Experience

Tufts Medicine

• United States
• Hospitals and Health Care
• 400 - 500 Employee

• Lead Billing Specialist

  • Jul 2022 - Present

  Woburn, Massachusetts, United States Solve any problems relating to claims submission and payment. Follow up on all outstanding claims with each third party. Ensure that all coding is properly established and input for a given patient account. Researches all information needed to complete billing process including getting charge and diagnosis information from physicians. Train and act as a resource for billing specialists.



Yankee Alliance

• United States
• Business Consulting and Services
• 1 - 100 Employee

• Account Manager

  • Oct 2017 - Nov 2020

  Andover, MA Work with members and distribution partners to identify, present, and realize member savings opportunities through contract uptake. Analyze internal reports with a view toward bringing actionable items to our members. Act as the primary liaison between our members and our internal Yankee Alliance staff, such as the contracting department, and ensure that relevant issues are conveyed to Yankee staff and the highest quality customer service is delivered to our members. Support distributor… Show more Work with members and distribution partners to identify, present, and realize member savings opportunities through contract uptake. Analyze internal reports with a view toward bringing actionable items to our members. Act as the primary liaison between our members and our internal Yankee Alliance staff, such as the contracting department, and ensure that relevant issues are conveyed to Yankee staff and the highest quality customer service is delivered to our members. Support distributor representatives with contract research, relay price points and assist with contract connection. Play an active role in troubleshooting and resolving issues, including contract issues with our suppliers. Support new member implementation. Show less



DePuy Synthes Companies

• Business Analyst

  • May 2016 - May 2017

  Raynham, Massachusetts Fully transition 35 territory offices from SHERPA (current price request system) to PROS (new price request system) while negotiating and facilitating the changes to internal processes. Lead training sessions and provide one-on-one assistance. Develop and refine training materials. Troubleshoot problems. Solve problems with PROS IT. Make programming changes. Validate data, ensure timely data loads, coordinate changes to business rules and data structure. Identify needed changes and… Show more Fully transition 35 territory offices from SHERPA (current price request system) to PROS (new price request system) while negotiating and facilitating the changes to internal processes. Lead training sessions and provide one-on-one assistance. Develop and refine training materials. Troubleshoot problems. Solve problems with PROS IT. Make programming changes. Validate data, ensure timely data loads, coordinate changes to business rules and data structure. Identify needed changes and enhancements; address them as possible.

• Market Analyst

  • Oct 2015 - Apr 2016

  Raynham, MA Generate Market Analytic Profile diagnostic tools. Provide market information to hospitals to support community outreach programs and patient satisfaction goals. Analyze a specific market and associated data, recognize the important potential competitors to include and interact with the field organization. Create reports using CMS and IMS data and MapPoint software.



Fresenius Medical Care

• Germany
• Hospitals and Health Care
• 100 - 200 Employee

• Senior Business Planning Analyst

  • Apr 2008 - Aug 2015

  Waltham, MA Analyze and evaluate data and trends of clinics, patients, and treatments. Create and customize client reports for the Market Development Department. Research competitor progress in the dialysis industry. Create and update training manuals. Train employees on Quickbase and MapPoint applications. Design and update queries, tables, and reports in Access databases. Analyze and resolve database issues. Manage Quickbase internet application by updating and adding users, reports, and data. Create… Show more Analyze and evaluate data and trends of clinics, patients, and treatments. Create and customize client reports for the Market Development Department. Research competitor progress in the dialysis industry. Create and update training manuals. Train employees on Quickbase and MapPoint applications. Design and update queries, tables, and reports in Access databases. Analyze and resolve database issues. Manage Quickbase internet application by updating and adding users, reports, and data. Create and review physician contracts and profiles for the Physician Contracting Department. Show less



ClaimAssist

• Hospitals and Health Care

• Hospital Client Advocate

  • Jul 2006 - Apr 2008

  Newton, MA Support senior management and clients in regards to workers' compensation and motor vehicle claims. Facilitate communication in writing or in person between clients, operations, information technology, and finance. Coordinate new client start ups to ensure technology, staffing, and communication timelines and requirements are met. Create client specific reports and present to clients.



Meadowbrook Insurance Group

• Accounting

• Workers Compensation Claim Representative

  • Jun 2003 - Jul 2006

  Andover, MA Process lost time workers' compensation claims. Review and negotiate cases. Visit clients and injured claimants. Create and update manuals for the claims computer program. Train associates on new systems.