Summary
Overview
Work History
Education
Skills
Languages
Certificates And Training
Timeline
Generic

Sebit Livio

Jacksonville,FL

Summary

Revenue Cycle System Analyst with extensive experience at Baptist Health System, specializing in denial resolution and data integrity. Demonstrated success in enhancing operational efficiency through analytical insights and project management. Expertise in medical billing and customer service, resulting in improved financial outcomes and increased patient satisfaction.

Overview

10
10
years of professional experience

Work History

Revenue Cycle System Analyst | Work Queues Management and Denials Resolution

Baptist Health System
Jacksonville, Florida
12.2022 - Current
  • Customization specs, training assistance, ensuring data integrity, and reporting maintenance of all systems and interfaces associated with the revenue cycle.
  • Resolve DNB edits, claim edits, and denials work queues. Actively participates in departmental QA by utilizing system work queues, making a personal effort to reduce individual errors, and making corrections. Utilizes system work queues as a daily part of the registration process to minimize errors.
  • Ensures and verifies key ADT information (insurance verification, patient, and guarantor demographics. etc.) is current and accurate to ensure patient safety, charging, coding, insurance processing, and billing accuracy.
  • Tracking/Trending denials to provide feedback to the denial committee and Patient Access Services Managers.

Revenue Cycle System Analyst | Hospital Billing

Baptist Health System
Jacksonville, Florida
11.2018 - 12.2022
  • Provided analytical insight for all reporting specific to the revenue cycle department.
  • Based on appropriate analysis, recommended modifications to establish practices and procedures, or system functionality as needed to support optimal productivity and efficiency within the cycle department.
  • Worked with front-end and clinical team members to ensure newly implemented workflows and procedures were hardwired and maintained to best achieve financial goals.
  • Created, facilitated, implemented, and evaluated project plans required for both ongoing operations and improvements in quality and productivity.

Revenue Cycle System Analyst | Baptist Physicians Enterprise

Baptist Health System
Jacksonville, Florida
06.2017 - 11.2018
  • Provided analytical insight for all reporting specific to the revenue cycle department.
  • Based on appropriate analysis, recommended modifications to establish practices and procedures, or system functionality as needed to support optimal productivity and efficiency within the cycle department.
  • Worked with front-end and clinical team members to ensure newly implemented workflows and procedures were hardwired and maintained to best achieve financial goals.
  • Created, facilitated, implemented, and evaluated project plans required for both ongoing operations and improvements in quality and productivity.

Patient Access Representative Team Lead | Medical Oncology Unit

Baptist MD Anderson Cancer Center
Jacksonville, Florida
03.2015 - 05.2017
  • Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
  • Explained policies, procedures, or services to patients using medical or administrative knowledge.
  • Scheduled patients for diagnostic procedures such as X-ray, MRI, PET scan, CT scan, Lab, Intervention Radiology, Chemotherapy, and Radiation Therapy.
  • Trained/Mentored newly hired team members.

Education

Bachelor of Healthcare Administration -

University of North Florida
01.2014

Associate Degree in Arts -

Florida State College of Jacksonville
01.2010

Skills

  • Medical billing
  • Insurance verification
  • ICD-9
  • ICD-10
  • CPT
  • HCPCS
  • Patient statements management
  • Claim edits resolution
  • Workers Compensation
  • Payment reimbursement
  • Denial Resolution
  • Patients pay online solution
  • Medical Terminology
  • HIPPA Regulations
  • Data Collection
  • Customer service
  • Microsoft Excel
  • Microsoft Word
  • Microsoft PPT
  • Microsoft Access
  • EHR Systems
  • Epic Cadence
  • Prelude
  • Resolute
  • Cerner Ambulatory
  • GPMS
  • EClinicalworks
  • Allscripts
  • Meditech
  • Health insurance
  • Payers

Languages

  • English
  • Arabic

Certificates And Training

  • Certified Revenue Cycle Representative (CRCR), HFMA, 09/22
  • Certified Healthcare Access Associate, NAHAM, 03/15

Timeline

Revenue Cycle System Analyst | Work Queues Management and Denials Resolution

Baptist Health System
12.2022 - Current

Revenue Cycle System Analyst | Hospital Billing

Baptist Health System
11.2018 - 12.2022

Revenue Cycle System Analyst | Baptist Physicians Enterprise

Baptist Health System
06.2017 - 11.2018

Patient Access Representative Team Lead | Medical Oncology Unit

Baptist MD Anderson Cancer Center
03.2015 - 05.2017

Bachelor of Healthcare Administration -

University of North Florida

Associate Degree in Arts -

Florida State College of Jacksonville

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Sebit Livio