PB Admin (plus SBO), Charge Router, Resolute PB Claims & Electronic Remittance, Resolute PB Contracts, HIM Release of Information, Identity, and Data Courier Admin applications.
Maintain and optimize the Epic PB system for Exact Sciences specific needs. Primary analyst on most Epic upgrades. Implemented Release of Information for billing/appeal packets. Implemented and lead the ‘Document Standard’ workgroup which was later rebranded as the ‘Testing Workgroup’. Subject matter expert on many billing workflows and SmartTool build. Certified in Resolute PB Admin, Charge Router, Resolute PB Claims & Electronic Remittance, Resolute PB Contracts, and HIM Release of Information applications.
Build, implement, and test the Epic EHR PB system for Exact Sciences specific needs. Certified in Resolute PB Admin and Charge Router applications.
Manage and Assign work to Cash Associates in the Paper Mail group. Resolve issues identified by the associates via the “Tracker”. Research and resolve EOB Find reconciliation for Finance by creating and assigning batches to the Cash Associates. Accurately post payments, denials, adjustments, and correspondence to correct accessions. Validate and post Adjustment Requests (Conalls/Discounts) timely. Review and process electronic batches in Xifin over 30 days old (N/A’s). Monitor and work cash team email box as needed. Pull and apply daily credit card settlement reports as needed. Authored some of the current processes. Filled role as the Cash Focus’ SME (Subject Matter Expert) for multiple rounds of Revenue Cycle Training.
Accurately post payments, denials, adjustments, and correspondence to correct accessions. Routinely locate and post unreconciled cash in the bank (eob find project). Review and process electronic batches in Xifin over 30 days old (N/A’s). Monitor and work cash team email box. Pull and apply daily credit card settlement reports. Complete discounts and adjustments as requested by other teams. Authored some of the current processes.
Verify claims have reached clearing house and release in EMR and clearing house systems. Correct claims that err and reject in clearing house. Send corrected claims for added or removed charges. Follow up on claims that do not pay timely. Appeal denied claims appropriately with correct payer. Submit refunds or recoup requests as appropriate for payer overpayments. Update coverage for patients as necessary. Answer phone calls, take payments, answer questions, update accounts or advise as to options as appropriate. Assemble daily deposits for payment poster.
Collaborated in the creating and building the business since it opened thru the development of class syllabuses, registration materials, and business forms. Helped recruit teaching staff and students. Teach classes regularly throughout the season and assist in student account creation and maintenance. Choreograph dances and combinations for class. Prepare lesson plans. Aided the owner when necessary by fulfilling payroll, accounts payable, accounts receivable and other various bookkeeping and filing functions.
Created a multi-level troop to provide my daughter with the worthwhile Girl Scout experience that only Girl Scouts can offer.
Recruited girls, parents and co-leaders to grow troop membership to 20 girls grades 2 thru 8. Established a troop account
and maintained troop finances and supplies. Filed appropriate reports to the council as needed. Schedule and organize events and meetings for the troop. Effectively communicate with parents and council.
Manage and monitor all monetary transactions with our customers including cash reconciliation, credit card processing, will call ticketing, group rates, and vendor/presenter pages. Assist the executive manager and owner with staff recruitment, schedules, and training.