VIVIAN JACKSON
Summary
4 years of HIM MPI experience
3 years of HIM HEDIS Abstractor experience
4 years of EPIC Training experience
2 years of Claims processing
4 years of Operations Analyst experience
15+ years of Healthcare Industry experience
Overview
14
14
years of professional experience
1
1
Certification
Work History
Revenue Cycle Processor
Point B
05.2023 - 03.2024
- Gathers, collects, and clarifies all patient information from clinics, hospitals, and patients
- Maintains practice management system by entering accurate data, verifying and updating insurance, and claims information, handles carrier correspondence, manages EOBs, and keys payments received into the system
- Collects, posts, and manages patient account payments
- Investigates rejected claims to see why denials were issued and correct claims.
PACS Reporting/eMPI
McLeod Health
10.2022 - 02.2023
- Researched MRNs and searched IBM iConnect Enterprise Archives Radiology for the number of studies
- Verified in IBM iConnect Enterprise Archive PACS the names and date of birth match
- Used ServiceNow to work on incidents
- Trained team on Abstracting workflow and 3m coding
- Abstracted through data entry problems, preventive health screening, obstetrician-gynecologist, immunizations, medications, PCP, social (tobacco), surgical, and family history from eClinicalWorks (eCW) to Epic, from Cerner to Epic, and Athena to Epic.
Clinical Medical Abstractor Auditor
Baptist Health
06.2022 - 10.2022
- Abstracted through data entry problems, immunizations, medications, PCP, social (tobacco), surgical, and family history from eClinical Works (eCW) to Epic and from Cerner to Epic
- Knowledgeable in the HEDIS audit process.
Medical Abstractor
Prisma Healthcare
03.2022 - 06.2022
- Abstracted through data entry problems, immunizations, medications, PCP, social (tobacco), surgical, and family history from Athena to Epic and from Cerner to Epic
- Used Excel, Outlook, and Word to communicate
- Worked with labs and WellCare test needs for adults or children
- Knowledgeable in the HEDIS audit process.
HIM Electronic Master Patient Index (EMPI) Analyst
Medical University of South Carolina
04.2021 - 03.2022
- Researched and analyzed assigned duplicate medical record numbers in Cerner/NextGen to be merged in Epic or marked as Known Non-Duplicate (KND) when records contained insufficient data
- Produced and mitigated potential account overlays
- Supported the integrity of source system databases and the EMPI through the remediation (merge/link decisions) of duplicate data and related tasks
- Trained team on EMPI workflow
- Used Smart Merge from QuadraMed to match patients' records
- Used Epic to match patients' records
- Used analytical skills for identification and proper resolution of problems related to the integrity and correction of electronic health records
- Utilized the Provider-related modules in the Enterprise System to research and resolve provider data set up issues and discrepancies
- Chart correction and indexing of patient charts using OnBase.
Athena Trainer/Analyst
Athena Healthcare
08.2020 - 04.2021
- Utilized AthenaHealth to support and train Pediatric, Maternity, and Provider Office ambulatory clinics
- Setup fax machine created (encounters, procedure templates, HPI, ROS & Physical Exam templates, prepayments)
- Trained biller staff how to process prior authorization requests and claims adjudication
- Troubleshoot computer issues and ServiceNow requests
- Revenue cycle processing claims and working with healthcare insurance to Investigates rejected claims.
- Used Phreesia intake tools to help interact with patients and Athena.
Medication Adherence Technician
Adhere Health
04.2020 - 08.2020
- Made outbound calls to patients and healthcare professionals regarding patient medications, adherence, and barrier removal
- Followed HIPAA, PHI, and HEDIS measures guidelines interacting with members, pharmacies, and providers
- Interacted with healthcare professionals of all levels involving patient medications and preventative screenings
- Used software applications TouchPoint and Qi Link to document patient call interactions
- Worked with providers to adhere to CMS guidelines to Asthma and Diabetes recommended treatments.
HIM Electronic Master Patient Index (EMPI) Analyst
Orlando Health
12.2019 - 04.2020
- Researched and analyzed assigned duplicate medical record numbers in Cerner/Athena to be merged in Epic or marked as Known Non-Duplicate (KND) when records contained insufficient data or did not match
- Experience troubleshoot computer issues and resolving them
- Customer Service and phone experience
- Produced and mitigated potential account overlays
- Supported the integrity of source system databases and the EMPI through the remediation (merge/link decisions) of duplicate data and related tasks
- Used analytical skills for identification and proper resolution of problems related to the integrity and correction of electronic health records
- Handle Epic referrals
- Chart correction and indexing of patient charts using OnBase.
