Experience

Azalea Health

• United States
• IT Services and IT Consulting
• 100 - 200 Employee

• Financial Hospital Implementation Associate

  • May 2021 - Present

  -Lead the Financial portion of Azalea Hospital Implementations from kick-off to Go-Live to transition to our Support team. - Develops, schedules, and conducts implementation and training meetings, both onsite with a client and remotely - Conducts workflow analysis meetings across all departments (clinical & financial) at hospitals - Maintains a great relationship with assigned clients - Maintains complete documentation related to all EHR implementation activities - Assists the implementation team with developing training materials - Maintains clear, concise documentation of problems or issues to reduce repeat events - Customizes implementation items, training and/or programs based on individual client needs - Assists in the implementation process of system upgrades and updates training curricula - Demonstrates flexibility with an ever-changing environment that requires meeting the demands of physicians, practice administrators, and other executives Show less



BAPS Non-Profit Organization

• Lilburn, GA

• Volunteer

  • Aug 2007 - Present

  Work with a team of five members to create, organize, and execute events for youth development Mentor youths in their academic, social, and spiritual lives Work with a team of five members to create, organize, and execute events for youth development Mentor youths in their academic, social, and spiritual lives



Cloudmed, an R1 company

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Claims Resolution Analyst II

  • Dec 2019 - May 2021

  Effectively manage over 150 client accounts using best practices of healthcare billing to resolve underpaid claims from HMO, PPO, Medicaid and Workers' Compensation insurances via Microsoft Access and Excel. Articulate contract provisions to insurance professionals for various private insurance payers. Analyze historical data to forecast logical projections and take the lead in reporting and presenting these conclusions to consultants monthly. Maintain constant flow of communication with on-site consultants as primary point of contact. Train and mentor new associates to be proficient with client account resolution processes. Train experienced Analyst Is in career development to be eligible for promotion Develop and deliver multiple training modules for new colleagues Give feedback on Resolution Services Leadership Board. Improve internal processes within the Resolution Services Group Show less



Triage Consulting Group

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Healthcare Consultant

  • Jan 2019 - May 2021

  • Lead and manage payment review/revenue cycle consulting engagements consisting of a team of Associates and Analysts to identify lost revenue and provide feasible revenue cycle improvements.Managed strategy and performance improvement engagements for a variety of healthcare providers• Utilize Access databases to audit managed care contracts, research underpayments, and perform insurance follow-up for 3+ project teams of 2-6 people across 3 states, resulting in over $2MM in recovered revenue• Conduct comprehensive data analysis of hospital claims utilizing Microsoft Access and Excel to target underpayments and analyze trends; effectively manage the volume of audited claims for client reporting• Utilized and customized Triage’s proprietary database software (built-in Microsoft Access) to audit insurance reimbursement accuracy.• Review contractual agreements between hospitals, insurance companies, and applicable legal environments for billing and coding issues, and manage coding of claims with client contacts from identification to final re-billing. • Assessed reimbursement risk based on a variety of billing/coding guidelines including CPT, HCPCS, ICD-9 and ICD-10 Diagnosis/Procedure codes, and DRG.• Compile project update reports containing underpayment summaries, revenue cycle improvements, and contract recommendations for internal management and for client executives, business office directors, and contracting staff.• Compiled and delivered data-driven recommendations to hospital C-suite• Worked on payment review/consulting engagements for healthcare facilities of varied sizes and specialties (trauma, children’s, educational).•Regularly corresponded with hospital business office leaders to present formal analyses, offer process improvement opportunities, and managed care contract recommendations. Show less

• Claims Resolution Anaylst

  • Feb 2018 - May 2021

  • Manage 250 accounts for various providers• Appeal insurance companies claims using provider contract allowable• Review Medical Records for appeal accuracy• Keep up to date with new revenue cycle inefficiencies • Analyze UB04s, Explanation of Benefits, Patient Plan Documents, and contracts• Contact insurance companies to dispute claims that adversely affect revenue cycle• Utilize Microsoft Access to research in house historical data on previous claims• Strategize approaches to resolving accounts efficiently Show less



Ankle and Foot Centers of GA

• Medical records manager / Office coordinator/ Office Consultant

  • Jul 2015 - Jun 2017

  Demonstrate proficiency in taking patient histories and vital signs and performing various diagnostic procedures Ensure the cleanliness, sanitation, and maintenance of all facilities, exam rooms, and equipment Mediate communication between clinician, office staff, and patients (i.e. coordinate physician meetings, explain treatment procedure to patients, help arrange for hospital admission and laboratory services) Provide technical and administrative management while coordinating office logistics Help implement practice's quality assurance and control program, ensuring compliance with medical standards andfederal mandates Settle patient complaints and provided patient advocacy Show less



RaceWay

• Oil and Gas
• 1 - 100 Employee

• General Manager

  • May 2013 - Dec 2014

  Managed employee hiring, evaluation, and training in compliance with company policy Maintained employee records and ensured proper compensation and work safety Analyzed, monitored, and purchased inventory for convenience store Managed employee hiring, evaluation, and training in compliance with company policy Maintained employee records and ensured proper compensation and work safety Analyzed, monitored, and purchased inventory for convenience store



Econo Lodge Inn & Suites

• Hospitality
• 200 - 300 Employee

• General Manager

  • Feb 2010 - May 2014

  Planned and organized employee schedules and oversaw the completion of daily employee responsibilities Communicated adeptly with customers of diverse personalities and backgrounds to ensure customer satisfaction Planned and organized employee schedules and oversaw the completion of daily employee responsibilities Communicated adeptly with customers of diverse personalities and backgrounds to ensure customer satisfaction



Grady Health System

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Volunteer

  • Jan 2013 - May 2013

  Responsibilities included answering phone calls, collecting medicines from the hospital pharmacy,and assisting patientsRecorded patient histories and performed basic procedures such as checking patient vitals Shadowed numerous emergency room physicians Responsibilities included answering phone calls, collecting medicines from the hospital pharmacy,and assisting patientsRecorded patient histories and performed basic procedures such as checking patient vitals Shadowed numerous emergency room physicians