Experienced Business Analyst with over 30 years of experience in Healthcare. Excellent reputation for resolving problems and improving customer satisfaction.
Facilitates meetings to present projects, programs, and issues to higher executive leadership formulating meeting agendas, coordinating the program and speakers, moderating the meeting, making presentations and introductions, and ensuring that the information is presented in a concise, complete, and effective manner.
Leads interagency departmental policy and planning deliberations and is accountable for the decision-making process.
Uses specialized knowledge and deep standards related technical expertise for community interests and activities to internal and external organizations involved in development of community-based health information exchange.
Develops and implements strategies that directly affect the quality and usability of health data and health information systems nationwide.
Identifies trends in clinical practice, delivery models/environments, and their interrelation with electronic health records, health information exchange methodologies, and health information standard programs within the VA Health IT community.
Provides leadership and management in the design and delivery of information to improve clinical care and individual and public health.
Uses clinical expertise and current knowledge of clinical aspects of health care delivery to evaluate the clinical significance and quality of information that is processed by advanced technology systems.
Accountable for managing all billing functions for assigned area; Responds to telephone or written inquiries. Research aged inventory for problems and approved required adjustments, Prepared weekly billing status report.
§ Managed accurate financial records for accounts payable and accounts receivable. Lead the duties related to the daily capture and review of all chargeable items.
§ Served as a resource to fiscal management and other administrative staff by assisting in the development/implementation of cost-effective policies and procedures for the department including financial analysis, bookkeeping, data processing, and auditing.
§ Provided advise all accounts for billing (both electronically and / hard copy). Approved processes for collection of all delinquent accounts.
Reviewed accounts receivable aging on a monthly basis for designation of write offs and adjustments and status of accounts.
Directed the full range of provider relations and service interactions, including working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, and training and development of external provider education programs. Notable achievements:
§ Lead cross organizational and cross discipline teams in initially unstructured and ambiguous environments towards identifying common goals, purpose, vision, and assessment of current gaps.
§ Accountable for facilitating and leading issue resolution processes and working in collaboration with National Claims Administration/Provider Systems Administration shared services team. Empowered ideal and precise setup of agreements in contractual frameworks.
Spearheaded the national and regional configuration projects across NW and OH regions; Lead contact for business customers in the multiple areas for specialized issues; Managed ethics and compliance programs; Effectuated new measures for claims processing and provider relations. Notable achievements:
§ Directed the planning of assignments for the team; acting as the initial escalation point for daily membership enrollment, compliance, and provider group billing issues.
§ Implemented an accounting monthly reporting for executives by creating a dynamic dashboard.
§ Developed and designed databases for various clients to improve functions.
§ Prepared assessments to workers and designed training programs to address issues to reduce errors.
§ Redesigned several enterprise Compliance processes, Lead the Human Resources Planning.
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