We provide IT Staff Augmentation Services!

Senior Revenue Systems Analyst Resume

3.00/5 (Submit Your Rating)

Charlestown, MA

PROFESSIONAL PROFILE 
Self-motivated, goal-oriented team player with strong analytical, technical, problem solving, and organizational skills, with eight years’ experience in database implementation, database maintenance and information systems and 6 years’ experience working in healthcare.

  • Work on special projects for executive management, including hardware inventory control and IS department financial analysis tasks
  • Advanced coursework and knowledge in information systems analysis and design
  • Extensively studied data warehouse design and implementation and Internet development with graphics and animations design
  • Highly skilled in customer relations, particularly with vendors and clients
  • Highly efficient in multitasking, including running jobs on computers while interacting with customers while monitoring printers to assure accurate printing of documents
  • Knowledge and understanding of payer, billing, and claims rules and regulations
  • Fluent in Russian and Proficient in Spanish

MAIN SOFTWARE AND LANGUAGES
XClaim, Harvest, IBAX, CCC, SAP, FoxPro, Oracle SQL, Lotus, Visual Basic, Doculex Suite, Paint Shop Pro, HTML, Adobe, XML, Windows 95/98/2000/NT/ME/XP, MS Office, Adaptec Easy CD Creator

PROFESSIONAL EXPERIENCE
Senior Revenue Systems Analyst 2/09-12/09
Confidential Charlestown, MA

  • Inventoried 450+ computers on entire floor, allowing for a timely submission of annual budget.
  • Administered XClaim software for hundreds of Partners member hospitals’ users and managers; maintaining, updating, and changing login IDs and passwords; and assuring uninterrupted access to the software.
  • Worked with these users to resolve any and all issues they may encounter with the software, assuring that thousands of claims and millions of dollars per day got billed correctly and timely.
  • Assured proper sending of 837 files to vendor on a daily basis.
  • Monitored, on a daily basis, the success or failure of receipt of 835 files from vendor and various payers, assuring daily receipt of hundreds of thousands of dollars.
  • Led bi-weekly conference calls with XClaim vendor to describe and explain any issues occurring with software that needed to be resolved by the vendor.
  • Taught new Systems Analyst, in a matter of weeks, all policies and procedures used in department and taught her how to navigate through all systems used by department

Chargemaster Analyst 12/03-2/09
Confidential Boston, MA

  • Conducted and Participate in meetings with vice presidents and directors in the organization to determine new charges needed and to study and correct issues with current charges in cost centers
  • Established and maintain CPT, HCPCS, and ICD-9 codes in company-wide database according to standard guidelines
  • Tracked status of chargemaster projects in common database
  • Assured correct setup of new and existing charge codes in the CDM
  • Corrected Patients’ accounts to assure proper coding and billing
  • Corrected incomplete accounts that lack required insurance, provider, and other information
  • Corrected denials from payors to facilitate rebilling and payment
  • Rectified issues concerning NPIs not properly entered into the system and/or not properly passing over to claims, recovering hundreds of thousands of dollars that would otherwise have not billed
  • Identified and remedy issues pertaining to charge code set-up that impact billing implications and
  • Performance
  • Proactively monitored payor coverage guidelines and program transmittals
  • Trained incoming Chargemaster Analyst in systems and SOPs used by the department and BIDMC in a very short time frame to the point of her being self-sufficient


Independent Consultant 6/02-12/03
Confidential Foxborough, MA

  • Created, maintained, and monitored database of client organization’s members using Microsoft Access
  • Continuously updated client organization’s members’ personal and professional information in database

Data Specialist 6/01-10/01 Confidential South Boston, MA

  • Maintained database, by monitoring entries daily, to ensure accuracy
  • Performed necessary tasks to format images per clients’ request prior to mastering of CDs
  • Performed and improved Quality Assurance duties to ensure accuracy of scanned images
  • Doubled monthly CD production by developing and implementing faster methods and techniques, working overtime, and working on weekends; during which there was a higher computer availability
  • Assisted in scanning documents in absence of regular scanners
  • Maintained CD archive in department containing hundreds of CDs
  • Mastered CDs and assured their timely delivery to clients
  • Interacted, on a daily basis, with coworkers on all levels in the organization
  • Learned new scanning software in a matter of days

IS Financial Coordinator 8/00-6/01
Confidential Lexington, MA

  • Conducted project to uncover over $150,000 in unpaid bills over previous 3 years
  • Monitored corporate data center in order to ensure successful completion of jobs and managed
  • resolution of problems in the event of job failure
  • Facilitated return of equipment upon expiration of leases by discussing and making arrangements with company managers, vendors, and transportation companies
  • Performed intra-company financial transactions on SAP on a daily, weekly and monthly basis, and
  • generated SAP reports for various departments within the company
  • Oversaw payment for services from Medicare to FMC
  • Reduced time spent searching for lease data by designing and implementing lease filing system
  • Trained incoming manager to perform various tasks


PROFESSIONAL AFFILIATIONS

  • Health Information Management Systems Society
  • Young Health Professionals
  • Boston Young Professionals Association
  • Young Adult Volunteer Association

EDUCATION 
Masters in Healthcare Administration

  • Student Representative, Healthcare Administration Program Committee

Bachelor of Science in Accounting Information Systems

CERTIFICATION
Candidate for ITIL V3 certification

We'd love your feedback!