Healthcare industry professional with 16 years’ experience. Strengths include Revenue Cycle, and Acute Implementations and Ambulatory Implementation Build. Knowledge in healthcare systems includes Epic, Clairvia, Nova, ITSM, etc. Detail oriented team player who is energetic, highly motivated and looking to advance my career.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Application Analyst II
Sutter Health Information Systems
01.2018 - 01.2024
Performed unit testing on new or modified programs prior to production deployment.
Proficient in the use of ChangeGear and Cherwell incident systems.
Responsible for the weekly Payor Plan meeting in which key leaders and the team are used to vote on new requests for both PB and HB.
Streamlined acquisition of reporting requirements and specifications to disseminate across multiple business lines and IT support teams.
Maintained quality-focused performance benchmarks and schedules when directing project teams.
Provided technical support for applications and users.
Developed and managed project plans while providing status updates to management.
Application Analyst III
Sutter Health Information Systems
01.2016 - 01.2018
Responsible for all Build and Implementation of the EPIC Ambulatory module
Current proficiency in Amb 100, Clin 251/252, and Amb 400.
Main contact for the ITSM Change Management process, and responsible for our Master Project packaging.
Backup for the Governance Committee.
Responsible for scheduling and running meetings with our clients.
Designed training materials and reference guides for end-users.
Provided technical support for applications and users.
Worked closely with end-users to understand their needs and ensure satisfaction with application features.
Application Analyst III
Sutter Health Information Systems
01.2014 - 01.2016
As part of the EHR Client Engagement Logistics team, we are responsible for a smooth transition of our clients onto the Epic EHR system during 'Go-Lives.'
Responsible for determining project scope and requirements, developing a support model and communication plan, and managing the execution of the project plan.
Handle all of the logistical aspects of the go lives such as Hotel accommodations, food and staffing of both SHIS resources and our 3rd party vendor
Maintaining our current budget, and reconciling invoices at the end of the projects.
We have many projects running simultaneously, and we require the ability to multitask and stay extremely organized.
Work closely with both our Director and the regional project managers for our sites.
Responsible for developing processes for logistics items, as well as documenting many of our current processes as a team.
I have effective communication skills that are utilized during various training and orientation sessions with large groups of peers and executives.
As the Analyst III for our team, I am also the go-to lead for escalated issues.
Currently responsible for implementing the Lean Fundamentals into the Ambulatory support team's everyday work life.
Successfully developed a Kanban board (SCRUM) to track the major outstanding projects and discover and set WIP limits for the team.
Application Analyst II
Sutter Health Information Systems
01.2013 - 01.2014
As part of the EHR Client Engagement Logistics team we are responsible for a smooth transition of our clients onto the Epic EHR system during 'Go-Lives'
Our team handles all of the logistical aspects of the go lives such as Hotel accommodations, food and staffing of both SHIS resources and our 3rd party vendor
This includes maintaining our current budget and reconciling invoices at the end of the projects
We sometimes have many projects running simultaneously and require the ability to multi task and stay extremely organized
I work closely with both our Director and the regional project managers for our sites
I have been responsible for developing processes for our Hotel booking as well as documenting many of our current processes as a team
PBS Platinum Services Supervisor
Sutter Physician Services
05.2013 - 09.2013
Oversee a department of 13 employees including all aspects of HR, hiring and performance reviews
Work closely with our Assistant Director to make sure we have a good relationship with our clients as well as our staff
Attend daily meetings to present our standards and processes for tracking out AR days
Manage the reporting and tracking of all AR days and revenue for our Platinum specific clients and Sutter Foundations which include Sutter Coast
Go to person for questions regarding IDX, HST, MS4, EPIC system usage for all staff
Prepare training handouts, outlook presentations and live environment training for all staff on Coding, ICD-9, Claim Forms, Credits and various training sessions
