Experience

SPi Healthcare

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

• Epic Analyst

  • Aug 2012 - Present

  The Epic Analyst is responsible for designing, maintaining and supporting SPi Healthcare's Epic clients. The Epic Analyst will monitor, resolve, and coordinate all client requests and work closely with the Epic team to address issues.ESSENTIAL DUTIES AND RESPONSIBILITIES:• Troubleshoot problems and/or questions from Epic users.• Analyze, design, build, document, and maintain the Epic system. • Create and execute test plans to ensure integrity and quality of data of new applications and changes to existing applications. • Assist in the development and implementation of business strategies to improve operational processes and productivity. • Assist the Epic team in providing support to the clients and corporate employees. • Provide insight and input into processes to effect productivity and workflow. • Demonstrate the ability to communicate, collaborate, and consult effectively with all levels of the organization. • Other duties and assigned by Management staff. Show less

• Training & Development Specialist

  • Aug 2009 - Aug 2012

  Collaborate with management to assess training needs, make recommendations, develop training programs, and deliver training classes to both SPi employees and SPi customers. Courses include system-based training (Epic and GE Centricity) as well as topics specific to various job functions within the organization.ESSENTIAL DUTIES AND RESPONSIBILITIES:• Deliver system-based and job-function training courses to new and existing employees.• Extensive Insurance knowledge, experience in SSC’s reimbursement process and expert knowledge in Epic and/or GE Centricity• Create/update training courses to reflect upgrades within billing systems or changes to policies/procedures within departments.• Work with management to assess the needs of each area, assist in the definition of departmental policies and procedures and make training-related recommendations for job-specific training.• Manage the registration process for courses and pre-course preparation (material reproduction, etc).• Responsible for needs analysis, making recommendations for delivery format and development tool set, course design, feedback and post-training evaluation of training projects.• Determines the appropriate delivery medium to be used for assigned projects based on information attained during the needs analysis phase and can explain the rationale for the medium selection. (e.g. live classroom, live WBT, CBT, job aide or documentation.) • Develops and conducts evaluation plans for all educational channels and generates specifications for revisions based on feedback collected. • Develops performance measures which may consist of criterion-referenced achievement tests, questionnaires, interviews, simulation scenarios, or checklists for observation of performance. Show less



SPi Healthcare

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

• Follow Up Associate

  • 2007 - 2009

  This position is responsible for handling the resolution of denials received from various insurance carriers including commercial, managed care, and government payors. This position also identifies issues related to the revenue cycle through a review of denial patterns. ESSENTIAL DUTIES AND RESPONSIBILITIES:• Identify and review delinquent accounts, aging periods, and payment sources• Analyze weekly denial report to spot trends for assigned insurance carrier(s) • Perform reimbursement follow-up with insurance payor and/or patients• Resubmit claims to third party payors• Contact insurance carriers to resolve denials and prepare appeal letters to insurance carriers• Review explanation of benefits • Contact client for missing data elements or information on claims and perform charge corrections • Contact lawyers involved in any third party litigation• Post denial codes and adjustments on patient invoices in practice management system • Update registration information when necessary• Follow and report status of delinquent accounts Show less

• Customer Service Representative

  • 2004 - 2007

  The core responsibilities of a Customer Service Representative is to support patients’ billing inquires as it relates to explanation of benefits, financial assistance, patient disputes, insurance verification, credit card payments and other billing inquiries. ESSENTIAL DUTIES AND RESPONSIBILITIES:• Handling inbound call volume within call center metrics guidelines and productivity expectations• Properly updating account information (registration, insurance, etc.)• Provide detailed documentation for all accounts• Follow-up on all customer related issues not resolved during initial contact• Patient call backs• Handling and completing patient correspondence in a timely fashion• Other duties as assigned Show less