JAIME WINKHART
Plainfield ,Indiana
Summary
Seasoned Business Analyst offering 10 years of healthcare industry success. Expert on business and systems requirements, user acceptance testing and end-user training. Accomplished at leveraging past lessons to inform future decision-making.
Overview
10
10
years of professional experience
Work History
Strategy Business Analyst
Eskenazi Hospital
10.2022 - Current
- Interacts with internal customers to understand business needs and translate into requirements and project scope.
- Collaborates with stakeholders to define project objectives and criteria.
- Performs gap analysis to identify areas of improvement.
- Improves business direction by prioritizing customers and implementing changes based on collected feedback.
- Analyzes key aspects of business to evaluate factors driving results and summarized into presentations.
Quality Analyst
Eskenazi Health
09.2019 - 10.2022
- Monitors staff through formalized daily, weekly, and monthly quality assurance audits, suggested training and new work processes from audit outcomes
- Maintained Standard Operational Procedures and dashboards analytics for Patient Access Services Departments
- Responsible for program development upgrades to system, building standard operating procedures for staff and reported data analytics of new standard of work
- Collects, enters, and analyzes quality and performance data derived from work queues in Epic system; generates reports and makes recommendations for future improvement based on analysis
- Improved front end denials by 3%
- Built audit tools for quality and performance improvement; decreased abandonment rate by 7%
- Evaluates and identifies trends with quality of information input into Epic during processes of scheduling, pre-registration, registration, and check-out in addition to financial clearance
- Implemented call statistics metric and consolidated workflow processes for Financial Counselors
- Volunteered to register patients in the COVID-19 Assessment Center, and help create workflows for pandemic testing procedures
- Controlled payer alert solutions by establishing specifications and coordinating production with programmers to creating new logic for each pay code
- Provided client relations to parties related to our system solutions, this ongoing communication helped develop better working relationships with clients and third party vendors assuring speedy updates and changes necessary to meet quality metrics
- Analyzed quality and performance data to support operational decision-making
- Collaborated with management to provide training on improved processes and assisted with creation and maintenance of quality training
Credentialing Specialist
Suburban Health Organization
11.2017 - 04.2019
- Verified thousands of professional licensing, training, and certifications for facilities, and medical staff for SHO and its affiliates
- Facilitated payer and medical staff credentialing meetings with employed providers and contracted hospitals providing communication about SHO credentialing functions, industry updates and issue resolution
- Developed and maintain workflows within credentialing software relative to data entry and demographic updates while monitoring accurate provider listings from Suburban Health Organization owners and physical hospital organizational networks
- Managed delegated credentialing agreements with payers and pre-audit delegated files for National Committee for Quality Assurance reviews and subsequent action plan
- Provide end month report for all PAC approved physicians to its associated contacts including but not limited to monthly ongoing monitoring reports
- Managed reporting packages to ensure timely and accurate enrollment compliance with delegated agreements held with market health plan payers
- Facilitated and lead monthly meetings; ensured collaborative efforts decided upon by group members; schedules, agenda and content
- Conducted primary source verifications such as background checks and board certifications
- Prepared records for site visits and file audits
Payroll Analyst
Ascension Health Ministry Service Center
02.2016 - 07.2017
- Collected pay inputs, process payroll and special payments, close payroll, and perform time maintenance activities within a shared services team
- Provided exceptional customer service ensuring service level agreement objectives were achieved
- Distributed detailed expenses to appropriate general ledger accounts
- Provided payroll reports, relocation reporting and determination of gross-up eligibility; supported period-end closes and resolving all open issues within established schedule
- Conducted comprehensive financial audits internally
- Documented audit procedures and cross referenced using internal work instructions while creating new processes providing efficiency and timely end results
- Created new standard of work for payroll department processes improving efficiency by 2%
FMLA Case Manager
Ascension Health Ministry Service Center
02.2015 - 07.2016
- Served as the subject matter experts for FMLA leave and workers compensation programs to effectively present information to clients independently approved and/or denied leave cases based on relevant medical information
- Organized medical information and ensured HIPAA and employee privacy guidelines are closely monitored and effectively executed during application process
- Managed all administrative aspects of leave claims this included tracking hours used/taken and working closely with HR/Payroll departments to ensure that pay for associates is accurate
- Managed over 300 claims for family medical leave
- Collaborated with human relations business partners from health ministry's relevant to claim, finance and benefit matters for all requests made
Leave Analyst I & II
Ascension Health Ministry Service Center
02.2013 - 07.2015
- Coordinated and Reviewed Short-term disability, PTO, Personal Leave, Worker's Compensation, and FMLA requesters and communicates with requesters to ensure documentations completeness
- Provided administrative support for leave programs to include, but not limited to, processing benefit continuation billing with associates, monitoring Personal Leaves, Workers Compensation, and Long-Term Disability program and PTO payments, addressing any vendor or associate issues as needed
- Provided exceptional customer service ensuring Service Level Agreement objectives were achieved, if not exceeded via written and verbal communication
- Helped integrate intelligent automation by streamlining processes using Blue Prism technology
- Received certification of Six Sigma Yellow Belt during employment with Ascension
- Coordinated paperwork for litigation and appeals using multiple human resource, communication, and leave systems
Education
Associates of Science - Business Administration
Ivy Tech Community College
Indianapolis, IN2012
Skills
- Customer/Client Relations
- Critical Thinking
- Case Management
- Business Correspondence
- Time Management
- Collaboration
- Team Liaison
- Research and Investigating
- Policy and Procedure Writing
- System Integration Testing
Timeline
Strategy Business Analyst
Eskenazi Hospital
10.2022 - Current
Quality Analyst
Eskenazi Health
09.2019 - 10.2022
Credentialing Specialist
Suburban Health Organization
11.2017 - 04.2019
Payroll Analyst
Ascension Health Ministry Service Center
02.2016 - 07.2017
FMLA Case Manager
Ascension Health Ministry Service Center
02.2015 - 07.2016
Leave Analyst I & II
Ascension Health Ministry Service Center
02.2013 - 07.2015
Associates of Science - Business Administration
Ivy Tech Community College