Hi, I’m
Donnie Goettel
Columbia,MO
Summary
Experienced Operations Analyst with a demonstrated history of working effectively with personnel and customers. Proficient in Microsoft Office, Administration, and Healthcare Management. Highly analytical professional with an MHA focused in Healthcare Administration. Supportive Eligibility Specialist with extensive application engagement and dedicated service skills. Professional with the ability to maintain accurate records, schedule appointments, and handle administrative responsibilities. Brings a proven track record of success in determining eligibility and resolving complex cases. Works professionally with clients to develop and implement successful strategies for maximizing services and benefits. Skilled in problem-solving and identifying solutions that meet clients' needs.
Brings proven track record of success in determining eligibility and resolving complex cases. Works professionally with clients to develop and implement successful strategies for maximizing services and benefits. Skilled in problem-solving and identifying solutions meeting clients' needs.
Overview
21
years of professional experience
Work History
Boone Health
Authorization Specialist
03.2023 - 10.2024
Job overview
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Tracked referral submission during facilitation of prior authorization issuance.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Verified eligibility and compliance with authorization requirements for service providers.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
- Scheduled appointments with applicants to gather information and explain benefits processes.
- Communicated with people from various cultures and backgrounds on application process.
Boone Hospital Center
Assistant Buyer
07.2021 - 11.2021
Job overview
- Streamline logistics process post-transition to new system
- Place and track orders from multiple vendors to Main Receiving for entire system
- Advise leadership on process and system improvement
- Maintained complete documentation and records of all purchasing activities.
- Reviewed purchasing trends and forecast demand for inventory planning and replenishment.
- Processed purchase orders and invoices in accordance with company procedures.
Aspen Dental
Office Manager
08.2020 - 03.2021
Job overview
- Addressed and remedied all patient or team member issues.
- Consulted with healthcare professionals on business decisions.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
- Oversaw accounting, budgeting, and financial reporting.
- Leveraged patient feedback and performed continuous process improvements to streamline day-to-day business operations and patient satisfaction.
BJC HealthCare
Patient Access Specialist
01.2020 - 08.2020
Job overview
- Register Patients for Outpatient/Emergency Services
- Assist Leadership with Operational Analytics
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
Mercy
Patient Access Specialist/Clinic Manager/Senior Financial Analyst
12.2015 - 11.2019
Job overview
- Conducted detailed financial analysis to identify and evaluate changes in operations, trends and potential areas of improvement.
- Monitored market trends and news to identify emerging opportunities.
- Created and maintained precise and accurate models, charts and reports.
- Addressed and remedied all patient or team member issues.
- Consulted with healthcare professionals on business decisions.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
- Oversaw accounting, budgeting, and financial reporting.
- Leveraged patient feedback and performed continuous process improvements to streamline day-to-day business operations and patient satisfaction.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Delivered support to medical staff in completion of patient paperwork.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Facilitated communication between patients and various departments and staff.
- Trained new staff on filing, phone etiquette and other office duties.
Missouri Southern State University
Advancement Services Manager
06.2013 - 11.2015
Job overview
- Manage the implementation, operation, function and organization of the Advancement module for University Development, Foundation, and Alumni Relations, related to utilization of the University's database
- Responsible for constituent records and gift processing and acknowledgement
- Coordinate entry of data into database, including research and entry of archival information housed in administrative and academic offices
- Set and monitor general usage guidelines and best practices for the database, including, but not limited to, data hygiene, donor acknowledgements, and tax receipts
- Respond to requests from campus departments and divisions for Advancement-related data from database, including creating and distributing mailing lists, donor lists, and other reports as necessary for the Development team and other colleagues on campus
- Interface with Information Technology Department to trouble shoot database-related issues that arise for Advancement staff
- Train Advancement staff of full use of the Advancement module in database
- Populate database Advancement tables in consultation with Advancement staff
- Work with University Data Standards Committee to develop and implement data standards for database Advancement and monitor their use within the Advancement Division
- Act as a primary Advancement Division representative to campus-wide Technology Advisory Committee
- Audit database Advancement records to ensure data integrity
- Process, track, report, and acknowledge gifts in an accurate and timely fashion
- Manage accurate recording of new and existing pledges and establish a system for issuing pledge reminders; liaising with the finance staff as appropriate
- Ensure planned gifts are recorded appropriately; liaising with the finance staff as appropriate
- Lead staff in development of an Advancement policy and procedures manual for database
- Supervise student workers on related tasks
Freeman Health System
Outcomes Analyst
07.2012 - 04.2013
Job overview
- Develop and maintain a system of metrics and thresholds to evaluate effectiveness of process improvement initiatives, such as Length of Stay, mortality, complications, and readmission rates
- Track measures over time with comparable benchmarks, providing feedback and analysis when thresholds are not met
- Provide analysis of external data definitions and submission requirements, identifying required data elements, and source fields necessary for compliance
- Develop methods for processing and analyzing data that will provide more timely reporting and analysis to support performance improvement activities
- Ensure consistency of quality data for the organization’s internal data needs, and identify, investigate, and mitigate inaccuracies
- Build various reports to extract and analyze electronic clinical data that effectively drive change
- Devised and implemented processes and procedures to streamline operations.
