Deadline-driven Revenue Cycle Analyst promoting over 6 years of expertise delivering technical information to audiences in easily-understood terms. Highly communicative individual with superior problem solving and troubleshooting skills. Offering expert knowledge in strategizing new ways of assessing data.
Overview
6
6
years of professional experience
Work History
Revenue Cycle Analyst
COOPER UNIVERSITY HEALTHCARE
Camden, NJ
03.2024 - Current
I am responsible for assisting the Revenue Cycle with analyzing key performance metrics
I develop and refine reports that identify problems and highlight potential opportunities
I analyze third-party denials and prepare relevant reports regarding trends in third-party payments, denials, and rejections
I collaborate with ancillary departments' staff and third-party payor provider representatives to identify sources of denials and develop processes to eliminate or minimize untimely payments, underpayments, denials, and rejections to improve cash flow
I prepare, mine data, evaluate, resolve, distribute, and record statistics accurately and timely
I am proficient in understanding and managing all functions related to third-party billing processes, specializing in hospital and professional fee denial management and fee schedule reimbursements
I create and provide regular updates to reports that help identify and correct issues negatively impacting revenue
I review individual denials to determine why they occurred, monitor denial trends and reports, and recommend corrective and preventative actions
Additionally, I produce ad-hoc reports and actively participate in global revenue cycle initiatives, leading processes that affect operations within the revenue cycle.
Revenue Management Analyst
COLUMBIA UNIVERSITY
New York, NY
11.2020 - 03.2023
As a Revenue Management Analyst, I excelled in reviewing payer correspondences and identifying appeal-worthy denials
My role involved conducting in-depth analyses to develop effective solutions across multiple specialties
Skilled in data extraction and refinement, I created comprehensive reports using tools like Excel and BI
I actively participated in audits, pinpointed revisions affecting stakeholders, and presented detailed analyses in meetings
With strong coding knowledge, I conducted thorough root cause analyses and worked closely with department management to facilitate remediation
I played a key role in developing and maintaining impactful report sets, ensuring adherence to HIPAA, billing compliance, and safety policies
Additionally, I proactively took on extra duties assigned by the Chief Revenue Cycle Officer and Directors of the CRO.
Revenue Cycle Support Analyst
COOPER UNIVERSITY HEALTHCARE
Camden, NJ
06.2018 - 09.2020
As a Revenue Cycle Support Analyst, I managed comprehensive billing procedures and worked closely with the Billing Manager to promptly resolve issues and address discrepancies
I conducted thorough audits and analyses of medical records, extracting detailed procedure information and meticulously verifying it against daily charges to ensure financial system transparency
By proactively enhancing billing accuracy, I evaluated and updated the Charge Description Master (CDM), ensuring accurate and timely itemized listings for patients and their insurance providers
Additionally, I handled device coding from physician reports with a focus on achieving 100% accuracy, contributing significantly to the integrity of the organization's financial processes and billing systems.
Education
Bachelor’s Degree in Biology -
Thomas Jefferson University
Philadelphia, PA
Skills
Account Reconciliation
Claim submission
Healthcare reimbursement and denials
Account and revenue tracking
Reports for senior management
Data Analytics
Account planning and management
Technical Proficiencies in EPIC, Tableau, BI, and Excel