Trizetto, Formerly Gateway EDI – City, STATE , Implemented innovative programs such as a recognition team to increase employee loyalty and reduce turnover.Coordinated GAP Assessments for billing system transitions for the academic hospitals.System adhoc reports/reporting for the Revenue Management and Finance Managed staff responsible for developing.Managed the charge interface for errors, late charges process and complicated charge corrections.įor building and maintaining Children’s insurance master, contractualĪdjustment calculations, and fee scheduleĪnd access profiles for the billing application systems related to Patient Access/Registration and Patient Accounting billing environments.Managed system testing for the academic hospitals to include system upgrades,ĭownstream testing, Charge Description Master testing, ICD10 testing, Room/Bed, building new clinics,.Managed the Go-live efforts for vendor upgrades for the academic hospitals that included the MyAbility vendor for eligibility and Medicare access platforms, the Powerflow vendor for documentation storage, and The SSI Group vendor for electronic claims and ERA submissions.Coordinated testing efforts with Insurance payers and communicated testing strategies, efforts, and statistics to upper management. Applied ICD-10 coding to multiple billing systems. Coordinated testing efforts with registration, billing, and coding for testing purposes. Project Manager for the ICD-10 Go-live for the two Academic facilities at BJC Healthcare.Educated management and staff of timelines and changes to operating systems. Monitored timelines and flagged potential issues of concern specific to vendor readiness.
EPIC CHARTER SCHOOL START DATE UPGRADE
Collaborate with charge router and PB billing leads for EPIC analysis and build for charging.Īpplication Support Manager, 09/2012 to 09/2015.Closely collaborated with management team to make necessary improvements and satisfy Physician's inpatient charging requirements for academic and community billing structures.Partnered with legacy billing teams for functional testing, application testing, and charge testing.Produced spreadsheets, power-points, visios and other documentation for charge testing and go-live readiness.Investigated and reported issues relating to charge discrepancies.
EPIC CHARTER SCHOOL START DATE PROFESSIONAL
Facilitated bi-weekly meetings for integrated charge areas to include Hospital outpatient departments and professional billing workflows.Analyzed and built preference list for Inpatient/Outpatient charge capture in EPIC.Provide subject matter expertise to billing and charge related build for both Hospital, Professional, and Hospice billing needs.Updated charge triggering methods, assisted with record build, and validation of charges based on revenue risks/growth. Evaluated each application team's workflow for charge build in EPIC.
Analyzed, configured, and build eleven hospital's revenue locations and completed department and cost center assignment table build of over 600 cost centers in EPIC.Analyzed, configured, and build eleven legacy charge masters, consolidated them, and completed charge master description build in EPIC.
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