Strategic Health Information Management leader with 15+ years in clinical laboratory operations, medical billing, and data analysis. Bridges clinical diagnostics with revenue cycle integrity, auditing medical claims, ensuring HIPAA compliance, and optimizing EHR workflows across Federal and private healthcare systems.
Overview
24
24
years of professional experience
Work History
Medical laboratory technician
Federal Government HHS/IHS
08.2020 - 07.2024
Operated various medical laboratory equipment for conducting tests and analyses
Prepared laboratory samples and performed data entry to ensure accurate reporting
Conducted laboratory audits and evaluations to ensure compliance and enhance outcomes
Provided timely support to trainees by addressing inquiries and concerns during training
Program Assistant
Federal Government Veteran Affairs CPAC
09.2017 - 08.2020
Managed lockbox and treasury offset program to ensure timely processing of payments
Tracked and managed revenue program details to support accurate financial reporting
Collected and compiled data for revenue support
Supported debt management operations related to IRS compliance
Processed veteran request for refunds, prepayments, claim matching and audit request
Reviewed data reports and referred issues to relevant areas
Assisted patients with inquiries about Medicare Care Cost Fund, providing clear information and guidance
Medical laboratory technician
Federal Government -Veteran Affairs
05.2016 - 09.2017
Performed testing and quality control using approved laboratory procedures and instrumentation.
Conducted daily laboratory tests and experiments to analyze and interpret data for research projects.
Inspected laboratory equipment to ensure optimal performance and reliability for accurate testing results.
Prepared and maintained laboratory equipment and supplies for uninterrupted testing processes.
Collaborated with team members to troubleshoot issues, improve testing procedures, and meet project deadlines.
Documented experimental procedures, results, and observations to uphold regulatory compliance and support research integrity.
Billing Specialist
Netsmart Technologies, Inc
06.2016 - 04.2016
Investigated and resolved billing discrepancies and disputes in a prompt and professional manner, improving client satisfaction.
Optimized payment collection times by implementing effective follow-up strategies with clients
Resolved complex billing issues through teamwork and knowledge sharing among departments
Collaborated with cross-functional teams to streamline billing processes, reducing errors and enhancing overall efficiency.
Reduced errors in financial records by conducting regular audits of billed accounts
Conducted regular audits of billing procedures to identify areas for improvement and implemented solutions to enhance accuracy and compliance with regulatory requirements.
Coordinated with multiple departments to verify accuracy of billing information
Medical Laboratory Tech- Phlebotomy
Deaconess Medical Center
05.2006 - 03.2014
Trained new laboratory assistants on best practices and procedures, enhancing team efficiency and compliance
Conducted quality control checks, ensuring accurate test results for patients.
Promoted patient confidentiality by adhering to HIPAA regulations during all phases of specimen handling and reporting processes
Maintained a clean, safe work environment by following strict laboratory protocols and guidelines
Demonstrated excellent problem-solving skills when troubleshooting issues related to sample preparation or equipment malfunctions
Streamlined data entry process into laboratory information management systems, minimizing potential for human error
Prioritized tasks to enhance lab productivity, ensuring timely completion within designated time frames
Information Services Liaison user
Deaconess Cross Pointe
06.2003 - 12.2004
Acted as a liaison between upper management and staff members, promoting positive working relationships built on trust.
Developed and implemented information management systems to improve efficiency
Provided technical support and training to end users on AS400 system, improving user proficiency and satisfaction.
Collaborated with cross-functional teams to design and implement information solutions
Conducted needs assessments and user feedback sessions to identify improvement areas, enhancing user experience with information services.
Identified and resolved technical issues to minimize downtime
Researched and analyzed data to inform decision-making on AS400 system, enhancing data-driven strategies.
Prepared statistical reports, narrative reports, or graphic presentations of information, such as tumor registry data for use by hospital staff and researchers
Performed maintenance on systems including implementation and testing updates in both live and testing environments
Medical claims auditor
Wolcott & Associates
04.2002 - 03.2003
Conducted thorough audits of medical claims to ensure accuracy and compliance with policies and regulations.
Identified and investigated potential instances of fraud or incorrect billing practices within medical claims.
Implemented quality control measures that streamlined claims auditing process, improving reimbursement outcomes.
Collaborated with healthcare providers to resolve discrepancies, enhancing claims processing clarity and reducing delays.
Managed diverse caseload of claims, ensuring accuracy and detail under time-sensitive conditions to uphold compliance.
Health Services Assistant
Firstguard - TEMPORARY WORK
12.2001 - 04.2002
Enhanced patient care quality by identifying trends and patterns in healthcare data.
Analyzed and interpreted medical data for accuracy and compliance with regulations
Improved data accuracy by conducting thorough data validation and cleansing processes.
Managed large datasets, ensuring timely delivery of accurate and relevant information to Health Service Dept.
Created custom reports tailored to needs of Health Service Dept. on AS400
Worked with cross-functional teams to pinpoint process improvement opportunities within healthcare systems
Partnered with team members on projects and initiatives to enhance collaboration
Fostered positive work environment through professionalism and commitment to teamwork
Clinical Data Analyst
Physician's Weblink of KC
04.2000 - 12.2001
Analyzed and interpreted complex clinical data sets to identify trends and patterns for improved patient outcomes.
Applied statistical analysis and data visualization techniques to present findings and recommendations
Used statistical methods to analyze data and generate useful business reports
Analyzed data to identify root causes of problems and recommend corrective actions
Created customized reports to summarize and visually present data for stakeholder insights
Generated monthly reports using advanced Excel functions to facilitate data analysis
Developed and implemented data collection processes to ensure accuracy and consistency in reporting.
Managed end-to-end process of medical coding, improving consistency across various therapeutic areas within organization.
Collaborated with cross-functional teams to develop data-driven strategies for healthcare delivery and quality improvement initiatives.
Collaborated with healthcare professionals to create data-driven strategies for improving quality of care and efficiency.
Increased efficiency by developing standardized templates for recurring invoices and reports
Enhanced cash flow through diligent follow-up on overdue payments and resolution of disputes
Education
Bachelor in Science - Health Information Management
Western Governors University
Salt Lake City, UT
06.2024
Skills
Revenue management
Clinical data management
Data analysis
Clinical data review
Compliance auditing
Claims auditing
Clinical documentation improvement
Technical Software Skills
EPIC
AS400
OnBase
CompTIA+ Certified
VISTA/CPRS
Sunquest
Crystal/SQL
Timeline
Medical laboratory technician
Federal Government HHS/IHS
08.2020 - 07.2024
Program Assistant
Federal Government Veteran Affairs CPAC
09.2017 - 08.2020
Billing Specialist
Netsmart Technologies, Inc
06.2016 - 04.2016
Medical laboratory technician
Federal Government -Veteran Affairs
05.2016 - 09.2017
Medical Laboratory Tech- Phlebotomy
Deaconess Medical Center
05.2006 - 03.2014
Information Services Liaison user
Deaconess Cross Pointe
06.2003 - 12.2004
Medical claims auditor
Wolcott & Associates
04.2002 - 03.2003
Health Services Assistant
Firstguard - TEMPORARY WORK
12.2001 - 04.2002
Clinical Data Analyst
Physician's Weblink of KC
04.2000 - 12.2001
Bachelor in Science - Health Information Management