- Provided reporting for forecast analysis and ad-hoc reporting in support of decision-making.
- Generated reports detailing findings and recommendations.
- Helped meet changing demands by recommending improvements to business systems or procedures.
The Nebraska Medical Center
Strategic Planning Analyst
05.2008 - 08.2012
Job overview
- Develop reports, documents and information for presentations to assist in communicating information to various stakeholders and segments of the organization
- Construct, organize, maintain and ensure the quality of databases containing internal and external data used to support strategic planning, business development and marketing
- Devise solutions that address the constantly changing healthcare environment and the different information needs of the organization
- Process and maintain internal databases containing over 1 billion records
- Maintain the accuracy of the Planning information systems containing internal and external data
- Generate numerous reports routine and ad-hoc reports on a weekly basis
- Use and maintain working relationship with strategic intelligence systems (ThomsonReuters, Sg2) to achieve highest level of value from the planning system’s products
- Support the annual planning process that results in setting The Nebraska Medical Center’s strategic direction
- Support both strategy and business development projects with a variety of customers at different levels
- Assist in gathering and organizing large amounts of information and help convey interpretation for actionable conclusions
- Process oversight and coordination, group facilitation, consultation, data analysis and secondary market research
- Produced detailed and relevant reports for use in making business decisions.
- Compiled research data and gave professional presentations highlighting finds and recommended optimizations.
- Conducted thorough reviews of operations to devise and deploy improvement strategies.
Nebraska Medicine
Clinical Quality Coordinator
08.2007 - 05.2008
Job overview
- Responsible for development, implementation, and maintenance of continuous quality improvement projects
- Extremely successful completion of governmental (UNOS) on-site survey including planning, coordinating, data collection and facilitation
- Facilitate preparation for governmental (CMS) on-site survey including facilitation of biweekly Management Leadership meetings and administrative assistance to clinical management
- Responsible for keeping service line in compliance with governing agencies
- Developed Quality Assessment and Performance Improvement program and manual for service line
- Developed, Implemented and Maintained Balanced Scorecard for Service Line
- Quality representative for The Nebraska Medical Center for Transplant Administrators as well as Transplant Growth and Management Collaborative
- Developed Organ donor reports in conjunction with assigned Organ Procurement Organization
- Participated in National Transplant Collaboration Forums and provided center specific data and follow-up
- Fully trained in CAP, WorkOut and LEAN
- Recorded findings of inspection process, collaborating with quality team to implement corrective actions.
- Developed monthly, end-of-quarter and other statistical reports for leadership team and quality improvement programs.
