Medicare Analyst at HCA specializing in analytical thinking and advanced research capabilities. Achievements encompass trend identification that enhanced dispute resolution processes and elevated operational efficiency.
Overview
2013
2013
years of professional experience
Work History
Medicare Analyst
HCA
Perform and validate discrepancy reason coding of underpayment inventory.
Pursue additional payment from payers on underpayment discrepancies through various means of communication, by telephone, online or via payment package processes.
Identify and communicate trends to management, including those that might be appropriate for the dispute resolution process.
Escalate accounts to appropriate individuals within the Shared Service Center management as needed, including accounts with lack of timely payer response.
Utilize effective documentation standards that support a strong historical record of actions taken on the account.
Outpatient Dept Manager
Maniilaq Health Center
07.2009 - 02.2013
Led departmental initiatives to enhance operational efficiency and streamline workflows.
Developed training programs for staff to improve performance and adherence to
Coordinated cross-functional teams to support project execution and achieve departmental goals.
Established procedures that improved compliance with safety regulations and operational standards.
Oversaw budget management, ensuring alignment with organizational objectives and resource allocation strategies.
Collaborated with other departments to ensure seamless coordination in achieving company-wide objectives.
Improved customer satisfaction rates through attentive service, prompt issue resolution, and continuous process improvements.
Maintained a professional work environment by addressing conflicts proactively and fostering open communication among staff members.
Evaluated employee performance fairly and accurately, rewarding hard work while addressing areas needing improvement.
Enhanced department efficiency by streamlining processes and implementing time-saving strategies.
State Traffic & Safety Operations Engineer at Alabama Department Of TransportationState Traffic & Safety Operations Engineer at Alabama Department Of Transportation