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Senior Revenue Cycle Consultant/Support Analyst Resume Example

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SENIOR REVENUE CYCLE CONSULTANT/SUPPORT ANALYST
Summary

Revenue cycle and MEDITECH expert with over seventeen years of experience supporting, implementing and optimizing MEDITECH revenue cycle. Strong project management skills coupled with an exceptional understanding of the MEDITECH revenue cycle and financial management suites, as well as an understanding of clinical systems and their relation to the revenue cycle. Helped clients of various size and scope to get the most from their revenue cycle and MEDITECH.

With regards to soft skill set, has strong communication skills and is able to effectively collaborate with Information Technology stakeholders as well as revenue cycle staff and leadership. Proven record of being able to analyze and solve problems and believes in the power of collaboration of teams.

Accomplishments
  • Lead the conversion of financial and MIS applications for several MEDITECH 6.0 HCIS implementations.
  • Project managed and provided detail subject-matter-expertise for implementation of various claims and remittance transactions including 5010, 837 and 835.
  • Provided leadership for HIPAA EDI transaction implementations.
  • Trained a number of facilities in the optimal use of the MEDITECH revenue cycle applications.
  • Lead and supported a number of MEDITECH revenue cycle upgrades and conversions.
  • Presented at MUSE on HIPAA transactions.
  • Integrated many third-party applications and systems with MEDITECH's revenue cycle applications.
  • Participated in the Massachusetts NEHEN project to share information among healthcare providers and payers.
  • Information Systems Project Manager for ICD-10 conversion
  • Played a key role in getting AR days down to 39 days from 80+ days at a major Massachusetts hospital.

Experience
Senior Revenue Cycle Consultant/Support Analyst Dec 2011 to Current
 Healthcare Revenue Strategies, LLC － Hampden, MA
  • EDI Project Manager - 837/835 5010 Implementation 6.0 Conversions/Implementation Muse Presenter (HIPAA Transactions) HIPAA compliancy expert and trainer.
  • Worked on Massachusetts NEHEN project.
  • Successfully Implementations of 835/837 Intermediate NPR report writer.
  • APC Implementation including 3M interfaces.
  • MEDITECH Medical Necessity.
  • Integrated a web-based scrubber (Medeweb, Medessary, Comply) to the MEDITECH B/AR module.
  • Converted bad debt collection agency submissions from hard copy or Tape to FTP transfers using NPR report writer to format the data.
  • Fulfill DHCFP requirements including quarterly reporting and audit support.
  • Completed all 4.71 thru 6.0 MEDITECH systems update testing and training.
  • Analyzed existing proration rules and statement cycles for various Patient Accounts Directors.
  • Successfully implemented MEDITECH's Medical Necessity enhancements.
  • Set up and tested MEDITECH's APC enhancements.
MEDITECH Independent Consultant Jun 2000 to Dec 2011
 Independent MEDITECH Consultant － Methuen, MA
  • Meditech 6.0 Conversion - Financial and MIS Applications Meditech 5010 Conversion Expert knowledge of HIPAA EDI 837/835 On-site MEDITECH EDI project management.
  • On-site Billing Accounts Receivable training and support.
  • B/AR Project Management and update testing.
  • General Financials Project Management and update testing MEDITECH expert in all Financial Modules.
  • NPR report writer - Intermediate Level Billing and Revenue Cycle Audits.
  • Statement/Collection Program Implementation and solutions.
  • HIPAA Compliancy Issues.
Systems Analyst Jan 2003 to Dec 2004
 Youville Hospital － Cambridge, MA
  • Develop electronic claim submission and remittance projects.
  • Write NPR reports for Patient Accounts and Financial Directors.
  • Build, support and maintain all B/AR dictionaries and parameters.
  • Support upgrades and enhancements related to the financial modules.
  • Head trainer in the Patient Accounts Department.
  • Support hardware and software within the Patient Accounts Department.
  • Work with all other financial modules and have working knowledge of the clinical modules.
  • Work with a team of IS professionals to maintain a high volume HIS.
  • Daily support of PCACE, BCACE, Accuclaim, Medeweb, ISI/Beacon Secondary Billing, Express Bill, CCI, Blast, WS_FTP Pro, MSM Med Surg, Claredi, Xactimed.
Systems Analyst Jan 1999 to Jan 2002
 Northeast Hospital Corporation Northeast Hospital Corp, including Beverly Hospital, Addison Gilbert Hospital, The Hunt Center － Beverly, MA
  • HIPAA EDI Project Lead for Care Group Information Systems.
  • Development and implementation of the ANSI 837 Claim Submission Program for Tufts, Medicare, Harvard Pilgrim and Blue Cross.
  • ANSI 837 BETA site contact for WebMD and HPHC.
  • Billing Analyst Lead for Deaconess Nashoba and Waltham Hospital.
  • Medical Necessity Subject Matter Expert for CareGroup.
  • APC Subject Matter Expert for CareGroup.
  • Patient Accounts Department System Trainer.
Applications Consultant Jan 1998 to Dec 1999
 MEDITECH Inc － Framingham, MA
  • Support the informational needs of customers in the product of B/AR.
  • Answer questions about MEDITECH systems and provide assistance in the testing of upgrades and/or training of hospital staff.
  • Travel to customer sites to conduct on-site audit visits and training related to implementation.
  • Directly involved in the planning, development and presentation of customer seminars and workshops.
  • Conduct in-house training as needed.
Education
Bachelor's Degree, Liberal Arts 1997 Westfield State College － Westfield, Massachusetts

Liberal Arts
Skills

MEDITECH Financial Systems expert; Expert HIPAA Transaction Code sets; Project Management and team leader; Expert NPR Report Writer; Microsoft Office Suites; MEDITECH Expert in all system versions (Magic, C/S, 6.0); Exceptional MEDITECH systems trainer



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Resume Overview

Companies Worked For:

  • Healthcare Revenue Strategies, LLC
  • Independent MEDITECH Consultant
  • Youville Hospital
  • Northeast Hospital Corporation Northeast Hospital Corp, including Beverly Hospital, Addison Gilbert Hospital, The Hunt Center
  • MEDITECH Inc

School Attended

  • Westfield State College

Job Titles Held:

  • Senior Revenue Cycle Consultant/Support Analyst
  • MEDITECH Independent Consultant
  • Systems Analyst
  • Applications Consultant

Degrees

  • Bachelor's Degree , Liberal Arts 1997

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