Joanna Ali
Freeport,USA
Summary
Dynamic finance professional pursuing a management, supervision, and analytical role within Northwell Health's Finance and Revenue Cycle. Expertise in optimizing application performance and enhancing user experience, with a proven track record of troubleshooting complex issues and implementing effective solutions. Strong proficiency in system analysis, demonstrating the ability to collaborate seamlessly with cross-functional teams to drive organizational success. Committed to leveraging analytical skills and industry knowledge to enhance the efficiency and effectiveness of financial operations.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Senior Product Services and Management Analyst
Northwell Health
New Hyde Park, NY
06.2022 - Current
- Build and created Self Pay Routine in EPIC
- Assist in Daily Production Workflows in EPIC - Referring Providers, Workqueue Maintenance, Transaction and Billing Indicators, CBT Updates, EAF Work Tasks, Billing Activities etc.
- Build and created Reimbursement Contracts in EPIC.
- Build and enhance Self-Pay Routine for Service Lines.
- Troubleshoot HealthPay24 platform disruptions and resolve payment posting failures.
- Analyzed operational data to identify trends and improve efficiency across departments.
- Work with Athena Health to create, modify, and customize functionalities in IDX.
- Conduct and lead testing on custom functionalities for the IDX BAR (Billing and Accounts Receivable) and TES (Transaction Editing System platforms.
- Collaborated with Finance and Cash App Department to resolve reconciliation issues.
- Assist Front and Back end users with Athena IDX.
- Mentor and train new team members.
- Perform Month-End Close of books.
- Generate documentation for new system features, functions, and enhancements.
Applications Analyst/Business Analyst II
Revenue Cycle Business Operations
New Hyde Park, NY
08.2012 - Current
- Update GECB with FSC Defaults and complete Quarterly FSC Default Rosters.
- Assist ADT team with Patient Validations.
- Communicated with Front End Revenue Cycle to address issues with YTD GL Kickout.
- Review and investigate YTD GL Kickouts for finance and assist in reconciliations.
- Send out Weekly GL Kickout Reports to Finance and upload in GECB.
- Complete Daily Production for Outsource Vendors.
- Create and write DBMS queries and User Reports for various Departments.
- Prepared and distributed the Daily Cash Report and Finance Weekly GL Variant Reports.
- Set up Cognos 10 Security for Health System users.
- Conducted resolution of incidents and change orders to ensure requests are regularly resolved.
- Create User Manuals on the workflow and processes of the Financial Reporting Team.
- Update IDX Dictionaries.
Supervisor, Medicare and Self Pay Department
North Shore Clinical Practice Plan
Westbury, NY
07.2006 - 08.2012
- Supervised 22 representatives in both Medicare and Self Pay Departments.
- Monitored Representatives work lists and distributed work on a daily basis to the departments.
- Structured department into teams based on workload and ensured that these teams met required deadlines.
- Reviewed and evaluated representatives’ performances in the department.
- Created workflows for the department based on denials.
- Analyzed rejections and denials to identify trends.
- Trained and coached Assistant Supervisors on Performance reviews and worklist reviews.
- Assisted Assistant Director and Director on projects.
- Assisted Assistant Director with review of invoices to ensure correct claim reimbursement for departments.
- Attended bi-weekly Provider Enrollment meetings, to monitor credentialing process of Providers.
- Attended Bi-weekly Systems to identify and resolve issues with IDX and PEI edits, and other IDX systemic issues.
- Communicated with Departmental Revenue Managers regarding Billing errors and Coding Compliance issues.
- Maintained staff by interviewing and hiring employees.
Medicare Assistant Supervisor/Billing Coordinator
- Assisted Supervisor with updates to Medicare’s policy and procedure for the department.
- Performed Monthly, Biweekly & Daily Reviews of representatives.
- Presented Activity & Quality reviews to the Department.
- Notified Supervisor of Employees performances.
- Assisted Representatives on resolving Account related issues on a daily basis.
- Trained Representatives on Charge Corrections and other technical functions.
- Reviewed and completed assigned work files.
Medicare Accounts Receivable Representative
- Investigated and followed up on unpaid Medicare claims.
- Completed outbound Medicare follow-up inquiries to resolve Medicare denials.
- Resolved Medicare claims issues including appeals and adjustments.
- Processed and submitted appeals on denied claims.
- Reviewed Medicare LCD Policies and cross referenced claim denials.
- Researched Medicare IDX claim edits that delay claims submission.
- Performed charge corrections on invoices with billing errors.
- Assisted Billing Coordinator with charge correction work file.
- Advised and updated Medicare Department of Provider Issues that delay claim processing.
- Processed CMS Audit correspondence on time.
- Trained new hires on processes and workflows for the Medicare Unit.
- Assisted coworkers with IDX account related issues.
Collection Clerk
- Reviewed and responded to patient correspondence and telephone inquiries.
- Resolved billing errors and patient complaints.
- Researched and generated refund request in response to patient and insurance inquiries.
- Arranged installment plans for patients and monitored their compliance.
- Generated physician collection reports and forwarded it to appropriate departments.
- Prepared debit and credit adjustment forms for Supervisor’s approval.
- Updated patient information in the IDX system.
- Followed up with insurance regarding claim status and denials.
- Processed and submitted appeals on denied claims within file period.
Education
Master of Health Administration - Health Administration
Hofstra University
Hempstead, NY12-2020
Bachelor of Science - Bioscience
Farmingdale State College
Skills
- Proficient knowledge of:
- EPIC
- Athena IDX
- Invision, Eagle, Keane
- Microsoft Word, Excel and PowerPoint
Certification
- Cogito Fundamentals - June 2026 (Expected)
- Resolute Professional Billing Administration - June 2025.
- Resolute Professional Billing Expected Reimbursement Contracts Administration - February 2024.
- Medical Coding (CCA) - December 2012
Timeline
Senior Product Services and Management Analyst
Northwell Health
06.2022 - Current
Applications Analyst/Business Analyst II
Revenue Cycle Business Operations
08.2012 - Current
Supervisor, Medicare and Self Pay Department
North Shore Clinical Practice Plan
07.2006 - 08.2012
Medicare Assistant Supervisor/Billing Coordinator
Medicare Accounts Receivable Representative
Collection Clerk
Master of Health Administration - Health Administration
Hofstra University
Bachelor of Science - Bioscience
Farmingdale State College