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revenue cycle projects analyst ii resume example with 16+ years of experience

Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Professional Summary

A people-oriented professional with attention to detail and a positive attitude looking for a position to be a useful asset. With over fifteen years of customer service and administrative experience in the healthcare field, such work ethic will be a positive attribute to the company. Qualities of being a multitasker, self-motivated, team player, tech-savvy, and quick learner will ensure that all position responsibilities are completed successfully in an accurate and timely manner. Additionally, I am readily prepared with a secure at-home office to ensure privacy and quiet work space at all times.

Skills
  • English Language: Full Professional Proficiency
  • Spanish Language: Limited Professional Proficiency
  • Microsoft Office & Google Suite
  • Typing 40-45 wpm
  • Exceptional Customer Service & Relation Skills Training
  • Strong Multitasking, Prioritizing, & Organization
  • Understanding of administrative procedures as well as verbal & well-written communication
  • Office Management & Employee Training for oncoming staff
  • Complex Problem-Solving skills in emergency situations
  • Experience with Human Resources Department; Screening & Interviews for potential candidates, Reference verifications, Benefits enrollment, Payroll & Timesheet Processes
  • 8+ years of various EHR systems experience
  • Extensive & continuous experience with various payer portals for eligibility, claim status, auth status, and referrals
  • Skillful understanding of HIPAA policies, Medical Terminology, Billing, Coding & Insurance Eligibility, and Benefits
  • Crisis Intervention experience with middle school aged youth
Education
American Academy of Professional Coders Online, Expected in 05/2022 CPC-A Certification : - GPA :
SUNY Empire State College Saratoga Springs, NY, Expected in 05/2021 Associate of Science : Community & Human Services - GPA :
  • 3.84 GPA
  • Dean's List - Fall 2019, Spring 2020, Summer 2020
John Hopkins Online, Expected in 01/2021 COVID-19 Contact Tracing Certification : - GPA :
Work History
Pocatello/Chubbuck School District 25 - Revenue Cycle Projects Analyst II
, , Remote 02/2022 - Current
  • Full-Time position
  • Assist healthcare organizations improve operations including revenue cycle, to drive revenue, create efficiencies, and enhance patient experience with machine learning and AI-powered automation
  • Use past experience in billing, coding, and follow-up to advance patient accounts on behalf of more than 5 hospital clients
  • Collaborated with other business analysts to streamline tasks and duties in effort to improve overall efficiency
  • Part of Projects Team which validates each clients current claim AI process within the product to then update the client with a new and more efficient process
  • Utilize data labeling of payer portals, EHR data, and payer responses to train company AI model
  • Started with company as RCO Analyst II on Claim Status Team & quickly transitioned to RCO Projects Analyst
New Season - Senior Medical Service Coordinator
, , Remote 08/2021 - 02/2022
  • Coordinated patient appointments and scheduling to promote optimal clinician productivity and patient satisfaction
  • Organized and updated charts with clinic notes, retrieved scans, obtained medical records and verbally confirmed appointments via telephone
  • Communicated with patients, ensuring that medical information was kept private
  • Gathering of Veteran availability for appointment scheduling, verification of demographics, and explanation of claim details directly from the V.A. Regional Office
  • Daily scheduling of 40-70 Veteran benefit exams for pending Compensation & Pension claims
  • Daily HIPAA verification on all incoming and outgoing calls to Veterans, Providers, Urgent Cares, and Clinics
  • Processing and reviewing of legal exam data for payment processing to clinics and Veterans for travel reimbursement
  • Top Performing Agent for December 2021
City Of Las Cruces - Attendance Clerk
, , Middletown, NY 08/2015 - 08/2021
  • Full-Time position
  • Input daily attendance information into office database for approximately 900 students at Monhagen Middle School
  • Maintained accurate records of all absences, truancy issues and disciplinary actions
  • Called parents and guardians to inquire about late and truant students
  • Pleasantly greeted all office visitors and asked open-ended questions to determine needs
  • Trained all Clerical staff on use of software for all attendance purposes
  • Completed daily office management/clerical duties which consisted of answering heavy telephone lines, faxing/scanning/filing of employee & student records, providing accurate information to visitors/callers regarding school details and attendance policies
