Jerod Wade
Murfreesboro,TN
Summary
Talented professional offering proven skills in analyzing and enhancing business systems at the department or enterprise-wide level. Adept at collaborating with diverse personnel involved in testing, implementing, refining and improving systems to address problems, meet current needs and propel companies forward. Top-notch researcher, presenter, and diplomatic communicator with 10 years in the field.
Overview
16
16
years of professional experience
1
1
Certification
Work History
IT Business Systems Analyst
USRC
02.2021 - Current
- Advising and interacting with project end-users and coworkers, documenting and assisting in the system flow, design considerations and implementation of assigned projects according to stakeholder requirements, and QA testing and verification
- Collaborate with various project teams to develop IT project requirements, and document into specifications and mock-ups that can be presented for development
- Communicate clearly with project teams and departments about project developments
- Serve as a positive support contact for IT development and reporting
- Research problems and offer solutions or courses of actions to meet specified requirements
- Evaluate potential problems and technical hitches and recommend solutions to resolve issues that could affect project goals and outcomes
- Validate and organize testing of new development to confirm desired results before release
Clinical Information Systems Specialist
URSC
10.2019 - 02.2021
- Responsible for training and developing US Renal Care's software applications
- Participates in development of testing plans and testing scenarios within EMR system
- Subject matter expert on Clinical Information System(s) and Portal Systems
- Provide User Support and end-user training on Clinical Information System for Physician and Clinical Care Team for ongoing education / new users per US Renal Care policy and procedures
- Provide pre and post Application Implementation support
- Effective Communication to end users about upgrades and version controls including presenting to large groups
- Able to listen effectively to end users to resolved outstanding issues
- Develop and Maintain Training Material as needed
Artiva Workflow Coordinator
SSC-Nashville(CHS)
Nashville, TN
01.2017 - 01.2019
- The Workflow Coordinator acts as subject matter expert for the SSC
- Responsible for the Creation and maintenance of all Pools, Codes, and Tables
- Identifying, analyzing, reporting and tracking all SSC/Workflow Gaps
- Tracking Workflow issues reported through Remedy tickets, including weekly conference call
- Work to design and enhance reporting tools by validating proper criteria
- Using Artiva Reports monitor delinquent AR and report to SSC Leadership
- Partner with Data Analyst to report productivity measures and QC statistics
- Weekly report of delinquent comparison to previous week
- Documents actions timely, complete and accurate actions in Workflow system
- Acts as Artiva subject matter expert for in-services, education sessions, and department meetings
- Works with training/SSC leadership to identify best practices within the Artiva system
- Maintains clear communication with SSC leadership on Artiva project status
- Liaison between all other SSC's and Corporate regarding Workflow issues and processes
Training Specialist
SSC-Franklin(CHS)
Franklin, TN
01.2014 - 01.2017
- Primary responsibility is to deliver education/ training programs for all SSC staff
- Assists with the development and maintenance of training materials
- Provide feedback to Leadership for process and quality improvements
Corporate Accounts Receivable Travel Team Specialist
Community Health Systems (CHS)
Franklin, TN
01.2011 - 01.2014
- Trained hospital staff with payer specific follow-up techniques and billing requirements as set by the corporate Patient Financial Services department
- Responsible for billing or rebilling insurance claims, processing registration and administering central scheduling duties
- Processing work suspended claims, remittances, correspondences and returned mail
- Documenting any needed contractual discounts for management approval, assisting patient and third parties with inquiries about their bills
- Recording all action taken on the individual account, communicating and reporting all core issues to manager weekly
Aged Claims Specialist
Medical Reimbursements of America
Brentwood, TN
01.2010 - 01.2011
- Investigates health insurance claims and bills to ensure claims resolution
- Follows-up on unresolved claims and facilitates payment of claims for commercial health, Medicare, and Medicaid
- Researched and resolved claims for commercial health, Medicare, and Medicaid
- Files correct UB04s and 1500 HCFAs with subrogation information to payers for payment
- Prepares documentation to notify clients of action required to bill health insurance, Medicare or Medicaid
- Closed and returned claims to client upon resolution using correct text and procedures in regards to denial process
- Conducts timely follow-up activities to determine claim status and collect and/or provide information to resolve the claim
- Assists with new employee training
- Provides initial one-on-one training in position basics and best practices, and serves as a resource for new employees
- Completes special reports as required, such as aged reports, checklist audits, denial reports
- Writes and follows-up with insurance on appeals to resolve outstanding payment issues
Claims Investigation Department
Medical Reimbursements of America
Brentwood, TN
01.2009 - 01.2010
- Investigates and coordinates no-fault benefits for accident claims from auto, home or other liability insurance policies
- Resolves accounts as quickly and accurately as possible, obtaining maximum reimbursement
- Reviews and researches accident claims to investigate possible leads
- Contacts patients, insurance representatives, and attorneys to verify relevant details
- Bills no-fault and third-party liability carriers when appropriate
- Requests documentation from insurance representatives when no no-fault insurance exists
- Closes and returns claims to client upon resolution using correct text and procedures in regards to denial process
- Maintains proper account documentation in MRA's case management system, Needles
- Responds to email and phone correspondence per department guidelines
- Assists Manager with new employee training
- Provides initial one-on-one training in position basics and best practices, and serves as a resource for new employees
Education
Artiva Workflow Coordinator -
SSC-Nashville(CHS)
Nashville, TN01.2019
Training Specialist -
SSC-Franklin(CHS)
Franklin, TN01.2017
Corporate Accounts Receivable Travel Team Specialist -
Community Health Systems (CHS)
Franklin, TN01.2014
Aged Claims Specialist -
Medical Reimbursements of America
Brentwood, TN01.2011
Claims Investigation Department -
Medical Reimbursements of America
Brentwood, TN01.2010
Skills
- Data consolidation
- Agile expertise
- Specification formulation
- Enhancement support
- Software and hardware implementation
- Research and analysis
- React
- SQL
Certification
Full Stack Web Developer
Timeline
IT Business Systems Analyst
USRC
02.2021 - Current
Clinical Information Systems Specialist
URSC
10.2019 - 02.2021
Artiva Workflow Coordinator
SSC-Nashville(CHS)
01.2017 - 01.2019
Training Specialist
SSC-Franklin(CHS)
01.2014 - 01.2017
Corporate Accounts Receivable Travel Team Specialist
Community Health Systems (CHS)
01.2011 - 01.2014
Aged Claims Specialist
Medical Reimbursements of America
01.2010 - 01.2011
Claims Investigation Department
Medical Reimbursements of America
01.2009 - 01.2010
Artiva Workflow Coordinator -
SSC-Nashville(CHS)
Training Specialist -
SSC-Franklin(CHS)
Corporate Accounts Receivable Travel Team Specialist -
Community Health Systems (CHS)
Aged Claims Specialist -
Medical Reimbursements of America
Claims Investigation Department -
Medical Reimbursements of America
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