Mohini Prakash
Mechanicsburg,PA
Summary
Dynamic professional with a Master of Science in Healthcare Administration and over 6 years of comprehensive experience in Business Analysis, Data Analytics, and Research. Adept at collating and processing data to facilitate informed decision-making. Strong problem-solving skills with a knack for interpreting complex numerical data.
Overview
16
16
years of professional experience
Work History
Business Analyst III
UPMC
10.2022 - Current
- Spearheaded quarterly reporting and incentive payment processes for multiple projects, encompassing Hospital Quality, Nursing Facility Quality Incentive, PAS EVV compliance, RxAnte (High Touch Pharmacy), and Dementia360 program implementation
- Contributed to the orchestration of quarterly reporting and incentive disbursements for participating providers across multiple ongoing initiatives as a valuable team member
- Actively engaged in ongoing HHACI pilot program.
Managed Care Specialist
WellSpan Philhaven Health
03.2021 - 09.2022
- Enhanced Electronic Medical Record (EPIC) functionalities to minimize errors and ensure accurate CPT code capture
- Conducted various functions to complete and expedite the billing process in Epic
- Played a pivotal role as a Clinical Application Analyst, focusing on the standardization of current business operations to enhance office production efficiency
- Conducted thorough analysis of medical collections, billing, batching, bad-debt, write-offs, and cash postings
- Proficiently identified data and physician diagnosis, investigated charges, corrected and updated data, and prepared claims for billing
- Serving as a knowledgeable resource for patients and system staff, offering guidance on credit and collection policies, procedures, and available payment assistance options
- Diligently ensuring the timely completion of project deadlines and maintaining accurate project documentation
- Engaging in administrative tasks promptly to uphold operational efficiency
- Communicating with insurance companies to address invoicing issues and facilitate data reconciliation
- Staying informed about updates in Epic software and assisting team members as needed
- Taking charge of team meetings and fulfilling additional responsibilities as delegated.
Business Informatics Specialist
Benecard PBF
10.2018 - 11.2019
- Developed and delivered weekly and monthly dashboard reports tailored to client needs, alongside designing report templates conducive to advanced analysis
- Collaborated with stakeholders to conduct in-depth analysis, facilitating the identification of process improvement opportunities and actively contributing to their implementation
- Supporting clients to modify the Billing System customer segments, without any interruption of quality service to members, groups and providers while maintaining the integrity of existing financial and actuarial systems
- Executed thorough data checks and audits to uphold the integrity and accuracy of information, minimizing errors and discrepancies
- Responsively addressed ad-hoc data requests by methodically gathering, organizing, and analyzing data, delivering actionable insights to stakeholders
- Evaluated organizational performance against predefined metrics, offering actionable recommendations to drive alignment with company goals and standards
- Generated comprehensive geographical access reports to pinpoint strategic growth opportunities, while also overseeing pharmacy productivity metrics to inform operational strategies.
Research Assistant and Master Level Psychologist
All-India Institute of Medical Sciences (AIIMS)
08.2010 - 10.2011
- Collaborated with Senior Psychologists on a project focusing on the developmental assessment of high-risk neonates that also aimed at generating an assessment tool in the local language
- Lead the data analysis of the research project and recommended the action plans based on the analysis and observation
- Assisted Senior Psychologists in the psychological assessment of children with various conditions such as autism spectrum disorder, learning disability, attention deficit hyperactive disorder, and Down syndrome.
Research Assistant
INCLEN Trust International
02.2010 - 07.2010
- Contributed to the development of a Neurodevelopmental screening tool (NDST) for screening neurodevelopmental disorders in young children
- Generated and entered medical data for the project
- Organized project meetings, presented progress updates, and participated in discussions and implementation plans
- Presented updates on the progress of the project and involved in the discussion and implementation of the plans
- Researched articles in the reviews and data analysis and tracking the progress of the project
- Edited data to ensure completeness and accuracy; followed up to resolve problems and clarify data collected.
Internship
All India Institute of Medical Sciences (Department of Psychiatry)
06.2008 - 10.2008
- Completed internship focusing on evaluating children with learning disorders and providing counseling services under supervision
- Handled administrative responsibilities such as scheduling and coordinating patient appointments.
Education
Master of Science in Healthcare Administration -
Saint Joseph’s University
Philadelphia, PAPost-Graduation in Psychology specializing in the field of counseling -
Amity University
Graduation in Bachelor of Science (Home Science) -
Delhi University
Skills
- Toad for Oracle
- Basic Tableau
- Advanced proficiency in Microsoft Excel, Access, Pivot Table, SharePoint, Outlook, PowerPoint, Quest Analysis, Cognos, Epic, Jiva, Power BI, and Microsoft Form
- Expertise in Data Integration & Process Automation
Languages
English
Full Professional
Hindi
Native or Bilingual
Bengali
Native or Bilingual
Timeline
Business Analyst III
UPMC
10.2022 - Current
Managed Care Specialist
WellSpan Philhaven Health
03.2021 - 09.2022
Business Informatics Specialist
Benecard PBF
10.2018 - 11.2019
Research Assistant and Master Level Psychologist
All-India Institute of Medical Sciences (AIIMS)
08.2010 - 10.2011
Research Assistant
INCLEN Trust International
02.2010 - 07.2010
Internship
All India Institute of Medical Sciences (Department of Psychiatry)
06.2008 - 10.2008
Master of Science in Healthcare Administration -
Saint Joseph’s University
Post-Graduation in Psychology specializing in the field of counseling -
Amity University
Graduation in Bachelor of Science (Home Science) -
Delhi University