Reimbursement Analyst Resume

PROFESSIONAL EXPERIENCE:

Confidential

Reimbursement Analyst

Responsibilities:

Reduce authorization denials for a clinic by approximately $1million through front desk training, updating provider referral forms, and development of tip sheets to ensure proper placement of authorization numbers.
Generate and validate reports to fulfill data requests utilizing Business Intelligence (Business Objects), EPIC, and Microsoft Excel.
Revitalize point of service collections efforts throughout Confidential Health Care entities, through training and modification of current workflow processes.
Partner with clinic managers and leadership to provide training, reporting, and support around improving point of service collections and claim edits.

Administrative Specialist

Confidential

Responsibilities:

Orchestrated the Confidential accreditation process through organizing committee meetings, documenting minutes, uploaded documentation to accreditation website and ensuring adherence to individual standards.
Released $5 million in Confidential accounts by reviewing encounter forms and HER system to enter provider charges.
Utilized knowledge of ICD - 9/10 and 3M to code patient charts.

Administrative Support Supervisor

Confidential

Responsibilities:

Revamped the phone operators’ workflow to improve internal customer satisfactions by developing disease-specific knowledge experts.
Devised a scorecard system to audit and provide feedback to phone operators while ensuring the highest level of patient satisfaction and safety.
Successfully managed a team that fielded 300 - 400 calls daily, with an average time to answer between 20 - 25 seconds.
Recruited and supervised 6 phone operators, and 3 administrative staff in the Adult Outpatient Infusion Center.

Administrative Specialist

Confidential

Responsibilities:

Spearheaded the transformation of the Confidential ’s phone room into a Confidential department by designing and instituting a training program.
Served as team lead of the phone room and supervised a staff of 3.
Reconciled daily appointment list with provider charges to prevent missed reimbursement opportunities.
Generated daily revenue report for all the oncology service line clinic managers and leaders to monitor their clinic’s daily and fiscal year performance.

Confidential

Oncology Patient Coordinator

Responsibilities:

Obtained complete and accurate demographic and insurance information for 50 - 70 patients daily.
Collected and posted patient responsibilities to their accounts.
Scheduled follow-up and ancillary appointments.
Obtained authorization and scheduled Department of Public Safety patients for provider and treatment appointments.

Patient Relations Coordinator

Confidential

Responsibilities:

Provided assistance to patients and families by facilitating communication with medical and nursing staff regarding patient/family needs.
Ensured that all waiting area policies and guidelines were strictly adhered to, and mitigate potential complaints or grievances.

Confidential

Coordinator of Minority Recruitment & Retention Programs

Responsibilities:

Recruited undergraduate and graduate students by representing the college and university at recruitment fairs and conducting high school visitations.
Organized and conduct academic informational sessions for prospective students during campus visitations.
Provided academic intervention and made decisions regarding academic probation status of undergraduate students on the main and regional campuses.
Oversaw the college’s alumni constituent group: supervised graduate assistant; organized and promoted two annual conferences; managed group’s budget; serve as liaison between the group and the college’s faculty.
Maintained stewardship activities by writing and editing correspondence on behalf of the dean.
Oversaw the activities of the college’s alumni constituent society.
Collaborated with alumni and faculty in the development of scholarship guidelines.