Charge Description Master Analyst Resume Example Vidant Health

CHARGE DESCRIPTION MASTER ANALYST

Professional Summary

Highly perceptive with proven problem solving and decision making skills. Strong business and financial management acumen.

Education and Training

Bachelor of Science: Political Science1996Appalachian State UniversityBoone, NC

Concentration in Town, City, County Management

InternshipTown of FarmvilleFarmville, NC1/1996 - 10/1997

Skill Highlights

Skills

Business Operations, Contract Management, Data Analysis, Accounting

Professional Experience

Charge Description Master Analyst08/2013 to 05/2016Vidant HealthGreenville, NC

Daily Reconciliation to ensure balancing of charges, payments, adjustments and number of claims filed from EPIC against MedAssets.
Review the stage and status matrix in MedAssets Contract Management to ensure new contracts are loaded, tested and put in production as requested.
Review additions and changes to drugs in Epic RX for accuracy of required data to ensure the drugs will be billed to meet specific guidelines for all Vidant Health.
Make appropriate billing decisions for each service code as required by the third party payer guidelines and for each Vidant entity.
Research changes in CPT/HCPCS codes to ensure the Epic RX is compliant with third party regulations and requirements.
Work with the Vidant Health Pharmacists, Directors, Gatekeepers, Pharmacy IS, Revenue Integrity Manager and the Central Business Office on drug billing issues to ensure drugs are set up appropriately in Epic RX and affected accounts are corrected and re-billed.
Assist Revenue Integrity Manager and Administrator as needed on issues regarding billing accurateness and compliance.

Business Line Liaison01/2012 to 08/2013Vidant Health, Leo Jenkins Cancer CenterGreenville, NC

Monitor projected vs actual revenues and expenses within various budget sources.
Develop proposals for addressing budget issues, and recommend to the Administrator necessary changes to sustain the financial viability of Leo Jenkins Cancer Center Joint Venture.
Collect and analyze financial data in order to complete budget preparations and fiscal planning and monitoring, annual revenue and expenses in excess of $12 million.
Support the Administrator with the following activities, data analysis, report creation, monitoring of clinical productivity targets and cost benefit study analysis required in order to support the strategic direction of Leo W.
Jenkins Cancer Center.
Assist the Administrator with contract negotiations by providing pertinent information to be used in the negotiations and by suggesting appropriate strategy and language for successful conclusion of the agreement.
Engage in short and long term planning with the Administrator.
Plan for changes in faculty and staff, financial resources, facilities and the implementation of new programs.
Provides direct administrative supervision of administration personnel.
Collaborate with the Administrator and clinical leaders to determine staffing requirements, changes to existing positions, and requirements for new positions.

Business Officer10/2006 to 01/2012Brody School of Medicine, Leo Jenkins Cancer CenterGreenville, NC

Complete responsibility for preparing, negotiating with external Pharmaceutical companies and the management of complex, multi-organizational clinical trial budget agreements Oversee all business operations of the Cancer Center which includes managing clinical trial, grant, state, practice plan and foundation accounts.
Oversee all human resource functions for over 40 staff and purchasing functions for the Cancer Center.
Collect and analyze financial data in order to complete budget preparations and fiscal planning and monitoring, annual revenue and expenses in excess of $25 million.
Coordinate and organize with various external agencies, general public for all community and educational programs such as Survivor's Day, Pink Ribbon Run, Volkman Lecture, and monthly cancer awareness events for the Cancer Center.

Purchasing Specialist01/2000 to 09/2006Collins & AikmanFarmville, NC

Purchase raw materials, process materials and maintenance supplies Oversee purchase requisitions and create purchase orders Ensure purchasing, receiving and accounting records are compatible Track vendor performances Negotiate maintenance contracts and maintain Quality Documents.

Financial Service Representative01/1999 to 12/1999National Bank of CommerceGreenville, NC

Sales Agent10/1997 to 11/1998Liberty Life InsuranceGreenville, NC

Resume Overview

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