Robert Blanco
Palm Desert,CA
Summary
A talented, skilled and qualified Epic Consultant seeking a position in a dynamic organization utilizing experience, skills and knowledge to the growth of the organization. Forward-thinking operations specialist bringing 17 years of expertise to Front Office Workflows, Applications and Coverage Eligibility for Healthcare Services. Cultivates rapport with individuals to optimize project goals and output, resolve complex problems and deliver innovative improvement strategies. Proficient in Microsoft Office, SharePoint and ServiceNow.
Overview
34
34
years of professional experience
Work History
Epic RTE/Prelude Application Analyst
Optum NW / The Polyclinic
07.2019 - 11.2023
- Facility Configuration, System Definitions, (EAF) SA, LOC and DEP
- REG/SCHED Go-Live Cutover support
- Prelude Security, Shared Security
- RTE Build and Maintenance, Benefit Engine
- Patient WQ Analysis and Build (WQF)
- Rule Configuration (CER) for use in WQ's, Confirmation Records, Item Profiles
- MSPQ Configuration
- Activation roll-out support
- Command center and at-elbow support in departments
- Issue analysis and resolution
- System Build Review with Revenue Cycle Leadership for Optimization and Standardization
- Analyst mentoring on Epic Tools and build configuration.
- Championed the adoption of new technologies and methodologies within the team, fostering a culture of innovation and continuous improvement
Business Systems Operations Manager
The Polyclinic
04.2015 - 07.2019
- Manage system protocols by creating and optimizing processes identified through KPI.
- Prepare technical reports through analyzing and summarizing data information and trends.
- As subject matter expert identify and reverse waste in claim denials and write-offs; utilizing CPI/Lean Efforts.
- Manage Centralized, DART and FHSC referral coordinator teams for the clinic and oversaw all prior authorizations.
- Continued all previously assigned duties and responsibilities from role as PM Applications Analyst.
Practice Management Applications Analyst
The Polyclinic
03.2012 - 06.2015
- Participated in Epic upgrade projecst by reviewing release notes in Nova, unit testing and integrated testing
- Developed Cadence/Prelude test scripts
- Participated in Go-Live activities including issue triage, issue resolution and prioritizing enhancements to the system
- Provided Go-Live elbow to elbow support to assist staff and super users
- Ensured compliance with industry standards and regulations by rigorously testing applications prior to deployment.
- Analyze clinical data and produce charts and reports to provide feedback to the practice management group.
- Chair operational work group committee dedicated to optimizing performance, company values and patient services.
Patient Services Supervisor
Minor & James Medical
03.2007 - 02.2012
- Analyzed and communicated registration errors to end-users and provided monthly error reports to all Registration Management areas
- Worked closely with our Information Services team with testing new system functionalities
- Conducted one-on-one training for end-users by means of verbal instruction and specially designed documentation.
- Manage all referrals and prior authorizations.
Assistant Regional Manager
Metro One Telecommunications
09.1996 - 01.2006
- Worked with Regional VP in creating annual budgets while maintaining strategic objectives.
- Retained primary staffing levels resulting with an increased productivity through effective scheduling by analyzing call distribution reports.
- Managed technical equipment consisting of servers, switch-hosts, circuits, telecom and all redundancy equipment including UPS and onsite generator.
- Collaborated with the corporate training department in the development of national training materials and guidelines used company wide.
Basic Logic Assistant
JCPenney
10.1989 - 06.1996
- Opened and closed store as acting manager 5 days per week.
- Responsible as the Visual Display Merchandiser for each department and store as whole.
- Purchaser for basic logic merchandise that was annually sold.
Skills
- EMR Implementation of 3 Clinics
- 5 years of Epic build experience
- Epic Cadence, Prelude and RTE certified (2019, 2021, 2022)
- Efficient with Waystar and Experian Clearinghouses
- 10 years of Revenue Cycle Management
- Excellent problem-solving abilities
- Strong communication skills
- Productive and cooperative team worker; also working independently
Timeline
Epic RTE/Prelude Application Analyst
Optum NW / The Polyclinic
07.2019 - 11.2023
Business Systems Operations Manager
The Polyclinic
04.2015 - 07.2019
Practice Management Applications Analyst
The Polyclinic
03.2012 - 06.2015
Patient Services Supervisor
Minor & James Medical
03.2007 - 02.2012
Assistant Regional Manager
Metro One Telecommunications
09.1996 - 01.2006
Basic Logic Assistant
JCPenney
10.1989 - 06.1996
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