John Lahm
Summary
Results-oriented Analyst skillful in managing and breaking down large volumes of information. Proactive at heading off issues in operations, workflow and production by uncovering trends affecting business success. Reliable business professional with experience in project management, process improvement and financial analysis. Proven track record of successfully streamlining business operations and reducing costs. Adept at analyzing data to identify trends and developing strategies to improve efficiency. Ready to help team achieve company goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
19
19
years of professional experience
Work History
Financial Insurance SpecialistFinancial Analyst & Physician Reimbursement Variance
Rush university medical center
04.2018 - 10.2023
- Experience reviewing and analyzing physician and hospital billing charges, adjustments, and payments
- Advance level experience using Epic Medical Software- Proficient with Epic Resolute/Ambulatory/Reporting
- Experience with Epic-Cube Financial Processing and Dashboards
- Advance level experience with professional billing for the purpose of, minimizing physician claim denials, charges /payments are correct, and payment recovery from insurance payers
- Knowledge of medical terminology, diagnosis codes (icd-10), and CPT procedure codes
- Advance level knowledge of Payor ANSI remittance codes
- Experience in analyzing revenue cycle workflows and monitoring employee WQs and providing daily metric systems.
- Validated results and performed quality assurance to assess accuracy of data.
- Utilized machine learning algorithms to analyze historical data, leading to more informed strategy development.
- Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.
- Developed new analytical models that improved forecasting accuracy and reduced risk exposure.
- Performed system analysis, documentation, testing, implementation, and user support for platform transitions.
fcc-financial clearance center business analyst
northwestern medicine-Central dupage hospital
08.2014 - 04.2018
- Responsible for obtaining prior authorization approvals through patient's health insurance carriers for referrals, surgical requests (inpatient/outpatient), and diagnostic imaging
- Knowledge of medical terminology, diagnosis codes (icd-10), and CPT procedure
- Responsible for reporting WQ metrics, insurance payer approvals and denial turnover ratios
- Other responsibilities were employee training, establishing priorities & schedules, and analyzing processes for performance improvements
- Develop and assist in implementing pre-determination and authorization workflows
- Support clinical teams with Peer-to-Peer reviews.
Alzheimer's Association, Toledo, Ohio 43615 (internship)
Alzheimer's Association
01.2010 - 06.2010
- Mandatory internship for the undergraduate degree program of Health Care Administration at The University of Toledo
- Requirement of 120 hours to be spent at the facility with a paper/presentation for director of program
- Responsibilities for attending all board meetings, assist board in recording meeting minutes and voting on new policies and procedures
- Assisted board members with analyzing financial information and monitoring all the Alzheimer's Association revenue cycles and department budgets utilizing Microsoft Excel by presenting a financial budget analysis to executive board members
- Coordinated activities for Alzheimer residents at facility and scheduled upcoming fundraisers/events for this non-profit organization
- Updating all paper policies & procedures to electronic format from paper and analyzing financial statements and current volume of clients compared to previous years at this location for purposes of process & performance improvement and strategic planning.
pUBLIC iNQUIRY aSSISTANT
tHE uNIVERSITY OF tOLEDO
08.2008 - 06.2010
- Worked alongside the Direct of Admissions in the Undergraduate Admissions office for The University of Toledo assisting students with the admissions process
- Everyday tasks included were front desk reception responsibilities, answering phones, assisting incoming students' with completing admission applications and assisting students with financial aid applications
- Call prospective students and inform which documents were incomplete to finalize admissions process and checking-in prospective students for tours and presentations
- AND coordinating prospective students with recruiter
- Giving tours of the campus and assisting in training new work-study student employees.
gnc general nutrition center
wood dale, il 60191
05.2004 - 05.2008
- Managing sales, receiving invoices/shipments, and refilling products on shelves
- Presented up to date product information & nutritional information for customers
- Installed corporate advertising and marketing displays for ongoing sales and discounts of products
- Ordered out-of-stock items upon request and reported daily sales to owner
- Analyzed end of week reports and sales commission for all employees while maintaining cleanliness of store daily
- Managed the end of the day reports and made daily deposits.
Education
MBA MASTER'S IN BUSINESS ADMINISTRATION -
ELMHURST COLLEGE
08.2015
BACHELOR DEGREE in HEALTH CARE ADMINISTRATION -
THE UNIVERSITY OF TOLEDO
05.2010
Skills
- Quantitative skills
- Information Gathering
- Predictive Analytics
- Business Intelligence
Core Strengths Technical Skills
- STRATEGIC PLANNING & PROJECT MANAGEMENT
- ANALYZING REVENUE CYCLE WORKFLOWS
- PROCESS & PERFORMANCE IMPROVEMENT
- ESTABLISHING PRIORITIES & SCHEDULES
- EMPLOYEE TRAINING
- ADVANCED SKILLS-MICROSOFT OFFICE & OUTLOOK
- EPIC MEDICAL SOFTWARE & EPIC-CUBE FINANCIAL PROCESSING FEATURE
- BUSINESS OBJECTS REPORTING
- MCKESSION & SERIES MEDICAL SOFTWARE
References
- Seline Dervishi, Rush University Medical Center, Manager of Physician Coding, PB Billing Collection, (630)209-9235
- Ruth Mazzeo, Rush University Medical Center, Senior Financial Analyst, PB/HB Denials & Analytics, (773)865-3620
- Kim Paulinski, DuPage Medical Group, Utilization Management Specialist, (708)670-5264
Timeline
Financial Insurance SpecialistFinancial Analyst & Physician Reimbursement Variance
Rush university medical center
04.2018 - 10.2023
fcc-financial clearance center business analyst
northwestern medicine-Central dupage hospital
08.2014 - 04.2018
Alzheimer's Association, Toledo, Ohio 43615 (internship)
Alzheimer's Association
01.2010 - 06.2010
pUBLIC iNQUIRY aSSISTANT
tHE uNIVERSITY OF tOLEDO
08.2008 - 06.2010
gnc general nutrition center
wood dale, il 60191
05.2004 - 05.2008
MBA MASTER'S IN BUSINESS ADMINISTRATION -
ELMHURST COLLEGE
BACHELOR DEGREE in HEALTH CARE ADMINISTRATION -
THE UNIVERSITY OF TOLEDO