  • Primary building contact for any updating of student records pertaining to demographics, medical history, and custody orders
  • Secondary to Dean of Students for all Section 504 plans & meetings
  • Fully handled all disciplinary documents for students receiving In School/Out of School Suspensions (as well as all legal paperwork for Superintendent Hearing, when applicable)
  • Secondary to the Office Manager for payroll entry and approval for all building employees, employee & teacher coverage, and ordering of all office supplies
  • Assisted building Principal, Assistant Principal, and Dean of Students with NYS safety guidelines, drills, and procedures
Orange Urgent Care, PLLC - Patient Registration Coordinator
, , Middletown, NY 01/2009 - 09/2015
  • Full-Time position
  • Registration of 80+ patients per day which included patient information verification, insurance eligibility, collecting balances/copayments and assuring all HIPAA forms were complete
  • Responsible for daily total and closing of all cash, checks, and credit card payments for facility
  • Worked closely with patients to deliver excellent and direct individualized patient care.
  • Maintained confidentiality of patient data and condition to safeguard health information.
  • Insurance Eligibility/Verifications completed through company websites such as Aetna, Blue Cross Blue Shield, Cigna, Emblem Health, GHI,Humana, Tricare, United Healthcare, Workers Compensation, No-Fault, Medicare, and Medicaid
  • Delivered excellent patient experiences and direct care
  • Answering heavy phone lines, faxing/filing/scanning of all medical records as well as registration
  • Frequent verification or updating of prescriptions with pharmacies over the phone with authorization from treating physician
  • Completion and submission of legal documents that required medical coding, terminology, exam notes, etc. for other facilities, court orders, or employer requests
George Thompson Insurance Agency - Office Assistant
, , Pine Bush, NY 06/2007 - 01/2009
  • Welcomed office visitors and alerted staff to arrivals of scheduled appointments
  • Completed clerical tasks such as filing, copying and distributing mail
  • Interacted with customers by phone, email or in-person to provide information
  • Primarily responsible for collecting required information from potential customers requesting new quotes on auto, homeowner, life, and business policies. Upon each customer policy renewal, I automatically researched and completed quotes for new premiums that were of lower cost to insured with same or better coverage
  • Collected all insurance premium payments for all types of policies and made daily business cash deposits
  • Delivered clerical support by handling range of routine and special requirements
  • Promptly received and forwarded incoming communications, such as phone calls, emails and letters, to appropriate staff
Skills
  • English Language: Full Professional Proficiency
  • Spanish Language: Limited Professional Proficiency
  • Microsoft Office & Google Suite
  • Typing 40-45 wpm
  • Exceptional Customer Service & Relation Skills Training
  • Strong Multitasking, Prioritizing, & Organization
  • Understanding of administrative procedures as well as verbal & well-written communication
  • Office Management & Employee Training for oncoming staff
  • Complex Problem-Solving skills in emergency situations
  • Experience with Human Resources Department; Screening & Interviews for potential candidates, Reference verifications, Benefits enrollment, Payroll & Timesheet Processes
  • 8+ years of various EHR systems experience
  • Extensive & continuous experience with various payer portals for eligibility, claim status, auth status, and referrals
  • Skillful understanding of HIPAA policies, Medical Terminology, Billing, Coding & Insurance Eligibility, and Benefits
  • Crisis Intervention experience with middle school aged youth
Work History
AKASA Inc. - Revenue Cycle Projects Analyst II
, 02/2022 - Current
  • Full-Time position
  • Assist healthcare organizations improve operations including revenue cycle, to drive revenue, create efficiencies, and enhance patient experience with machine learning and AI-powered automation
  • Use past experience in billing, coding, and follow-up to advance patient accounts on behalf of more than 5 hospital clients
  • Collaborated with other business analysts to streamline tasks and duties in effort to improve overall efficiency
  • Part of Projects Team which validates each clients current claim AI process within the product to then update the client with a new and more efficient process
  • Utilize data labeling of payer portals, EHR data, and payer responses to train company AI model
  • Started with company as RCO Analyst II on Claim Status Team & quickly transitioned to RCO Projects Analyst
United Health Group - Senior Medical Service Coordinator
, 08/2021 - 02/2022
  • Coordinated patient appointments and scheduling to promote optimal clinician productivity and patient satisfaction