EMPI Specialist
Medical University of South Carolina
03.2019 - 03.2020
- Researched and analyzed assigned duplicate medical record numbers in Cerner/NextGen to be merged in Epic or marked as Known Non-Duplicate (KND) when records contained insufficient data
- Produced and mitigated potential account overlays
- Supported the integrity of source system databases and the EMPI through the remediation (merge/link decisions) of duplicate data and related tasks
- Trained team on EMPI workflow
- Used Smart Merge from QuadraMed to match patients' records
- Used Epic to match patients' records
- Used analytical skills for identification and proper resolution of problems related to the integrity and correction of electronic health records
- Utilized the Provider-related modules in the Enterprise System to research and resolve provider data set up issues and discrepancies
- Chart correction and indexing of patient charts using OnBase.
EHR Analyst
WellStar Healthcare
01.2017 - 02.2019
- Utilized the ServiceNow ticket system to track and manage ticket queues
- Phone Support of eClinical Works (eCW), Meditech, McKesson (MPF One Content, Horizon Patient Folder [HPF], STAR)
- Troubleshoot Windows 7, Kronos, passwords, and Office 365
- Maintain SLAs
- Utilized ITIL for User Accounts, Access Request Management Processes, and Terminations
- Provided on-call support and testing and documentation of system components.
Lead HEDIS Medical Abstractor
Mayo Clinic
01.2016 - 01.2017
- Trained team on Abstracting workflow
- HEDIS medical data from Cerner Millennium into Epic Ambulatory for Mayo Clinic
- HEDIS medical data from Athena into Epic Ambulatory for Mayo Clinic
- Abstracted Allergies, Medications, Anticoagulant, and (Family, Social and Surgical) History
- Reviewed medical records to ensure completeness, compliance with NCQA, DHCS, and other requirements
- Maintained a high level of data accuracy per Performance Improvement measures.
Epic Go-Live & Post Live Support/Ambulatory Trainer
Physician Technology Partners (Nuance)
12.2014 - 01.2016
- Provided Epic ClinDoc, Ambulatory, Radiant (Radiology), and Orders at-the-elbow support for Providers, Radiology Techs, and Nurses
- Answered calls in the command center and reviewed clinical workflows
- Reviewed steps on obtaining prior authorization for claims
- Actively participated in the escalation process and ongoing technical development of the training process
- Worked in the Personalization lab creating preference lists, Smart Texts & phrases, panels, macros, and Order Sets.
POS Implementation Consultant
McKesson
06.2014 - 12.2014
- Prepared lesson plans from software documentation, field requirements, and/or engineering documentation
- Trained the pharmacy staff how to process prior authorization requests and claims adjudication
- Set up modem, printers, scanner, Sage, Signature pad, side terminals, and Server equipment
- Configured, integrated, tested, trained, and validated the Pharmaserv and POS software
- Trained pharmacist, pharmacy techs, and clerks in using the software and equipment
- Verified claims were being processed and paid during the reconciliation training.
Athena Certified Consultant/Go-Live Support
Athena Healthcare
03.2014 - 06.2014
- Utilized Athena Clinical Systems to install, support, and train multiple specialties ambulatory clinics
- Enabled content by training and assisting providers and clinicians on how to use Athena
- Configured provider signatures, delegates, and text macros
- Set up a fax machine and printed patient labels
- Handled a variety of issues, including claims, provider network, benefits, and eligibility.
Epic Credentialed Trainer/eMPI Analyst
WellStar
07.2013 - 03.2014
- Provided effective, technical training and support on Epic's Orders, Clin Doc, Radiant (Radiology), and Ambulatory applications
- Provided curriculum development as well as mock encounters and end-user workbook and guides
- Managed electronic Master Patient Index (MPI) and duplicate record merge functions
- Researched and analyzed assigned duplicate medical record numbers in Cerner/NextGen to be merged in Epic or marked as Known Non-Duplicate (KND) when records contained insufficient data
- Helped manage the boarding process project for super users and ran the weekend Personalization lab
- Answered calls in the command center during Big Bang 'go-live' supporting all Epic applications.
