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Skills

  • Supervision
  • Process improvement
  • Tax accounting specialization
  • Communications
  • Hyperion Financial Management specialist
  • Cost reduction strategies
  • SAP expertise
  • Calculating liabilities
  • Data-driven decision making
  • First Aid/CPR

Work Experiences

  • Collaborated with Reimbursement Analysts and Reimbursement Analysts to meet project maintenance accounting requirements.
  • Achieved timely processing without delays.
  • Collaborated with insurance companies.
  • Was in charge of the entire accounting cycle, which included gathering data, preparing documents, completing reports, and closing the books.
  • Automated the reimbursement process.
  • Achieved recovery in 18 months.
  • Audited 2 high-value claims.
  • Avoided penalties of over $14.
  • Achieved a 63% first-pass payment accuracy rate.
  • Built relationships with external vendors and insurance companies to expedite reimbursements, improving turnaround times by 40%.

Summaries

  • Reimbursement Analyst is a multi-talented Reimbursement Analyst who is consistently rewarded for planning and operational improvements.
  • Dedicated to maintaining accurate records and tight controls in order to meet all business requirements.
  • Achieved a 69% accuracy rate.
  • Proficient at gAAP, ledger updates, and report writing.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Involved in ensuring that business operations are fully compliant and within budgetary constraints.
  • Accomplished Reimbursement Analyst with a background in insurance contract interpretation, reducing claim disputes by 31% and enhancing overall approval rates.
  • Advanced knowledge of method and category specifications.
  • Offering 12 years of financial management experience, including payroll, budgets, reports, audits, journals, expenditures, and payments for 6 locations.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the method business.

Accomplishments

  • Reduced claim denial rates by 81% by updating practices in compliance with the latest healthcare reimbursement policies.
  • Created standardized billing documentation, lowering claim rejection rates by 35% within the first 8 months.
  • Collaborated with the Finance Department, streamlining reimbursement workflows and reducing processing time by 4 days.
  • Collaborated with the Operations Team to implement an updated claims management system, reducing manual entry errors by 26%.
  • Resolved complex reimbursement issues by analyzing discrepancies and communicating effectively with both internal and external stakeholders.
  • Utilized Power BI to automate claims processing, leading to a 2% boost in efficiency and faster reimbursement cycles.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Collaborated with team of 14 in the development of method.
  • Developed and enforced a claims escalation process, reducing unresolved reimbursement disputes by 53% over 2016.
  • Analyzed reimbursement workflow data to identify bottlenecks and reduced processing times by 29% using lean methodology.

Affiliations

  • Certified Revenue Cycle Professional (CRCP) - 2017
  • National Association for Healthcare Quality (NAHQ)
  • Medical Group Management Association (MGMA)
  • Association of Healthcare Auditors and Accountant (AHAA)
  • Revenue Cycle Management Certification 2019
  • Association of Certified Fraud Examiners (ACFE)
  • American Association of Healthcare Administrative Management (AAHAM)
  • International Council of Nurses
  • National Association of Insurance Commissioners (NAIC)
  • Payment Card Industry Professionals (PCI)

Certifications

  • Basic Life Support (BLS) Healthcare Provider Certification (AHA)
  • Apple Certified Associate (ACA)
  • Leadership & Organizational Development Certificate – framework
  • Certified in Financial Management Strategy for Healthcare – Vantage
  • Cisco Certified Network Associate (CCNA)
  • Cisco Certified Internetwork Expert (CCIE)
  • Healthcare Financial Data Analyst Certification (HFDA) – AHIMA
  • CompTIA Security+
  • CompTIA Network+
  • Google Certified Professional Cloud Architect

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