Education
Masters of Healthcare Service Administration, Magna Cum Laude 6/2010
Strayer University, Atlanta, GA
Bachelor of Science in Information Technology, Magna Cum Laude 7/2004
American InterContinental University Online
Experience
Emory Healthcare, Process Improvement/Operations Analyst II-System Support, Atlanta, GA 1/2012 to present
The largest healthcare system in Georgia that is at the forefront of medicine, putting cutting-edge interventional research and technology into lifesaving action within several clinics and hospitals.
Accomplishments:
• Creating a step-by-step manual for the System Support Department that provides current and new staff a go-to resource for processing data dictionary entries and tasks within System Support; in addition, provide visual processes of what to expect when entering data into the dictionaries. This manual will also provide training material for staff in other departments wishing to transition to System Support.
• Increased blood drive collections by 42% in two years for division location.
Key Duties:
• Assist Sections or administrative departments on projects related to clinic operations, revenue cycle functions, patient access services and service/referral operations.
• Analyze organizational systems and processes, make recommendations for improvements and coordinate implementation.
• Act as a project lead in deploying operational solutions.
• Managing the upkeep of physician, employer & insurance entries for invoice billing & setting up new employee system access.
• Coordinate activities related to The Emory Clinic four pillars: Clinical Quality, Patient Access Support Services (PASS), Clinical Ambulatory Redesigned Environment (CARE) and Service & Referral Management; relevant to operational analysis, revenue cycle analysis, financial analysis, and/or process improvement initiatives.
• Secondary role working as a Systems Support Dictionary Analyst.
Emory Healthcare, Process Improvement/Operations Analyst I-Development Program, Atlanta, GA 8/2010- 12/2011
The largest healthcare system in Georgia that is at the forefront of medicine, putting cutting-edge interventional research and technology into lifesaving action within several clinics and hospitals.
Accomplishments:
• Implemented A/R Management production metrics and scorecard to track employee and supervisor performance and attendance.
• Performed quality assurance measures to educate and train A/R staff members.
• Worked Chamberlin Edmonds accounts to increase Medicaid collections by $1 million in charges.
• Proposed plan to increase productivity for payment posting staff by 50% by exploring upgrades in CareMedic software.
Key Duties:
• Rotated between various departments for 2 months at a time to learn department process/production and evaluation analysis.
• Applied knowledge from rotations for process improvement and presented to Management and Directors to approve and implement.
• Completed service coordinator training including a medical terminology course and presentation skill building.
• Lead project implementation through guided mentorship (maintains & deploys solution) and trained new employees on the process.
• Learned strategic initiatives driving operations.
• Learned the various steps of the patient accounting cycle.
• Worked within the Patient Financial Services Division in an 18 month talent development program that puts an emphasis on learning and excelling in patient accounting, and cash flow management designed to cover 3 phases of revenue cycle learning.
American Cancer Society-Winn Dixie Hope Lodge, Volunteer Consultant, Decatur, GA 2/2009-4/2011
A nationwide, community-based, voluntary health organization dedicated to eliminating cancer and improving quality of care by preventing cancer, saving lives, and diminishing suffering from cancer, through research, education, advocacy and service.
Accomplishments:
• Improved best practices by evaluating the loops in the volunteer orientation process and improved intake by 23%.
Key Duties:
• Recruited of new volunteers and plan, coordinate, and implement volunteer efforts.
• Trained volunteers on the check-in process and duties of the lodge.
• Supervised new volunteers until they have completed their 4 week training.
• Placed volunteers in appropriate groups to fit the needs of the lodge (front desk, Cancer Resource Center, crafts, health awareness).
• Conducted meetings with leadership to create and implement new objectives and initiatives.
Harvey W. Watt & Co., Aviation Insurance, Associate Claims Consultant, Hapeville, GA 7/2008-1/2009
A Tier 1 insurance provider supporting pilots and the aviation industry in North America providing loss prevention, medical assistance, and recertification assistance programs for pilots out of work due to medical illness or injury.
Accomplishments:
• Created a company/employee handbook.
• Formed the Claims Intake process for Consultants to allow them more time to process claims and speak with clients.
• Formed and presented the new Mail Support Process to management to allow a more efficient way of obtaining incoming mail.
Key Duties:
• Managed a caseload of 100+ LTD claims, monitored the status of medical treatment and prepared IME’s and peer reviews for disability benefit continuation as needed.
• Reviewed claims in accordance with FAA guidelines to determine if pilots will be released to return to work.
• Confirmed coverage of claims by reviewing plan documents, policies and other information submitted in support of claims.
• Prepared reports and made recommendations based on investigation, denials of claims, and individual evaluation of parties involved.
• Worked with Aeromedical examiners for medical release approval and claims resolution/follow-up via telephone and face-to-face.
• Heavy use of negotiations to meet operational objectives and knowledge of FAA flight regulations.
• Gathered file documentation for review by management and/or review committees consisting of Legal, Underwriting and Medical Departments.
• Completed monthly expense and travel reports.
• Created the Claims Intake process and Mail Support Process.
• Proofread reports prior to being submitted to the airline board for approval.
• Created the claims intake process and handled claims intake for new claims and setting follow up diaries.
The Hartford Insurance Group, STD Ability Analyst, Alpharetta, GA 12/2005 – 7/2008
A Fortune 500 company and one of America’s largest investment and insurance companies. Also an international leader in providing investment products, life insurance and group benefits; automobile and homeowners products; and business property and casualty insurance.
Key Duties:
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