Tynetta Faust
Conshohocken,PA
Overview
26
26
years of professional experience
Work History
Senior A/R Capitation Revenue Analyst
AmeriHealth Caritas Family of Companies
Newtown Square, PA
02.1998 - 07.2024
- Completes monthly reconciliation between state payment and membership eligibility. Generate and review reporting to ensure accuracy and alignment with all plan and state reporting requirements assigned.
- Fluent with existing and new state contracts, guides, and system notices. Advise management on needed actions to comply with state requirements as they occur.
- Prepare, analyze, and interpret monthly data to identify financial trends and/or anomalies. Research, tests, and validates results. Provides explanations for variances and changes.
- Develops and maintains strong knowledge of business practices, claims coding, and the managed care industry in general and applies knowledge to determining data and report solutions.
- Ability to work on multiple tasks with competing priorities; demonstrates strong subject matter expertise in multiple states and business processes.
- Assist with onsite audit requests as they relate to the reconciliation process.
- Manage, analyze, and understand the premium receivables process for all plans, communicating variances and issues to appropriate parties in order to facilitate accounting close.
- Act as a point of contact for accounts receivable on ad hoc requests (internal audit, enrollment, etc.).
- Solid analytical skills and problem-solving skills, with the ability to articulate and communicate recommendations for enhancement.
- Maintains and creates databases, queries, joins, tables, and forms; designs and creates SQL stored procedures, technical specifications, and user-defined functions; writes functional and technical specifications documents.
- Demonstrates the ability to schedule and lead meetings. If required.
- Provides ongoing feedback and training to team members.
Education
Associate of Applied Science - Accounting And Finance
Pierce College
Philadelphia, PA05-1992
Skills
- Advanced Excel
- Auditing procedures
- Data Interpretation
- Key Performance Indicators
Timeline
Senior A/R Capitation Revenue Analyst
AmeriHealth Caritas Family of Companies
02.1998 - 07.2024
Associate of Applied Science - Accounting And Finance
Pierce College
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