Rachel Saat

• Improve operational efficiency by streamlining processes and implementing best practices in management analysis
• Cache/SQL/DBMS report writing
• Super User for Athena IDX transition to Epic
• Epic PB Contract Management Certified
• Data Analysis and Process Improvement
• Create workflows and streamlined processes
• Utilize SQL query writing to pull data sets to identify trends that impact the business office
• QA/UAT
• Recommends operational/system changes to improve efficiency/effectiveness of claim processing
• Performs KPI reporting and financial analysis for physician practices and CBO
• Analyze patterns and identify trends as they affect revenue
• Communicate with management to prioritize projects and goals depending on revenue cycle impact

• Gathered feedback from end-users to identify areas for system enhancements or adjustments to better align with evolving business requirements.
• Managed stakeholder expectations by providing clear updates on project progress, risks, and mitigations.
• Evaluated existing systems for improvement opportunities, resulting in increased performance and reduced costs.
• Conducted gap analyses between current state systems/processes and future state goals in order to formulate action plans aimed at bridging identified discrepancies.
• Supported new project initiatives by analyzing preliminary business needs and defining factors such as budget constraints, time management and resource planning.
• Designed and administered user acceptance testing to achieve smooth transitions during installations of Beta websites.
• Designed user-friendly interfaces based on best practices, improving overall usability and user satisfaction rates.
• Utilize Jira, Confluence, & Github for project and ticket management and documentation
• Assist in developing Scope of Work documentation with key stakeholders
• Act as liaison between business and technology teams to validate and document technical requirements
• UAT and QA for the updated user interface and/or suggest system enhancements
• Report the bugs with appropriate documentation

• Produce ad-hoc queries and develop reports to support business needs and analysis
• Github platform used for ticket reporting/monitoring
• UAT and QA for the updated user interface and/or suggest system enhancements
• Report with appropriate documentation, screenshots, workflows
• Interviewed customers for account setup with searches geared towards improving customer's goals/KPIs/metrics
• Have a full understanding of the customer engagement goals and objectives including customer retention

• DBMS/SQL query writing to identify trends that impact the business office
• Recommend operational changes for process improvement, efficiency/effectiveness
• Review system trends and identify issues in order to propose new ETM agents/TES Edits/system upgrades for more efficient claim processing
• Created/Implemented/Produced Systemic Issues Tracker which helped to identify issues spanning all physician billing departments

- $21M in outstanding revenue that has reasons for stalls/erroneous denials/escalation to the insurance companies

• Data Mining and Analytics
• Compile metrics creating KPIs to assist in the creation of dashboards for senior level executives review
• Assisted Senior Project manager in creating and testing new billing archive system for legacy billing build
• Point of Contact/UAT/Power user for legacy software platform that was built to house data prior to 2012
• Ensure file imports migrated successfully, bug testing, dictionary table cross over reviews, etc.
• Utilize GE Centricity Business- DBMS, Cognos, & DSS for reporting and analytic trending
• Direct supervisor 2 Analysts

• SQL query writing to identify trends that impact the business office
• Recommends operational changes to improve efficiency/effectiveness of area.
• Responsible for internal Medical Record requests, monitoring backlog and ensuring timely delivery of records for timely claim processing to the CBO
• Created escalated Medical Record Request flow – decreasing the amount of AR outstanding for Inpatient MRs by 65% ($1.4M)

- including the Non Northwell Health records, decreased by 76%

• Decreased delinquent outstanding records since hire by in outstanding AR 91% ($2M) pending Northwell's HIM department
• Knowledge of GECB/Soarian/Citrix system utilizing Patient Services/ETM/Soarian Visit Management
• Reviews and monitors productivity of Account Representatives through observation of activities and review of production monitoring reports.
• Review work for accuracy and for amount of time used to complete tasks. Performs weekly & monthly quality reviews for A/R Representatives and clerks.
• Monitor workload levels/backlogs for the area and strives to improve staff productivity levels.
• Hire, trains and manages performance of new and existing staff
• Train new employees and provides ongoing training for staff regarding policies/procedures, CLI courses, general IDX usage, GECB, and Soarian, etc.
• Payroll -time and attendance, and PTO requests utilizing Kronos Time Manager

• Direct contact for 19 Front End Administrators to efficiently communicate billing related inquiries
• Oversaw Customer Service call center with daily call volume of 500+; monitored patient calls and customer satisfaction
• Performance Evaluations of direct reports and establish benchmarks to meet annual goals
• Directly supervised 13 FTEs and recruitment
• Insurance recognition and verification
• Collection Agency Manager/Contact for all 19 CBO departments for outside vendor collection agency related inquiries/adjustments, and supply agency with daily extraction lists.
• Orients and trains employees in department policies and procedures
• Assist in the resolution of patient complaints/concerns on a daily basis
• Process patient payments by posting in BAR and listing adjustments where applicable.
• Assisted in development and implementation of department policies and procedures as required

Program Coordinator

• Assisted IDX in creating a training environment using our current FSC system
• Payroll & PTO approvals
• Organized two successful billing open house sessions
• Prelim interviews for candidates for FPA Rotating Support Staff
• Reached out to qualified candidates, obtaining references, scheduling interviews and confirming
• Created Medical Assistant Pre-Hire Review exam & Medical Assistant Self Review
• Created abbreviated OSHA review with key topics for new hires as well as in-depth new hire Medical Assistant training for hospitals EMR system Epic
• Assist in training new hires on HR policies, IDX/EPIC systems, scanning, and department policies
• POC as a support system for the FPA Administration’s Rotating Support Staff

Patient Coordinator

• Updated patient demographics including insurance updates
• Scheduled appointments via IDX/EPIC
• TOS payments, payment posting and batch reconciliation
• Took patients vitals and medical history; and documented into EMR
• Monitored expiration dates on all medical supplies, medications and DMEs at Upper West Side Urgent Care, disposing appropriately as per institution policy

*Additional Work Experience as Licensed Veterinary Technician from 2005-2011 available upon request