Research Analyst II

• Nov 2019 - Present

Business Data Analyst

• Jun 2015 - Apr 2019

Business Data Analyst III - Family Medicine • I managed a large project portfolio, overseeing 4-6 analysts and administrative assistants, to utilize data to improve billing processes, refine provider compensation models for Pediatrics, Ob/Gyn, Center for Women’s Health, and the Institute for Developmental Disabilities. • Implemented an Agile development environment and provided project management support for a team of 6 developers and multiple outside analysts and administrative assistants. • Designed and deployed reports - including healthcare, production, and financial reporting. Gathered requirements and directed other staff in developing reports for customers. • Achieved Epic Clarity Ambulatory, Shared Clinical Data Model, and Caboodle certifications. Achieved Epic ASAP (Emergency Medicine) and Beacon (Oncology) proficiencies. • Led or participated in multiple successful process improvement initiatives, including development of plans to meet CCO and NQF metrics in a primary care setting. • Worked with Residents and Medical Students to develop and implement Quality Improvement Initiatives and support academic projects. Played a leadership role in meeting data requirements for clinical studies, including assisting in the authoring of papers for publication and grant proposals. Show less

Senior Business Systems Analyst

• 2010 - 2015

Responsible for maintaining and configuring Clinical Care Advance, the Health Care Services Medical Management tool, incorporating Utilization Management, Care Management, and Disease Management functions Worked with business owners to obtain requirements for changes in configuration and implement those changes Conducted requirements gathering sessions ranging from simple email conversations to detailed multi-day design sessions Conducted scrums for the team and maintained Rally as our Agile tool Worked with multiple vendors and Cambia IT to design data feeds into CCA and complete the configuration to present those to users Maintained the security of the application by conducting periodic audits of user ship Assisted business with process improvement, facilitating process mapping and Kaizen events with rapid prototyping and testing of configuration changes Prepared and conducted Unit and UAT testing sessions on new and changed content. Show less

Referral and Coding Specialist/Revenue Cycle Specialist

• Jun 2010 - Jul 2011

Coordinated referrals to specialist offices, including sending medical records, scheduling appointments on behalf of patients, providing reminders to patients of their appointments, and following up with patients after their appointments Coded visits, procedures and diagnoses, ensuring that all charges were captured and that the billing and diagnosis information was accurate Was instrumental in implementing the medical home model at the clinic Scheduled and obtained prior authorization for imaging and other procedures Communicated with insurance companies as needed, obtaining referrals and prior authorizations, and confirming coverage and benefits Acted as liason with the billing office, serving as the first point of contact for patients with billing questions Developed new streamlined processes to elimate wasted time and save money Show less

Technical Care Coordinator

• Aug 2005 - Jan 2009

Scheduled appointments for imaging and special procedures Obtained insurance authorization for procedures Collected complete and accurate demographic information Facilitated the creation of living wills Met with patients to explain payment plans and financial arrangements Collected deposits and payments Proofread radiology reports, eliminating errors and ensuring absolute accuracy of medical records and charges Wrote or formalized many departmental processes Wrote procedure manuals for scheduling special procedures in the Imaging Center, resulting in faster and more efficient service for physicians and patients Utilized 4-line phone system, handling 100 or more incoming and outgoing calls daily Other Duties Served on Hospital Safety Council as a Departmental Safety Officer Cross-Trained to Surgery Scheduling, Inpatient Unit Secretary, Inpatient Nurse Technician Regularly mentored new employees, educating them in hospital policy and procedures Show less