Alegent Creighton Health
Financial Analyst
01.2004 - 12.2007
Job overview
- Participated in new major Service Center development and Lead projects for designing designated areas in Service Center
- Acted as Financial Liaison for $1.5M Oncology Research Grant
- Developed and implemented Automated Database system for the Center For Nursing Excellence scholarship and reward programs
- Developed Pro Forma business plans for $30 million System Level capital initiatives
- Acted as Financial Analyst on Behavioral Health Service Integration and Facility Design Team for major Service Line initiatives
- Responsible for providing consultative support in the areas of financial analysis and planning for the Consolidated System and the separate operational elements that constitute the system as a whole, with emphasis on assigned operational areas
- Assisted in the preparation of the routine Analytical Review of operational activity, based on sound financial analysis, including budget vs
- Actual comparisons as well as benchmarking, but also in Systems operational insight in close cooperation with the affected operational personnel
- Assisted preparation of routine and ad hoc presentation materials
- Participated in the creation of an instrument panel of key statistics, ratios, and data for use by the Senior and Executive Leadership teams
- In concert with the Planning function, provided support in the process of gathering the common statistics in an accurate/timely fashion in support of other financial, planning and operational activities and initiatives
- Designed plans to improve operations and suggested changes to systems for overall organization.
- Conducted data analysis to identify opportunities for streamlining client operations and improving customer satisfaction.
- Supported supervisor and associated team members to maintain system functionality.
- Created and managed operational databases to store and track data and maintain accurate information.
- Created custom reports and visualizations to support decision-making processes.
- Analyzed trend data to forecast operational needs and plan next course of action.
- Assessed operational performance to identify areas for improvement.
Education
Clarkson College
MHA from Masters in Healthcare Administration
12.2010
University Overview
GPA: 3.9
Northeastern State University
BSBA from Business Administration
12.1990
Oklahoma State University
Business Administration
12.1988
Northeastern Oklahoma A&M College
Associates from Business Administration
12.1987
Miami High School
High School Diploma from College/University Preparatory and Advanced High School/Secondary Diploma Program
12.1985
Skills
- Access
- Accounting
- Accounts Receivable (AR)
- Administration
- Administrative Assistance
- Analysis
- Auditing
- Budgeting
- Business Analysis
- Business Development
- Business Knowledge
- Business Strategy
- Change Management
- Communication
- Continuous Improvement
- Corporate Financial Reporting
- Customer Experience
- Customer Relations
- Customer Service
- Data Analysis
- Data Entry
- Economic Research
- Economics
- EHR
- EMR
- Excel
- Finance
- Financial Analysis
- Financial Forecasting
- Financial Reporting
- Forecasting
- Healthcare
- Healthcare Industry
- Healthcare Information Technology
- Healthcare Management
- Health Information Management
- Health Insurance
- HIPAA
- Hospitals
- Informatics
- Key Performance Indicators
- Leadership
- Leadership Development
- Lean Manufacturing
- Managed Care
- Marketing
- Marketing Strategy
- Medical Office
- Meditech
- Microsoft Office
- Microsoft Word
- Negotiation
- Non-profits
- Office Administration
- Organizational Development
- Outlook
- Physicians
- Pivot Tables
- Planning
- PowerPoint
- Problem Solving
- Process Improvement
- Public Speaking
- Research
- Revenue Cycle
- Scheduling
- Six Sigma
- Solid Professional Standards
- Spreadsheets
- Statistics
- Strategic Planning
- Team Building
- Team Leadership
- Teamwork
- Time Management
- Training
- Visio
- Word
- Insurance verification
- Prior authorization processing
Timeline
Authorization Specialist
Boone Health
03.2023 - 10.2024
Assistant Buyer
Boone Hospital Center
07.2021 - 11.2021
Office Manager
Aspen Dental
08.2020 - 03.2021
Patient Access Specialist
BJC HealthCare
01.2020 - 08.2020
Patient Access Specialist/Clinic Manager/Senior Financial Analyst
Mercy
12.2015 - 11.2019
Advancement Services Manager
Missouri Southern State University
06.2013 - 11.2015
Outcomes Analyst
Freeman Health System
07.2012 - 04.2013
Strategic Planning Analyst
The Nebraska Medical Center
05.2008 - 08.2012
Clinical Quality Coordinator
Nebraska Medicine
08.2007 - 05.2008
Financial Analyst
Alegent Creighton Health
01.2004 - 12.2007
Northeastern State University
BSBA from Business Administration
Oklahoma State University
Business Administration
Northeastern Oklahoma A&M College
Associates from Business Administration
Miami High School
High School Diploma from College/University Preparatory and Advanced High School/Secondary Diploma Program
Clarkson College
MHA from Masters in Healthcare Administration
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