Provide one-on-one training for all staff on edits, denials, AR follow up, payment posting and credit resolution
PBS Platinum Services Lead
Sutter Physician Services
01.2012 - 01.2013
Process CSR’s (client service requests) for all clients
Work EDI edits, denials, edits, credits, refunds, high dollar AR follow-up and correspondence for multiple special billing clients
Go to person for questions regarding IDX, HST, MS4, EPIC system usage for all staff
Prepare training handouts, outlook presentations and live environment training for all staff on Coding, ICD-9, Claim Forms, Credits and various training sessions
Provide one-on-one training for all staff on edits, denials, AR follow up, payment posting and credit resolution
Utilized DBMS in IDX to run, edit and create queries for AR management
Perform processes for the NBRSC Client: billing, AR follow-up, client services, month end reporting and accounting period close
Special Projects for Supervisor
PBS Platinum Services Account Rep III
Sutter Physician Services
01.2012 - 05.2012
Performed processes for the NBRSC Client: billing, AR follow-up, client services, month end reporting and accounting period close
Worked EDI edits, denials, IDX edits, credits, refunds, high dollar AR follow-up, and correspondence for all special billing clients
Provided training on the HST and IDX systems to several special billing staff and new hires
Created and updated process flow and procedure documentation for special billing tasks
Worked closely with Coast client to reconcile unidentified patient payments
Special projects for Supervisor
BAR Account Rep II Float Pool/SB
Sutter Physician Services
01.2010 - 01.2011
Responsibilities include being a floater for all other departments of BAR who are in need of additional staffing temporarily
We are required to train and learn the duties needed by that team to perform the tasks asked of us
We learn all the billing aspects of the medical billing process
I have been trained in Posting Payments, Billing and working Medicare and Medi-Cal denials and A/R follow-up for PPO, Medi-Cal and Medicare units
I have also been utilized in special projects for the float/special billing units
Customer Service Representative
Sutter Connect
01.2008 - 01.2010
Responsibilities include taking inbound call center calls, averaging 7-8 calls per hour with an average audit score of 98%, answering billing questions and managed care claim and authorization calls, eligibility calls, and general customer service questions
I have been utilized as backup clerical staff and have been trained in faxing, copies, covering the front receptionist desk, pulling E.O.B’s, TPl requests as well as pickups and general clerical duties
I have been given the responsibility of all Work Comp claims for the customer service dept
I receive emails from all reps with the workers compensation spreadsheet and I load new cases and link the outstanding invoices to the appropriate claim
Education
Fashion Institute of Design and Merchandising
01.2005
Associates Degree - Liberal Arts
College of San Mateo
01.2000
EPIC Resolute Hospital Billing Certificate -
EPIC Ambulatory Proficiency -
EPIC Professional Billing Proficiency -
EPIC Resolute Professional Billing Reimbursement Contracts Proficiency -
Skills
Supervisory and Leadership skills
Process Improvement and Methodology
Excellent Customer Service
Excellent Computer Skills (MS Office products)
High ability to Multitask and work under pressure
Goal Oriented
Certification
EPIC Resolute Hospital Billing Certificate
EPIC Ambulatory Proficiency
EPIC Professional Billing Proficiency
EPIC Resolute Professional Billing Reimbursement Contracts Proficiency
Timeline
Application Analyst II
Sutter Health Information Systems
01.2018 - 01.2024
Application Analyst III
Sutter Health Information Systems
01.2016 - 01.2018
Application Analyst III
Sutter Health Information Systems
01.2014 - 01.2016
PBS Platinum Services Supervisor
Sutter Physician Services
05.2013 - 09.2013
Application Analyst II
Sutter Health Information Systems
01.2013 - 01.2014
PBS Platinum Services Lead
Sutter Physician Services
01.2012 - 01.2013
PBS Platinum Services Account Rep III
Sutter Physician Services
01.2012 - 05.2012
BAR Account Rep II Float Pool/SB
Sutter Physician Services
01.2010 - 01.2011
Customer Service Representative
Sutter Connect
01.2008 - 01.2010
Fashion Institute of Design and Merchandising
Associates Degree - Liberal Arts
College of San Mateo
EPIC Resolute Hospital Billing Certificate -
EPIC Ambulatory Proficiency -
EPIC Professional Billing Proficiency -
EPIC Resolute Professional Billing Reimbursement Contracts Proficiency -
Projects Accountant/Grant Officer at Health Information Systems Information HISPProjects Accountant/Grant Officer at Health Information Systems Information HISP