Summary
Overview
Work History
Education
Skills
Technical Skills
References
Timeline
Generic

Evelyn Buffkin

Callahan,FL

Summary

Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

Overview

20
20
years of professional experience

Work History

Process and Technology Owner

Ascension Health Care
Chicago, IL
10.2021 - 11.2022
  • Oversaw project execution, phase progress, workmanship and team performance to drive on-time completion of deliverables.
  • Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
  • Supervised lifecycle processes pertaining to IT framework.
  • Oversaw application of various systems for software, hardware and information preservation.
  • Recommended hardware and software acquisitions to help users assess needs and justify equipment and services.
  • Communicated relevance of organizational goals, policies and procedures to IT department staff.
  • Delivered products to customer locations on time.
  • Modified existing software systems to enhance performance and add new features.
  • Collaborated with others to discuss new opportunities.
  • Maintained open communication with team members and stakeholders, resulting in successful project outcomes.
  • Maintained schedule of class assignments to meet deadlines.
  • Completed day-to-day duties accurately and efficiently.
  • Worked with cross-functional teams to achieve goals.

Technology Analyst/Product Owner,

Ascension Health Care
Chicago, IL
03.2016 - 10.2021
  • My primary role was the Product Owner for the Facilities and Access Management Team.
  • Acted as the primary point of contact during Manager’s extended leave & eventual resignation including meetings, approving changes for CAB and gathering financial information for Director. Heavily involved in National IT projects for various ministries throughout the organization.
  • Engaged vendors and managed Business Owners for application installations, upgrades, and maintenance to keep the system compliant and stable.
  • Manage the software lifecycle for application portfolio. Provide fiscal estimates for portfolio maintenance.
  • Created and maintained documentation for system support and configuration.
  • Provided vendor management across a diverse application portfolio.
  • Collaborated with Finance teams for projects and operational budgets.
  • Participated in on-call support rotation for o
  • Documented best practices for future reference when building similar applications.
  • Conferred with clients regarding information processing or computation needs.
  • Managed the deployment of software updates across multiple platforms.

Patient Financial Services Billing Supervisor

UF Health Shands Hospital
Jacksonville, FL
04.2015 - 03.2016
  • Coordinated communications between patients, billing personnel and insurance carriers.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Coordinated with other supervisors, combining group efforts to achieve goals.
  • Delegated work to staff, setting priorities and goals.
  • Guided employees in handling difficult or complex problems.
  • Consulted with managers to resolve problems relating to employee performance, office equipment and work schedules.
  • Managed day-to-day operations of the medical billing team including setting goals, assigning tasks.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Resolved customer complaints or answered customers' questions.
  • Provided feedback, instruction, and development guidance to help others excel in their current and future positions.

National Revenue Service Center Liaison

Ascension Health Care
Jacksonville, FL
01.2014 - 01.2015
  • Responsible for training new associates on the functionality of an electronic medical record system called Athena.
  • Developed training materials for offices to enhance their daily productivity.
  • Responsible for running weekly & monthly reports to track progress and financial status for each primary care location.
  • Responsible for enforcing the goals set forth by my Ministry Service Leader.
  • Expected to travel to offices to provide one-on-one training for associates.
  • Traveled to new offices in various states to help implement new electronic medical record system.

Medical Billing Supervisor

St. Vincent's Family Medicine Center
Jacksonville, FL
02.2011 - 02.2014
  • Reviewed claims prior to submission to determine accuracy and completeness.
  • Coordinated communications between patients, billing personnel and insurance carriers.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Assisted with the development of policies and procedures related to medical billing operations.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Ensured compliance with HIPAA regulations by implementing privacy protocols throughout the organization.
  • Completed and submitted appeals for denied claims.
  • Guided employees in handling difficult or complex problems.
  • Recruited, interviewed and selected employees to fill vacant roles.
  • Consulted with managers to resolve problems relating to employee performance, office equipment and work schedules.
  • Managed day-to-day operations of the medical billing team including setting goals, assigning tasks.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Collaborated with physicians, coders, and other staff to ensure accuracy of patient records.
  • Resolved customer complaints or answered customers' questions.
  • Submitted appeals using provider portals and phone communication.
  • Leveraged EMR software to post payments received for medical services.
  • Primary decision maker regarding distributing work assignments to the billing department.
  • Effectively communicated with leaders of management and other departments on the status of the monthly financials.
  • Responsible for completing end of month reports and training new hires on the end of month procedures as well.
  • Managed monthly closeout procedures and ensured original control sheets were secured prior to leaving each day.
  • Handled timekeeping.
  • Posted payments, followed up on outstanding AR, issued refunds, and handled patient complaints.
  • Responsible for adequately staffing the department at all times.
  • Worked front end edits out of the system & also worked edits from the clearinghouse.
  • Created the work schedule each month & rotating duties among employees.
  • Ran end of month reports for the Practice Manager and hospital finance.

