Harpreet Kaur
Bristow,VA
Summary
Experienced professional holding a master’s degree in health informatics, with over 14 years of comprehensive expertise spanning Healthcare, Finance, Process/Quality Improvement, project management, Staff mentoring, Analytics, Revenue Cycle Optimization, Clean Claim submission, SBO Billing, Denials Prevention. Recognized for a solution-oriented, quality-focused approach, I am adept at achieving impactful outcomes. My capabilities encompass strategic thinking, innovative problem-solving, and the development of advanced business solutions. I have consistently demonstrated success in aligning technology performance with corporate goals and ensuring optimal business operations.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Project Analyst Lead
Inova Health System
2020.02 - Current
- As a committed project analyst and proficient leader, I excel in leveraging both established methodologies and the latest technologies to efficiently optimize operations, boost productivity, and uphold a user-friendly system interface
- I oversee the payer/plan enhancement projects for revenue optimization and Patient Access performance improvement
- I coordinate projects between operations and IT teams
- Translate business projects/needs to IT and support both teams through analysis, implementation, and testing phases
- Led, design and execute workflows to enhance Patient Access productivity/accontability
- Initiated process improvement strategies to minimize redundancy and reduce maintenance costs
- Integrate patient registration analysis into training for 350+ employees, enhancing user performance
- Create templates for monthly and yearly payer performance reports for leadership
- Established and manage mentorship program for 5+ teams, focusing on problem-solving and communication skills
- Provide strategic guidance on high-risk accounts, ensuring smooth registration processes
- Facilitate biweekly/ monthly meetings to address payer-related issues with internal and external Stakeholders
- Restructured patient access insurance verification team for system-wide efficiency
- Partnered with vendors and payers to update standard work processes, resulting in significant cost savings
- Analyze patient access reports and data to identify errors and to close any gaps resulting in workflows efficiency.
Revenue Optimization & Denials Prevention- Denials Analyst
Inova Health System
2018.03 - 2020.01
- Implemented denials prevention initiative through thorough business analysis and project management
- Produced comprehensive denials data reports for bi-weekly and monthly packets across multiple hospitals
- Managed distribution of CFO Revenue cycle slide deck and denial meeting agendas across the health system
- Led denial prevention projects and collaborated with task force to analyze trends and reduce denial rates
- Took leadership role as Leapfrog Champion to identify operational gaps and find solutions
- Provided technical guidance to improve denial rate and streamline workflows
- Contributed to redesigning Physical Therapy work queues for operational efficiency and staff productivity reporting.
Physician Insurance Analyst
PFS Ambulatory Billing Office
2017.01 - 2018.02
- Identified trends and analyzed data
- Followed up on the aged claims to secure reimbursement
- Payer response reports and rejection/denials reports been worked timely and met Departmental Productivity and Quality Review Standards
- Effectively interpreted CPT, ICD-10, and APC reimbursements to insure a strong receivable performance
- Utilized qualitative and quantitative data collection methodologies (Dataset analysis and semi-structured staff interviews) for various process improvement projects
- Stayed vigilant about current insurance contracted rates to avoid delays and denials of payments
- Confirmed the insurance payment is according to the contract rate (DRG, Per Diems, Fee Schedules, Case rate).
Patient Financial Services Reimbursement Analyst
PFS Ambulatory Billing Office
2015.11 - 2016.12
- As a PFS Reimbursement Analyst I performed wide range of duties including gathering data, organizing information, analyzing historical results, making forecasts and projections, making recommendations, and generating Excel models, presentations, and reports
- Analyzed explanation of benefits (EOB's) to detect payment variances and payer trends
- Determine appropriate follow-up e.g., resubmissions, adjustments, and reimbursement
- Through research and analysis recovered approx
- $600K of payments due to incorrect payment posting to member`s accounts within 2 months’ time
- Managed teamwork load while meeting time constraints and expectations
- Provided basic technical support to new team member.
Financial Advisor
Citibank
Vienna , VA
2009.08 - 2015.10
- Increased client satisfaction rating from 75 to 89% by providing outstanding services
- Managed portfolio of 150-200 clients and over 3.5 million annual balances
- Recommended process for efficient operations in the department, which led to 50% error reduction by advocating for adoption of internal weekly audit
- Prepared reports and financial data using excel, access, and Visio
- Performed cost and financial analysis of financial reports and prepare subsequent narrative analysis for management
- Created training materials for the new users, based on the job profiles and assigned tasks.
Document Imaging Supervisor
Clinical Pathology Laboratories
Chantilly , VA
2008.01 - 2009.12
- Recommended and implemented computer bar code system for efficient operations and enhanced productivity in the department, which led to 27% increased efficiency in output
- Performed internal bi-weekly audit to review scanning errors and ran Staff productivity reports
- Implemented new work routines to increase productivity and to provide staff with flexible work hours
- Provided flow of information between insurance companies, physician offices, management, and staff
- Consistently exceeded quality standards by training, mentoring, engaging team members in process improvement
- Interviewed candidates for open positions and extended offers as approved by the administration
- Investigated and resolved various clients’ complaints.
Education
MS - Master of Health Informatics
George Mason University
01.2016
MS - Master of Computer Science
Maharshi Dayanand University, India
01.2007
B.S. - Liberal Arts
Punjabi University, India
01.2004
Skills
- Team leadership
- Strategic Planning
- Data analysis & Reporting
- Migration testing and maintenance
- Process/quality improvement
- Data Mining and Data Integration
- Workflow, root-Cause & Gap analysis
- Staff Training and Development
- Stakeholder Management
- Revenue Cycle Financial Reporting
- Denials Prevention
- Payer Regulatory Compliance
- Claims and reimbursement dispute resolution
- Critical thinking proficiency
Certification
- Resolute Hospital Billing Administration SBO, Epic, 2019
- Certified Revenue Cycle Specialist-Institutional, AAHAM, 2016
- Certification PL/SQL, Northern Virginia Community College, 2009
Timeline
Project Analyst Lead
Inova Health System
2020.02 - Current
Revenue Optimization & Denials Prevention- Denials Analyst
Inova Health System
2018.03 - 2020.01
Physician Insurance Analyst
PFS Ambulatory Billing Office
2017.01 - 2018.02
Patient Financial Services Reimbursement Analyst
PFS Ambulatory Billing Office
2015.11 - 2016.12
Financial Advisor
Citibank
2009.08 - 2015.10
Document Imaging Supervisor
Clinical Pathology Laboratories
2008.01 - 2009.12
MS - Master of Health Informatics
George Mason University
MS - Master of Computer Science
Maharshi Dayanand University, India
B.S. - Liberal Arts
Punjabi University, India
- Resolute Hospital Billing Administration SBO, Epic, 2019
- Certified Revenue Cycle Specialist-Institutional, AAHAM, 2016
- Certification PL/SQL, Northern Virginia Community College, 2009
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