S.N.

12/22/2011
Providence, RI

Position Desired

Healthcare Data Analysis/Management
Providence, RI
Yes

Resume

Objective
Energetic, self-motivated individual with strong organizational and presentation skills seeking a position to utilize my analytical and management skills to help achieve financial growth and stability.

Summary of Qualifications
• Over 10 years of experience within the Healthcare Finance Industry
• Provide efficient, accurate analysis with strong assessment skills
• Produce reports to track and monitor revenue, denials, payment variances, outstanding AR and provider liable accounts
• Prioritize projects with excellent time management
• Effectively lead and motivate staff
• Team player

Professional Experience
CharterCare Health Partners/ SJHSRI North Providence, RI
Patient Financial Services Manager September 2010-Present
• Manage and resolve billing and system issues for a staff of 45.
• Analyze and report on monthly A/R, provider liable adjustments, un-coded accounts and registration/ billing issues.
• Approve and monitor payroll.
• Assist Director in preparing yearly salary and expense budget.
• Actively attend Revenue Cycle, RAC and Leadership meetings.
• Lead BA/R Core team meetings.
• Effectively merged Roger Williams and Saint Joseph Health Services billing departments.
• Key member of the B/AR build into new CharterCare Health Partners billing system.

Denials Management Coordinator March 2007-September 2010
• Imported raw 835 data into denial management software to produce multiple denial reports.
• Analyzed and trended denial reports through pivot tables
• Reviewed all patient financial applications to determine level of charity care.
• Actively involved with and attended Revenue Cycle, Core Team, RAC and Leadership meetings.
• Interacted with all levels of management.
• Managed and resolved issues for a staff of 11 including Medicare, Medicaid, Dental and Client Billers, Bad Debt and Self-pay Liaison, as well as the hospital’s Credentialing and Enrollment Coordinator.

Financial Analyst March 2006-March 2007
• Produced and analyzed reports for revenue optimization, contract negotiations, and monthly financial statements.
• Assisted financial planning with Medicare Cost Report, Medicare Bad Debt Accounts, Contribution Margins, and the Annual Statistical Budget.
• Generated weekly budget variance reports.
• Analyzed accounts in the contract management system to identify payment variances.
• Created multiple financial reports for the Finance Committee and Director of Financial Planning.

Pyramid Healthcare Solutions/Fatima Hospital North Providence, RI
Account Liaison February 2005-March 2006
• Acted as liaison between hospital and th...

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