  • Organized and updated charts with clinic notes, retrieved scans, obtained medical records and verbally confirmed appointments via telephone
  • Communicated with patients, ensuring that medical information was kept private
  • Gathering of Veteran availability for appointment scheduling, verification of demographics, and explanation of claim details directly from the V.A. Regional Office
  • Daily scheduling of 40-70 Veteran benefit exams for pending Compensation & Pension claims
  • Daily HIPAA verification on all incoming and outgoing calls to Veterans, Providers, Urgent Cares, and Clinics
  • Processing and reviewing of legal exam data for payment processing to clinics and Veterans for travel reimbursement
  • Top Performing Agent for December 2021
Enlarged City School District Of Middletown - Attendance Clerk
, 08/2015 - 08/2021
  • Full-Time position
  • Input daily attendance information into office database for approximately 900 students at Monhagen Middle School
  • Maintained accurate records of all absences, truancy issues and disciplinary actions
  • Called parents and guardians to inquire about late and truant students
  • Pleasantly greeted all office visitors and asked open-ended questions to determine needs
  • Trained all Clerical staff on use of software for all attendance purposes
  • Completed daily office management/clerical duties which consisted of answering heavy telephone lines, faxing/scanning/filing of employee & student records, providing accurate information to visitors/callers regarding school details and attendance policies
  • Primary building contact for any updating of student records pertaining to demographics, medical history, and custody orders
  • Secondary to Dean of Students for all Section 504 plans & meetings
  • Fully handled all disciplinary documents for students receiving In School/Out of School Suspensions (as well as all legal paperwork for Superintendent Hearing, when applicable)
  • Secondary to the Office Manager for payroll entry and approval for all building employees, employee & teacher coverage, and ordering of all office supplies
  • Assisted building Principal, Assistant Principal, and Dean of Students with NYS safety guidelines, drills, and procedures
Orange Urgent Care, PLLC - Patient Registration Coordinator
, 01/2009 - 09/2015
  • Full-Time position
  • Registration of 80+ patients per day which included patient information verification, insurance eligibility, collecting balances/copayments and assuring all HIPAA forms were complete
  • Responsible for daily total and closing of all cash, checks, and credit card payments for facility
  • Worked closely with patients to deliver excellent and direct individualized patient care.
  • Maintained confidentiality of patient data and condition to safeguard health information.
  • Insurance Eligibility/Verifications completed through company websites such as Aetna, Blue Cross Blue Shield, Cigna, Emblem Health, GHI,Humana, Tricare, United Healthcare, Workers Compensation, No-Fault, Medicare, and Medicaid
  • Delivered excellent patient experiences and direct care
  • Answering heavy phone lines, faxing/filing/scanning of all medical records as well as registration
  • Frequent verification or updating of prescriptions with pharmacies over the phone with authorization from treating physician
  • Completion and submission of legal documents that required medical coding, terminology, exam notes, etc. for other facilities, court orders, or employer requests
George Thompson Insurance Agency - Office Assistant
, 06/2007 - 01/2009
  • Welcomed office visitors and alerted staff to arrivals of scheduled appointments
  • Completed clerical tasks such as filing, copying and distributing mail
  • Interacted with customers by phone, email or in-person to provide information
  • Primarily responsible for collecting required information from potential customers requesting new quotes on auto, homeowner, life, and business policies. Upon each customer policy renewal, I automatically researched and completed quotes for new premiums that were of lower cost to insured with same or better coverage
  • Collected all insurance premium payments for all types of policies and made daily business cash deposits
  • Delivered clerical support by handling range of routine and special requirements
  • Promptly received and forwarded incoming communications, such as phone calls, emails and letters, to appropriate staff

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Resume Overview

School Attended

  • American Academy of Professional Coders
  • SUNY Empire State College
  • John Hopkins

Job Titles Held:

  • Revenue Cycle Projects Analyst II
  • Senior Medical Service Coordinator
  • Attendance Clerk
  • Patient Registration Coordinator
  • Office Assistant

Degrees

  • CPC-A Certification
  • Associate of Science
  • COVID-19 Contact Tracing Certification

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

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