Operation Analyst
Health Port
12.2012 - 07.2013
- Troubleshot application, systems, and network problems
- Monitored images, alerts, and call queue
- Took calls and processed FTP
- Processed batch cycles and executed batch restarts in accordance with established procedures
- Knowledge of SDLC and troubleshot and identified and reported workflow and system configuration issues.
Operations Analyst/Manual QA
Fundtech/GRCR
08.2010 - 07.2012
- Daily executing and modifying SQL queries in SAP
- Resolved Level2 application, servers, and network issues
- Used Active Directory to manage accounts and groups
- Performed change management
- Ran testing scripts and performed user acceptance and regression testing.
Education
Bachelor of Science in Mathematics -
Paine College
Basic/Intermediate SQL Training -
Gwinnett Technical College
Skills
- Attention to Detail
- Customer Service
- Strong Work Ethic
- Multitasking and Organizing
- Microsoft Excel
- Data entry experience
Certification
- Certified Medical Assistant
- Certified CompTIA Network and Server
Healthcare Organizations
- McLeod Health
- Baptist Health
- Prisma Healthcare
- Medical University of South Carolina
- Athena Healthcare
- 7 Additional Healthcare Organizations
Additional Information
- Research & Analyze Duplicate Records
- HIPAA (Health Insurance Portability and Accountability Act)
- Operation Analysis
- Knowledge of CPT code
- Implementation Workflows
- Patient Merges
- Troubleshooting
- EMPI Workflows
- Identity
- HIM Release of Information
- HIM Deficiency Tracking
- Abstracting Workflows
- Training
- Data Accuracy
- Chart Correction
- Patient Chart Indexing
- Additional EHR Experience:
- 5 Years: Allscripts, Athena, Cerner, Meditech, Centricity, AdvancedMD & eClinicalWorks
- 10 Years: Epic & McKesson
- PACS/Radiology: IBM Merge iConnect
- ServiceNow
Timeline
Revenue Cycle Processor
Point B
05.2023 - 03.2024
PACS Reporting/eMPI
McLeod Health
10.2022 - 02.2023
Clinical Medical Abstractor Auditor
Baptist Health
06.2022 - 10.2022
Medical Abstractor
Prisma Healthcare
03.2022 - 06.2022
HIM Electronic Master Patient Index (EMPI) Analyst
Medical University of South Carolina
04.2021 - 03.2022
Athena Trainer/Analyst
Athena Healthcare
08.2020 - 04.2021
Medication Adherence Technician
Adhere Health
04.2020 - 08.2020
HIM Electronic Master Patient Index (EMPI) Analyst
Orlando Health
12.2019 - 04.2020
EMPI Specialist
Medical University of South Carolina
03.2019 - 03.2020
EHR Analyst
WellStar Healthcare
01.2017 - 02.2019
Lead HEDIS Medical Abstractor
Mayo Clinic
01.2016 - 01.2017
Epic Go-Live & Post Live Support/Ambulatory Trainer
Physician Technology Partners (Nuance)
12.2014 - 01.2016
POS Implementation Consultant
McKesson
06.2014 - 12.2014
Athena Certified Consultant/Go-Live Support
Athena Healthcare
03.2014 - 06.2014
Epic Credentialed Trainer/eMPI Analyst
WellStar
07.2013 - 03.2014
Operation Analyst
Health Port
12.2012 - 07.2013
Operations Analyst/Manual QA
Fundtech/GRCR
08.2010 - 07.2012
Bachelor of Science in Mathematics -
Paine College
Basic/Intermediate SQL Training -
Gwinnett Technical College
Similar Profiles
Lisa HochbergLisa Hochberg
Resource Management Lead at Point BResource Management Lead at Point B
JOHN REAVESJOHN REAVES
Managing Consultant at Point BManaging Consultant at Point B
G. Cameron CaldwellG. Cameron Caldwell
Integrated Release Manager at Point BIntegrated Release Manager at Point B
Paula IlochiPaula Ilochi
Senior Instructional Designer- Freelance at Point BSenior Instructional Designer- Freelance at Point B
JAMIE CURRENJAMIE CURREN
Revenue Cycle Payment Processor at COPCPRevenue Cycle Payment Processor at COPCP