Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
10
10
years of professional experience
1
1
Certification
Work History
IT Consultant
Kaiser Permanente
04.2022 - Current
Consulted with engineering team members and stakeholders to develop improvement plans to existing systems.
Led technical upgrade projects for clients by working and coordinating with consultants and developers for integrations.
Collaborated with EPIC and business teams for improved end-user experience and overall functionality.
Identified system issues, performing troubleshooting techniques for remediation.
Guaranteed successful technical upgrade projects for clients by collaborating with developers for integrations.
Implemented and maintained testing of new technology
Communicated regularly with customers concerning data exchange and technology integration.
Senior Consultant
Kaiser Permanente
04.2018 - 04.2022
Internal Consultant for SCPMG FRONT office operations and California Children's Services • Provide high level support to regional AMGA, Practice Specialist, CCS Manager and local SCAL colleagues in building effective and efficient practices across registration areas in SCAL. • Work directly with peers and front-line staff to establish and train service-oriented technologies, manage organizational goals and form consistent practices. • Work effectively as a team member in providing support in communication of FRONT Team key messages, newsletters, training materials and videos. • Serves as subject matter expert in audit and Sarbanes-Oxley (SOX) related procedures involving cash handling, documentation, process walk throughs and control testing. • Participated in system testing for projects impacting front line staff. • Provide support to CCS Manager in tracking and establishing financial goals. • Audit denial reports to track and trend CCS accounts to maximize collections
Project Manager II
Kaiser Permanente
09.2013 - 04.2018
Authorize refunds, write offs and adjustments • Maintain partnerships with cash control, financial leadership, department administrators and revenue cycle operations staff. • Monitor the integrity of cash drawer deposits and communicate findings of discrepancies to cash control. Initiate corrective action on staff with numerous discrepancies and an investigation concludes non-compliance, theft or fraud. • Perform quarterly cash audits within the Tri-central service area departments to ensure SOX compliance standards. • Prepare the monthly collections SOX dashboard to hospital executives, which serves to align collections strategies. • Responsible for gathering pertinent information on workflow issues. Meet with senior leadership on a regular basis to discuss issues and draft action plans. • Responsible for tracking and the completion of account adjustments and appeals for the following: Data Accuracy Unit (DAU), and Recovery Audit Contractor (RAC) for Medicare. • Review Medicare accounts and appeals to maximize reimbursement. • Serve as the subject matter expert to provide consulting for the following business functions: cash handling, cash drawer related issues, KP plans, state programs, eligibility, and health care reform related inquiries. • Strong familiarity of applicable state and federal regulations related to billing and collections. • Supervise a Project Manager I and two Financial Counselors on eligibility verifications, Medicare coverage details, and call center related functions, completing refunds, over/short processes, and outpatient front-end support. • Supervise outpatient collections for Patient Business Services. Communicate performance and target initiatives to senior leadership and staff members. • Train and supervise staff on customer service, cash handling and eligibility. Offer on-going mentoring, and manage workflow documentation. • Use the following systems to perform job functions: KPHC, Mainframe systems, Experian, Cisco, TrustCommerce, CARD, Revenue Cycle wiki, NRATT, Infoview and SharePoint.
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