Susan Richards
Goodyear,AZ
Summary
Extended experience in Large Multi-specialty groups and Hospitals as a Senior Systems Analyst, Project Manager and Trainer. Many years of management experience in this area as well as subject matter expert within Revenue Cycle and Operations. Proficient in evaluating user needs, designing solutions, and implementing software and hardware upgrades. Self-motivated and committed to resolving critical issues through attention to detail.
Overview
40
40
years of professional experience
Work History
TREK Consulting
08.2023 - 05.2024
- Full service Managed Care shop for numerous diverse clients across the United States
- My history working with Capitation, Claims and Insurance allowed for a successful support role ensuring accurate eligibility and enrollment
- Worked with EDI transaction sets from Banner’s Arizona state Medicaid program
Senior Business Systems Analyst
OPTUM United Healthcare
07.2019 - 11.2022
- National employee responsible for installment of Revenue Cycle, Scheduling and Provider management applications
- Success as Subject matter expert gathering information necessary in acquisitions of Provider groups across the Mountain West States
- Implementation of software including conversions
- Full customer support and ticket system management
- Developed test plans for quality assurance initiatives prior to deployment into production environments
- Participated in system testing activities such as unit, integration, and acceptance tests.
IS Manager
TEK Systems Consulting
11.2016 - 07.2017
- Manager staff in IT team while company transitioned to EPIC software: Sentara had two CBOs in a multiple-group environment
- The primary CBO with > 300 million in AR
- Manage seven IT staff members responsibility for daily systems maintenance and development including two Senior Engineers and 5 Systems Analysts
- Successfully managed 35 projects through to completion
Senior Systems Analyst
SHARP HEALTHCARE
08.2013 - 10.2016
- Systems Analyst in Information Systems Revenue Management Department
- Monitored performance metrics for all supported systems in order to detect potential problems before they become critical issues.
- Collaborated with stakeholders to define requirements for new or modified systems.
- Coordinated with external vendors on system implementations and upgrades.
- Responsible for system development and deployment including upgrades, customizations and enhancements
- Support and train Systems Analyst’s and On-Call duties
- Applications supported, GE HPA, Managed Care, ADT, TES, SCHED, Multiple BAR Groups, Enterprise Task Manager and EDM
- HPA experience includes Securities with Action Codes, EVM, Auto Discharge, TES to HPA, Print Queues and FDL for arm bands and labels
- On-Call duties with HPA (Hospital application) 1 year.
Manager Technical Support
SCRIPPS CLINIC
06.1997 - 07.2013
- Recruited from UCSD to Manage the Technical Support staff at Scripps
- During my 16 years at Scripps Healthcare, I held positions as Technical Support Manager and Project Manager
- Managed team of Analysts responsible for training, System Securities, Upgrades, enhancements and numerous software projects.
- Subject Matter Expert for Scheduling and Revenue Cycle IT systems including IDX Centricity and supporting interfaces and systems
- Supported systems for Laboratory, Revenue Cycle, Operations and the Managed Care Departments
- Established and implemented training programs.
- Roles and responsibilities included but not limited to project management and software upgrade testing, development and maintenance of new enhancements
- Liaison between the Revenue Cycle team, Information Systems and Finance
- I worked directly with the Clinic CFO providing Dashboards, Finance Reserve Analysis and many ad hoc reports for the CBO
- Developed Laboratory Imaging System processes for collection of regulatory information.
Senior Systems Analyst
UNIVERSITY OF CALIFORNIA SAN DIEGO MEDICAL GROUP
01.1984 - 06.1997
- During my fourteen-year career at UCSD (including UCSD Physician Services for Ancillary Departments systems) Some of the many responsibilities included the daily management of the IDX BAR application with respect to all related functions and activities for the system users
- Responsibilities include recommending customizations, modifications, MCA integration and enhancements as necessary to provide site specific optimal operations for UCSD Medical Group
- I performed software upgrades in addition to writing and maintaining multiple charge interfaces
- Duties included Claim form management, EDI, Fee Schedules, Dictionary maintenance and Monthly closing processes
- I was the Senior Manager of Operations staff for IS department supporting the Business office
- Responsible for IDX Scheduling implementation and initial roll-out to all Medical Group clinics
- I held other titles during this time such as Supervisor Charge and pay posting, Manager of IDX Scheduling and Training teams.
Consultant Trainer Athena IDX
Experis Consulting
07.2018
- Trainer Centricity “Access” at Texas Oncology
- TXO migration from Mysis system to GE Centricity Business
- TXO demographics ranged across the state of Texas
- Responsible for training the GO LIVE TASK FORCE on Access including ETM, and Patient tracking, Scheduling, EDI and Front Desk.
Education
Project Management & SQL -
UCSD Extension
Southwestern College
Pacific College of Medical Office Management
Skills
- Health Care Access and Front Desk Operations
- Revenue Cycle Subject Matter Expert
- EDI
- HL7 interface
- Imaging subject Matter Expert
- Development and support of training programs
- Athena Centricity IDX applications
- Allscripts applications
- Interface engines
- Business Analysis
- IT service management
- Information Security
- Application Development
- Training Development
- Management
- User Acceptance Testing
- Customizations
- Enhancements
- HL7 interfaces
- Integration
- Finance Liaison Reporting
- Claim form management
- Fee Schedules
- Dictionary maintenance
- Project Management
- Application support
- Data Analytics
- Requirements Gathering
- Systems Analysis
- System Testing
- Change Management
- End-user support
- Resource Management
Affiliations
IDX software Western Region User Group (WRUG)
Timeline
TREK Consulting
08.2023 - 05.2024
Senior Business Systems Analyst
OPTUM United Healthcare
07.2019 - 11.2022
Consultant Trainer Athena IDX
Experis Consulting
07.2018
IS Manager
TEK Systems Consulting
11.2016 - 07.2017
Senior Systems Analyst
SHARP HEALTHCARE
08.2013 - 10.2016
Manager Technical Support
SCRIPPS CLINIC
06.1997 - 07.2013
Senior Systems Analyst
UNIVERSITY OF CALIFORNIA SAN DIEGO MEDICAL GROUP
01.1984 - 06.1997
Project Management & SQL -
UCSD Extension
Southwestern College
Pacific College of Medical Office Management