M. K. FISHER
LOUISVILLE,KY
Summary
To obtain a position with a progressive organization that will use my education, skills, and experience in a productive capacity, where I can effectively contribute to operations. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
27
27
years of professional experience
Work History
Data Analyst
Norton Healthcare
07.2022
- The Patient Access Analyst analyzes data to identify root cause analysis of denials, discharge delays, Patient wait times and other statistical data while working closely with the Patient Access Directors, Authorization Management Director, billing leadership and Care Management leaders as well as other Patient Access leaders
- The Patient Access Analyst will identify patterns and trends with payors, as well as internal processes to recommend and implement process improvement, while ensure leadership’s awareness and alignment
- Provides detailed business intelligence by conducting trend/root cause analysis of denials, discharge delays (resulting in high observation rates) and other observation trends and documents business analysis
- Tracks Point of Service Collection, Authorization end of day reporting, monthly Patient Access and Authorization Management Metric reporting
- Provides information to management through compiling and summarizing data, preparing reports and presenting findings and Coordinates, writes, edits and distributes communications and presentation for various activities and initiatives to management, general employees and external audiences
- Works with department management to maintain consistent messages and communication strategies
- Works with Key Stakeholders to ensure appropriate resolution and process improvement initiatives
- Reports produces regular reports to update current performance, identify trends and opportunities for improvement, and measure progress ad hoc reports and presentations as necessary to meet departmental initiatives
- Collaborates with various department external and internal on changes that can impact the registration, referral and authorization process through detailed, clear documentation and via the appropriate system per the required procedure
- Supports Patient Access and Authorization Management department’s initiatives and special projects that can lead to improvements in Patient Access, Authorization Management and revenue.
Financial Counselor
Norton Healthcare
05.2013 - 07.2022
- Acts as liaison to patient registration, insurance verification, Managed Care, Utilization Review, Care Management, and providers, while entering all information into the EPIC database to ensure prompt reimbursement for provider
- Point of contact for patients to make payment arrangements and answer any billing inquiries
- Maintain working knowledge of billing requirements for managed care and federal payers, and work with vendors to help screen patients for public assistance and financial assistance programs
- Work alongside pre-service, insurance verification, customer service, and patients to obtain necessary information to ensure proper billing
- Responsible for collecting and reconciling multiple areas daily Point Of Service (POS) collections to ensure all receipts and cash collections balance
- Perform all job functions with attention to detail and privacy as a result of being privy to highly sensitive financial and personal information, with escalated attention to HIPPA regulations
- Obtaining signatures of required documents
- Responsible for working various work queues such as the Medicare, Newborn Admission, Medicare Secondary Payer Questionnaire (MSPQ) Audits, and Self-Pay WQs
- After delivery visit mother and ensure patient adds baby to insurance policy and follow-up as necessary
- Send emails to various staff members for audits relating to various work queue errors
- Obtain pre- authorizations & maintain patient insurance and billing
- Obtain price estimates from Managed Care team for Self-Pay patients, noting accounts accordingly, making patients aware of out of pocket expenses
- Coordinate & track financial assistance for qualified patients
- Discuss insurance, coinsurance, copay & deductibles with patients and educate on insurance coverage and out of network benefits
- Assist Patient Registration daily with their duties as Patient Access Specialists, and register patients.
Patient Access Specialist
Norton Healthcare
05.2002 - 05.2013
- Performed duties associated with Patient Access including but not limited to hospital admissions and insurance verification
- Collected demographic information including insurance information, and entered into EPIC and Carelink/Meditech systems
- Informed patients about all aspects of their appointments
- Carried out functions of Medicare Compliance Checker, becoming familiar with CPT & ICD-9 coding system
- Maintained working knowledge of medical terminology
- Collected fees for cosmetic, surgical procedures, and all Point of Service procedures, issued receipts, and entered into cash posting system
- Assessed patient needs adhering to financial guidelines in the qualification of Norton Financial Assistance, and set up payment contracts
- Verified insurance benefits through automated and online systems
- Explained facility policies, prepared and distributed patient identification bands, and arranging for transportation to assigned rooms
- Accurately imported registration documents into patients' electronic health record
- Explained failed ABN to patient, obtained signatures and reviewed document for completeness.
Pretreatment Permit Coordinator
Metropolitan Sewer District
03.1999 - 10.2001
- Issued permits for pretreatment users
- Completed, processed, distributed, and obtained appropriate signatures for pretreatment permits
- Composed letters and memoranda, reports, technical correspondence from handwritten sources: type, revise, rearrange, and reformat major legal documents according to originators request
- Enter data into spreadsheets and databases
- General clerical and data entry duties.
Accounts Payable Specialist
EPI Corporation
08.1997 - 10.1998
- Entered invoices into database for 21 nursing homes and balanced monthly expenses
- Completed payments and controlled expenses by receiving, processing, verifying, and reconciling invoices
- Processed due invoices for payments and produced and mailed checks to various vendors
- Received calls from vendors concerning invoices and charges
- General clerical and data entry duties.
Sales Representative
10.1997 - 02.1998
- Holiday)
- Generated leads to closing sales
- Worked closely with customers to determine their needs while answering their questions about products and recommend the right products
- Demonstrated the ability to promptly resolve customer complaints and ensure maximum client satisfaction
- Stayed up-to-date with product features and maintained store’s visual appearance in high standards
- Offered excellent customer service, while consistently meeting the store’s sales goals
- Ensure high levels of customer satisfaction through excellent sales service
- Process POS (point of sale) purchases
- Cross sell products
- Build productive trust relationships with customers
- Handle returns of merchandise.
Student Administrative Assistant
University of Louisville
08.1995 - 03.1996
- Acted as liaison between professors of the School of Justice Administration and students
- Possessed the knowledge of every component of office administration to ensure support of the professors and office staff
- Handled sensitive and confidential information via email, letter correspondence, or setting up of meetings
- Ensured effective communication and coordination between both the units while maintaining confidentiality with regards to sensitive information
- Sorted mail and maintained files daily to keep files manageable
- Composed various types of correspondence, course materials, and examinations
- General clerical and data entry duties.
Education
Certification - Data Analytics
Bachelor of Arts - English
Dean’s List
Black Achiever’s Student of the Year Award
Leadership
CEO, Kisses by Kanise LLC, a natural organic line of personal care items, including mink eyelashes and other lip cosmetics.
Bachelor of Science - Psychology
05.2003
- Dean's List [Semester and Year]
Associate of Arts - Sociology
05.2003
Skills
- Data Mapping
- Competitive Market Analysis
- Data and Analytics
- Data Mining
- Attention to Detail
- Write Reports
- Department Development
- Database Management
- Structured Query Language (SQL)
- Trend Data Analysis
- Computer Proficiency and Microsoft Office
- Analytical and Critical Thinking
Leadership
CEO, Kisses by Kanise, LLC. Volunteer various organizations and foundations in the community.
REFERENCES
Available upon Request
Timeline
Data Analyst - Norton Healthcare
07.2022
Financial Counselor - Norton Healthcare
05.2013 - 07.2022
Patient Access Specialist - Norton Healthcare
05.2002 - 05.2013
Pretreatment Permit Coordinator - Metropolitan Sewer District
03.1999 - 10.2001
Sales Representative -
10.1997 - 02.1998
Accounts Payable Specialist - EPI Corporation
08.1997 - 10.1998
Student Administrative Assistant - University of Louisville
08.1995 - 03.1996
Google - Certification, Data Analytics
University Of Louisville - Bachelor of Arts, English
University of Louisville - Bachelor of Science, Psychology
University of Louisville - Associate of Arts, Sociology