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Instructional Development Specialist/Clinical Applications Specialist Resume Example

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INSTRUCTIONAL DEVELOPMENT SPECIALIST/CLINICAL APPLICATIONS SPECIALIST
Summary

More than 10 years experience in training development and delivery; motivation and team building/leadership, general and technical project management, product marketing and management, negotiation and mediation. Project management Team liaison Self-motivated Strong verbal communication Conflict resolution Extremely organized Team leadership Staff development Active Listening Critical Thinking Quality Control Analysis Troubleshooting Active Learning Time Management Monitoring Social Perceptiveness Complex Problem Solving

Skills
  • CERTIFICATIONS
  • Go-live
  • Billing
  • Cadence
  • Content
  • CPT
  • Features
  • Insurance
  • Notes
  • Materials
  • Coding
  • Progress
  • Teaching
  • Training materials
  • Training
  • Programs
  • Training programs
  • Upgrades
  • Workshops
Experience
Instructional Development Specialist/Clinical Applications Specialist
Little Rock, ArkansasUAMS/Dec 2015 to Current
  • Provide supportfor Operations to assist them with integrating new technology within the HIM department.
  • Work with Operations Staff on the implementations of learning EPIC and the development of instructional content used to support online, blended and face to face courses.
  • Assess instructional needs of all staff and identify application solutions to enhance learning and workflows.
  • Assist in the development of web based instructional materials to support teaching and learning.
  • Lead hands on workshops; remote web-training sessions and online self-paced training programs, E-Learnings.
  • Maintain current build in MST, Train all on boarding staff as well as current staff members regarding new features and/or upgrades to current EPIC application.
  • Responsible for updating and maintaining instructional materials.
  • Collaborate with IT staff to finalize tip sheets, Visios, and workflows and print materials.
  • Participate in the evaluation, selection, testing and implementation of software tools; Nova Notes.
  • Assist with Service Now tickets and at the elbow support.
  • Documented training activities and changes to analyze program effectiveness.
  • Cross-trained on Cadence, ADT, Professional and Hospital Billing and Beaker applications and continued training end users in new applications.
  • Developed skill-specific training programs to promote employee development.
  • Blended business's goals, mission and values with learning development initiatives to deliver high-quality training to employees.
EPIC Credentialed Trainer
Little Rock, ARUAMS/Nov 2013 to Dec 2015
  • Credentialed in Professional Billing, Hospital Billing and Cadence applications.
  • Acted as a resource to staff regarding their specific applications as it applied to EPIC.
  • Prepared users by developing and conducting training programs; measuring the trainee's progress through assessments, workshops, at the elbow support and one on one assistance within the trainee's department.
  • Notified IT staff and the ID of all issues and or concerns with the performance of the EPIC applications.
  • Assisted ID with tip sheets, Visios, and updating training materials.
  • Conducted training for all billing staff during "go-live" and thereafter.
  • Cross trained in Registration and began training for all on-boarding staff.
  • Assisted clinics with the use of the KIOSK and any other problems or issues.
  • Consistently responded to customer service emails within standard window for optimal response.
  • Kept customers informed about issue resolution progress and provided updated estimated times of resolution on ongoing basis.
  • Maintained composure and patience in face of difficult customer situations, applying de-escalation techniques and positive customer support.
  • Explained technology-related details in easy-to-understand terms to individuals from all walks of life and in various job positions.
  • Assisted end-users with software and hardware troubleshooting to determine causes of system malfunction.
Denials Specialist
Little Rock, ARUAMS/May 2013 to Oct 2013
  • Responsible for resolving all denials based on reason codes submitted by all contracted commercial insurance.
  • Diligently followed up on claims to prevent improper payments when incorrect code combinations are reported.
  • Verified eligibility, prior authorizations and retention of electronic remittance advises.
  • Sent Denial reversal requests to insurance companies and was successful in generating additional revenue for the hospital.
  • Worked closely with all, departments of Hospital Billing Services to insure program integrity.
  • Created master spreadsheet to record procedures, denials and approvals.
  • Verified that patients had the proper insurance coverage prior to any procedures or appointment scheduling.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Retained strong medical terminology understanding in effort to better comprehend procedures.
  • Updated all patient and insurance data regularly and carefully inputted changes into company's computer system.
  • Examined claims, records and procedures to grant approval of coverage.
  • Handled billing related activities focused on medical specialties.
  • Demonstrated self-reliance by meeting and exceeding workflow needs.
  • Improved operations by working with team members and customers to find workable solutions.
Medicaid Billing Specialist
Little Rock, ARUAMS/Mar 2012 to May 2013
  • Responsible for Medicaid Claims submission, eligibility and plan management; including NCCI edits as related to CPT and HCPCS coding for hospital billing and how they interact with other components in the billing process.
  • Experience in collecting data and developing actionable reports.
  • Experience in working with state/federal regulations.
  • Verified PCP as required for Medicaid plans.
  • Worked Medicaid claim edits through extensive follow up.
  • Cultivated effective fact-checking and research talents from daily reviews of program eligibility requirements.
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
  • Demonstrated self-reliance by meeting and exceeding workflow needs.
Education and Training
Certified in HIM Coding, Deficiency, Release of Information And Identity ApplicationUAMS EPIC2020
Bachelor of Arts: Mass CommunicationsUniversity of Arkansas at Little Rock1989Little Rock, Arkansas
UAMS EPIC2015
  • Completed coursework and received a credentialing certificate in Cadence/ADT, Hospital and Professional Billing and Beaker
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Resume Overview

Companies Worked For:

  • UAMS

School Attended

  • UAMS EPIC
  • University of Arkansas at Little Rock

Job Titles Held:

  • Instructional Development Specialist/Clinical Applications Specialist
  • EPIC Credentialed Trainer
  • Denials Specialist
  • Medicaid Billing Specialist

Degrees

  • Certified in HIM Coding, Deficiency, Release of Information And Identity Application
    Bachelor of Arts : Mass Communications

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