Business Intelligence Analyst

• Jan 2023 - Present

Quality Assurance Billing and Coding Specialist

• Jan 2020 - Jan 2023

Demonstrate knowledge of insurance providers and process payments accordingly. Resolves conflicts and issues with speed and efficiency. Consistently achieved 98% of accuracy as confirmed by regularly balanced batch reports. Recognized patterns and communicated departmental inconsistencies, reducing the team error rate. Submitted insurance claims using the correct ICD-10, CPT, and HCPCS codes. Demonstrate knowledge of insurance providers and process payments accordingly. Resolves conflicts and issues with speed and efficiency. Consistently achieved 98% of accuracy as confirmed by regularly balanced batch reports. Recognized patterns and communicated departmental inconsistencies, reducing the team error rate. Submitted insurance claims using the correct ICD-10, CPT, and HCPCS codes.

Report Specialist

• Dec 2019 - Apr 2021

Ran reports using the Cerner eHR and Credible eHR.Developed a Custom AD HOC in Credible to run the weekly reports.The reports are saved as an Excel file.

Billing Coordinator

• Apr 2019 - Nov 2019

• Works with Case Managers to obtain income, debt and asset information to qualify for Medical Assistance SSI/SSD, food stamps, Medicare D• Also submits paperwork to ensure continuing eligibility for benefits• Maintains and updates data and files on clients to facilitate eligibility and billing processes, works in several billing systems entering data• Generates reports from EHR and organized it by using Microsoft Excel

Accounting Assistant

• Dec 2018 - Apr 2019

• Responsible for maintaining general ledgers for federal, state and county funded programs and submitting billing for reimbursement• Interacts on a regular basis with individuals recovering from mental illness• Key technologies used: HMIS, EHR, Cerner, Accounting, Reporting, Documentation, Analytics, Healthcare, Filing, Billing, Invoices, Quality Assurance, Microsoft Office, Excel, General Ledger Software

Quality Assurance Specialist

• Apr 2015 - Nov 2018

Develops design documents, user guides, maintenance documents, project documentation, and release documents. Registers new members and updates information for current members. Updates case files to consistently maintain accurate records. Verifies insurance eligibility. Maintains records for over 1,000 members. Develops design documents, user guides, maintenance documents, project documentation, and release documents. Registers new members and updates information for current members. Updates case files to consistently maintain accurate records. Verifies insurance eligibility. Maintains records for over 1,000 members.