Dedicated, detail-oriented enterprise project manager with proven abilities to manage cross-functional teams including ITS, operational teams, client management, contact center and training teams in an Enterprise Project Management Office (EPMO) environment. Communicate project status updates efficiently to business partners at all levels of the organization. Successfully initiated, planned and implemented projects such as business product services, web-based tools, office relocation, and system conversion projects; collaborate effectively with local, national and global operational and technical teams.
Centricity Group Management, Adobe InDesign CS6, Collaborate, Salesforce, Centricity Business, Epic PMS, Visio, SharePoint 2010, Certify, SnagIt Editor, MS Office (Word, Excel, PowerPoint, MS Project), Footprints, Identity Manager, Clarity, DocLink, Citrix, Clinic Reconciliation Tool (CRT), Service Now
Lean Six Sigma Green Belt
User Acceptance Testing
Revenue Cycle Management
Project Manager II01/2015 to 01/2017OptumIrving, TX
Successfully managed a practice management system conversion project, converting over 250 clinics, 185 hospitalists and 441 providers from Centricity Business to the Epic system in multiple phase roll outs to support clinics and hospitalists in optimizing their revenue cycle management tools and business workflows.
Collaborated with the client to design, test and implement the new practice management system.
Monitored end user access for 200 + employees and confirmed that have access to the Citrix environment and the new PMS prior to Go-Live.
Managed all training aspects and ensured all end users completed their training and assessments; confirmed training holds were released for all operational departments.
Provided go-live support for internal business partners; analyzed, documented and tracked issues, created issue status reports and provided updates to stakeholders and implemented mitigation plans.
Partnered with the vendor's Application Development team to produce a web-based collaboration tool; participated in the design, created UAT documentation and tested the website prototypes.
Created online surveys to gather client and stakeholder feedback before launching the final product; gained approval to pilot 19 practices across multiple geographical regions.
Managed a $2.5M Central Business Office (CBO) build out project, partnered with the infrastructure team, network team and telephony team to ensure connectivity and routing of calls were successful.
Relocated 200 + personnel from the current location to a newly constructed building to accommodate the current staff and 25% future growth.
Ensured technology cut-over and all aspects of the move occurred as scheduled and the business was able to perform revenue cycle management, accounting, client management and HR duties on the first business day at the new location.
Knowledge Consultant01/2014 to 01/2015OptumIrving, TX
Provided ongoing support to the Practice Partner Line and implemented best practices to improve team development.
Created job-aids and maintained all standard operating procedures.
Reviewed and managed all project requests for internal and external business partners and provided system solutions to team members to help improve overall performance.
Submitted procurement requests and new user access for new hires, developed onboarding curriculums and conducted role-based training on multiple practice management systems and tools.
Created action plans for new team members and developed a cross-training program to improve call response times for multiple clients and markets.
Training Specialist II01/2005 to 01/2014OptumIrving, TX
Developed training curriculums for 5 operational internal departments and client end users.
Created training scenarios in Centricity Business; cross-trained on multiple systems and tools.
Successfully trained 30 + trainees per class; conducted instructor-led and web-based training for local, national and global partners and served as an Epic Training proctor in global trainings.
Provided ongoing support to business partners, communicated upcoming trainings and managed training schedules for multiple work streams.
Conducted system gap analysis and partnered with subject matter experts to develop training materials to help improve productivity and increase revenue.
Medical Billing Specialist01/2004 to 01/2005AmeripathDallas, TX
Reconciled customer accounts and followed up with insurance companies on outstanding claims.
Researched account transactions and followed up on no response accounts.
Ensured that payer reimbursement was appropriate and accurate with insurance policy guidelines.
Performed a detail review of accounts and contacted providers for missing information.
Resolved pre-bill claim edits, denials, and prepared appeals for assigned accounts.
Accounts Receivable Specialist01/2000 to 01/2004The Health GroupDallas, TX
Researched and analyzed outstanding claims and made daily calls to insurance companies.
Reviewed rejected claims, posted adjustments and resolved discrepancies on account invoices.
Produced monthly accounts payable/receivable reports for audit purposes.
Posted charge corrections and insurance and self-pay payments to the account billing system and followed all policies and procedures and HIPAA guidelines.
Contacted medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes for billing.
Insurance Claims Examiner01/1997 to 01/2000UnicarePlano, TX
Processed and adjudicated medical insurance claims by approving, pending or denying payment; verified medical necessity and researched individual/family insurance coverage.
Researched benefits and resolved claim appeals in a timely manner.
Followed company policies, procedures, guidelines, including state and federal insurance regulations.
Responded to customer inquiries and maintained quality customer service by following all customer service practices.
Reviewed and recovered overpayments; corrected financial histories on accounts to ensure accurate records.