Clinical Operations Analyst Resume Example Holy Cross Medical Group

CLINICAL OPERATIONS ANALYST

Work History

Central Billing Department |

Professional Summary

Seeking an entry level position in an I.

Accomplishments

Introduced and helped implement the healthy work environment pledge to the central billing office.
Six Sigma Yellow Belt Training & Lean Training.

Skills

Microsoft PowerPoint, Outlook, Word, Excel, and Prezi. EClinical, Docutap, and Allscripts/Touchworks EMR systems. Invision Gold Medical System, Epass/Citrix Medical system, Meditech, WebNow, Care Medic, MedAssets, Meditract, and Centricity.

Work History

January 2016-CurrentClinical Operations Analyst | Holy Cross Medical Group | Ft. Lauderdale, FL

Creatively seeks to recognize and implement process improvements that will support departmental goals and objectives Supports EHR and its ancillary systems activities for 50+ medical group offices on daily basis Manages EHR (new builds, edits, deletions) Work with vendors to support EHR Monitor/maintain interfaces Assist with upgrade testing, performance, and implementations Experience with HL7 Experience with Cloverleaf interface engine Experience working with clinical staff SQL knowledge.

January 2015-January 2016Patient Financial Services Analyst/Vendor Liaison | Holy Cross Hospital Patient Financial Services | Ft. Lauderdale, FL

Serve as a liaison between management and vendors.
Responding to vendor requests regarding account information.
Audit and approve all vendor invoices for patient financial services.
Prepare Financial Reports Work several reports such as vendor adjustments, close and return, weekly issue, reconciliation, prompt pay, and no UCRN.
Compile daily/weekly reports using Monarch and Access databases.
Edit, create, and remove data from macros in Access database.
Research and resolve issues with daily reports.
Transfer accounts to various agencies weekly/monthly.
Bill, post payments, and adjust accounts as needed.
Review accounts in Meditech using work lists or reports to determine the status and the appropriate action to be taken.
Assist manager and director in addressing and resolving third party questions, concerns, and complaints in an effective manner.
Utilize Excel to create, update, and edit spreadsheets/workbooks.
Respond to and resolve customer service issues as assigned through Allegiance.
Receive, distribute, and follow up with weekly AHCA error reports.
Run quarterly AHCA audit submissions.
Ordering/distribution of office supplies.
Ordering toner for all printers in the department and following up with maintenance for all printers.
Work with the IT department to grant access to vendors and associates to various systems/programs.
Responsible for entering/following up on maintenance orders for facility issues.

January 2014-January 2015Patient Account Liaison III/Vendor Liaison | Holy Cross Hospital Patient Financial Services | Ft. Lauderdale, FL

Serve as a liaison between management and vendors.
Responding to vendor requests regarding account information.
Receive and audit all vendor invoices for patient financial services.
Responsible for making adjustments on prompt pay accounts.
Work several reports such as vendor adjustments, close and return, weekly issue, and reconciliation.
Complete monthly finance reports for Holy Cross hospital and Mercy hospital.
Transfer accounts to various agencies weekly/monthly.
Bill, post payments, and adjust accounts as needed.
Review accounts in Meditech using work lists or reports to determine the status and the appropriate action to be taken.
Assist manager and director in addressing and resolving third party questions, concerns, and complaints in an effective manner.
Bill accounts electronically using Care Medic electronic billing system.
Utilize Excel to create, update, and edit spreadsheets/workbooks.
Respond to and resolve customer service issues as assigned through Allegiance.
Ordering office supplies and distributing to associate Ordering toner for all printers in the department and following up with maintenance Work with the IT department to grant access to vendors and associates to various systems/programs.
Responsible for entering/following up on maintenance orders for facility issues.

January 2010-January 2014Patient Account Liaison III | Holy Cross Medical Group | Ft. Lauderdale, FL

Serve as a liaison between insurance companies and physician's offices regarding payment and denial issues.
Assist in analyzing and implementing revenue cycle strategies.
Audit professional/hospital claims and medical documentations for submission.
Train associates on new and existing processes and procedures.
Manages accounts receivables for physicians' billing and analyze coding issues.
Allocate insurance and patient payments to accounts.
Analyze and maintain performance indicators.
Worked in Centricity and Allscripts/Touchworks.
Performs quality control checks on Blue Cross, Avmed, and United Healthcare preauthorization's.

January 2009-January 2010Patient Care Coordinator | Holy Cross Medical Group | Ft. Lauderdale, FL

Ensures smooth patient flow throughout the day by thoroughly inputting and verifying patient demographics and insurance information via Centricity EMR system.
Greet patients in a professional manner to check them in/out.
Provided exceptional patient care/customer service.
Collects co-pays and past due balances from patient and balances all monetary transactions at the end of the day.
Scanned all necessary documents and provide quality assurance for all documents scanned by coworkers.
Cross-trains staff members for front office duties.
Worked in such programs as Centricity, Allscripts/Touchworks.

January 2008-January 2008Registration Specialist / Administration | America's Urgent Health Care of Hunters Creek | Orlando, FL

Duties include cultivating patient relations, registration and discharge.
Verified patient insurance for benefits and eligibility.
Balanced at the end of the day.
Collected payment from patients, make deposits at the end of the work day.
Worked on operating systems such as E-Clinicals and Docutap EMR systems, viaWarp, and Wellinx.
Opened the clinic in the morning and prepared for team arrival.
Assisted with patient care, obtained medical reports and records, provided information to nurse case managers for worker's compensation patients.
Established, coordinated, and implemented action of company manual/procedures.

Education

October 2012Master of Business Administration: University of Phoenix Ft, . Lauderdale, FL

December 2004Bachelor of Arts: International AffairsRollins College, Winter Park, FLInternational Affairs

May 2002Associate of Arts: Valencia Community College, Orlando, FL

May 1998Associate of Science: Medical AssistingFlorida Metropolitan University, Orlando, FLMedical Assisting

Affiliations

Member of the Associate Engagement Success Committee at Holy Cross Hospital

Skills

accounts receivables, benefits, billing, billing system, Citrix, customer service, databases, Edit, finance, financial, Prepare Financial Reports, front office, insurance, director, macros, Meditech, Access, Access database, Excel, office, Outlook, Microsoft PowerPoint, Word, Monarch, Ordering office supplies, operating systems, patient care, patient flow, printers, processes, coding, quality assurance, quality control, Research, spreadsheets, SQL, upgrade

Resume Overview

Companies Worked For:

Central Billing Department
Holy Cross Medical Group
Holy Cross Hospital Patient Financial Services
America's Urgent Health Care of Hunters Creek

School Attended

University of Phoenix Ft
Rollins College
Valencia Community College
Florida Metropolitan University

Job Titles Held:

Clinical Operations Analyst
Patient Financial Services Analyst/Vendor Liaison
Patient Account Liaison III/Vendor Liaison
Patient Account Liaison III
Patient Care Coordinator
Registration Specialist / Administration

Degrees

Master of Business Administration :
Bachelor of Arts : International Affairs
Associate of Arts :
Associate of Science : Medical Assisting

Clinical Operations Analyst Resume Example

Resume Score: 90%

Resume Overview

Create a job alert for [job role title] at [location].

Similar Resumes