Clinical Med Informatics/Medical Records Lead

St. Vincent's Family Medicine Center
Jacksonville, FL
01.2009 - 01.2010

Clinical Informatics

  • Maintained up-to-date knowledge of industry standards and best practices in relation to clinical informatics systems.
  • Identified needs of customers promptly and efficiently.
  • Completed day-to-day duties accurately and efficiently.
  • Worked with cross-functional teams to achieve goals.
  • Modified existing software systems to enhance performance and add new features.

Medical Records

  • Monitored incoming faxes and emails for new requests and routed them accordingly.
  • Established strong relationships with external vendors who provide services related to medical records management.
  • Responded to phone inquiries from patients, physicians and other healthcare providers regarding medical records status.
  • Met needs of physicians and other treating team members with timely retrievals of patient medical records.
  • Reviewed and processed electronic health record requests from insurance companies, attorneys and other third-party entities.

Billing Team Lead

St. Vincent's Medical Center Riverside
Jacksonville, FL
01.2007 - 01.2009
  • Delegated daily tasks to team members to optimize group productivity.
  • Displayed strong telephone etiquette, effectively handling difficult calls.
  • Resolved escalated customer complaints or queries promptly and efficiently.
  • Monitored team progress and enforced deadlines.
  • Kept work areas clean, neat and free of safety hazards to maximize efficiency.
  • Assigned projects and distributed tasks to team members as per area of expertise.
  • Trained new staff in relevant processes and procedures.
  • Offered training and support to keep team members motivated and working toward objectives.
  • Put together a comprehensive manual for department responsibilities, system instructions and end of month procedures
  • Ensured compliance with company policies and procedures throughout the team.
  • Provided support to junior staff during peak periods of workloads.

Patient Accounting Representative II

St. Vincent's Family Medicine Center
Jacksonville, FL
03.2006 - 03.2007
  • Submitted claims to insurance companies.
  • Processed invoice payments and recorded information in account database.
  • Expedited payments by verifying accuracy and currency of vendor information.
  • Input statement information, reconciled accounts and resolved discrepancies.
  • Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
  • Developed strong professional rapport with vendors and clients.
  • Responded to customer inquiries regarding billing issues over the phone or through email correspondence.
  • Conducted regular reviews of A and R aging report, taking appropriate action as needed on past due accounts.
  • Collected, posted and managed patient account payments.
  • Researched and processed appeals of denied claims in a timely manner.
  • Ensured compliance with HIPAA regulations when handling confidential patient information.
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Processed insurance payments and refunds, updating account information as needed.

Medical Patient Accounting Representative II

Baptist Medical Center
Jacksonville, FL
01.2003 - 01.2006
  • Submitted claims to insurance companies.
  • Processed invoice payments and recorded information in account database.
  • Expedited payments by verifying accuracy and currency of vendor information.
  • Input statement information, reconciled accounts and resolved discrepancies.
  • Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
  • Developed strong professional rapport with vendors and clients.
  • Responded to customer inquiries regarding billing issues over the phone or through email correspondence.
  • Conducted regular reviews of A and R aging report, taking appropriate action as needed on past due accounts.
  • Collected, posted and managed patient account payments.
  • Researched and processed appeals of denied claims in a timely manner.
  • Ensured compliance with HIPAA regulations when handling confidential patient information.
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Processed insurance payments and refunds, updating account information as needed.

Education

Associate of Arts - General Studies

Florida Community College At Jacsonville
Jacksonville

Associate of Arts - General Studies

Fayetteville Community College
Fayetteville, NC

Skills

  • Staff Management
  • Project Management
  • Team Oversight
  • Life Cycle Project Management
  • Verbal and Written Communication

Technical Skills

  • Operating Systems: Windows 10, Windows Server 2012, 2016, 2019
  • Software: Microsoft Office, GSuite, IDX, MS400, Athena, Allscripts, Epic, Cerner, Cardio DX, EAdmit,
  • Systems: Pneumatic tube systems, temperature tracking systems, Secure Link
  • Other: Ability to work in unison with associates, vendors, & members of senior management, project management,
  • Experience as a supervisor over a billing department with 42+ physicians
  • Expertise in insurance billing and follow-up
  • Proficient in medical records management

References

References available upon request.

Timeline

Process and Technology Owner

Ascension Health Care
10.2021 - 11.2022

Technology Analyst/Product Owner,

Ascension Health Care
03.2016 - 10.2021

Patient Financial Services Billing Supervisor

UF Health Shands Hospital
04.2015 - 03.2016

National Revenue Service Center Liaison

Ascension Health Care
01.2014 - 01.2015

Medical Billing Supervisor

St. Vincent's Family Medicine Center
02.2011 - 02.2014

Clinical Med Informatics/Medical Records Lead

St. Vincent's Family Medicine Center
01.2009 - 01.2010

Billing Team Lead

St. Vincent's Medical Center Riverside
01.2007 - 01.2009

Patient Accounting Representative II

St. Vincent's Family Medicine Center
03.2006 - 03.2007

Medical Patient Accounting Representative II

Baptist Medical Center
01.2003 - 01.2006

Associate of Arts - General Studies

Florida Community College At Jacsonville

Associate of Arts - General Studies

Fayetteville Community College
Evelyn Buffkin