Epic Beaker Application Coordinator

• Sep 2020 - Present

Application Analyst, Epic Beaker

• Oct 2019 - Oct 2022

Chargemaster Analyst II

• Oct 2017 - Oct 2019

Design, build, test, implement, maintain, optimize and supports the SCL system to meet operational and technical needs for the charge description master (CDM) and the Charge Capture team.Assists with proper maintenance of charge master/fee schedules and related functions with CDM Team and in EPIC.Assists with monitoring site charge description masters to ensure compliance with Federal and State regulations, including understanding and applying outpatient prospective payment system (CMS-OPPS) regulations and accurate charge master coding when applicable.Reviews regulation updates (quarterly/annually) and applies knowledge by making appropriate changes to the CDM when indicated to meet compliance.Responsible for data entry, billing/audit questions, facility inquires, education, database maintenance and resolution of WQs.Assist with testing in EPIC build as needed.Responsible to update, maintain and review charge navigators in Epic.Assist with annual/quarterly review of CDM; Including application to billing regulations by government payers and managed care payers that is included in the provider manuals or contracts:Utilize VitalWare for CDM reference and maintenance.Responsible for daily review of assigned Work queues (WQ). Complete appropriate correction to patient accounts: (requires knowledge CDM database and troubleshooting log-in issues, order work flows, downstream system workflows, Epic modules, etc.) Involves knowledge in government regulations, understanding billing rules and payer requirements.Support revenue producing departments, business office, HIM, managed care, and compliance constituents on related charge master and charge capture issues.Customer service and education of CDM and charge capture process.Assists with special projects Show less

Sr. Patient Account Representative

• Oct 2015 - Oct 2017

Medicare and Medicare replacement plans. I was a resource person for all the other billers in the office, helping them with billing guidelines for Managed Care, Commercial, Workman's Compensation, Third Party, and Medicaid. Worked on system file maintenance and built contracts into the system, reviewing claims that didn't pay according to contract terms then working to resolve the issue. Also, I worked the Cash Management side pulling RA's, and reconciling with the Cash Posting team Medicare and Medicare replacement plans. I was a resource person for all the other billers in the office, helping them with billing guidelines for Managed Care, Commercial, Workman's Compensation, Third Party, and Medicaid. Worked on system file maintenance and built contracts into the system, reviewing claims that didn't pay according to contract terms then working to resolve the issue. Also, I worked the Cash Management side pulling RA's, and reconciling with the Cash Posting team

Account Representative/ Legal Admin

• 2013 - 2015

Handled self pay accounts receivable for 10+ hospitals. Arranged payment arrangements based on hospital guidelines, and initiated financial assistance process when patients expressed hardship and met hospital financial assistance guidelines. Handled self pay accounts receivable for 10+ hospitals. Arranged payment arrangements based on hospital guidelines, and initiated financial assistance process when patients expressed hardship and met hospital financial assistance guidelines.