PROFESSIONAL SUMMARY

Epic certified Instructional Designer and financial counselor with over 13 years of industry experience specializing in Epic Resolute® Hospital Billing

Instructional Designer for 2 successful go-lives across 2 facilities

Experience developing classroom training materials for staff and end-users and distance learning materials for users working remotely

CORE COMPETENCIES

Curriculum Development and Environment Build

Workflow Analysis

Build process

Custom dashboard reports

Environment Testing

Classroom Training

TECHNICAL COMPETENCIES

Epic Resolute Hospital Billing Administrator 2010 Certification

Epic Resolute Hospital Billing Administrator 2012 NVT

Epic Resolute Hospital Billing Administrator 2014 NVT

Epic Single Billing Office Administrator 2010 Certification

Adobe Captivate 6 Certification

KEY ACHIEVEMENTS

PROJECT

ACHIEVEMENTS & OUTCOMES

Maricopa Integrated Health Systems

Manager Collections & Interim Director, Patient Financial Services

Reorganized Collections/Denials staff to create consistency and better communication between users

Identified error in vendor billing that resulted in recouping over $40,000.

Collaborated with PwC to roll out department wide refresher training

Worked with Grants department to create a charge review report for charge audits.

UC San Diego Health Systems

Epic Resolute HB Instructional Designer

Designed and built master training environment for go-live end-user training

Modified and supported the Epic Resolute for Hospital Billing training environment post go-live.

Provided direction to UCSD application coordinators and operations leads to develop the training program for the Epic Resolute Hospital Billing application

Credentialed and trained UCSD FTE to take over managing and maintain training

Mastered UCSD organization's specific workflow

Developed curriculum for custom workflow for Clinical Research department

Developed and implemented training program to meet UCSD hospital business office needs

Kadlec Health Systems

Epic Resolute HB Instructional Designer

Created a training program for the patient financial services department to prepare for companywide implementation of Epic system

Collaborated with various departments outside of patient financial services to provide training and support

Developed all curriculums for classroom training, including PowerPoint briefings, lesson plans, workbooks, and end-user proficiency assessments

Rebuilt master training environment to model refined production environment

PROFESSIONAL HISTORY

Leidos Health 2013 to March 2015

Maricopa Integrated Health Systems December 2014 to June 2015

Interim Director, Patient Financial Services

Collaborated with MIHS leadership to realign collections and denials staff and re-engineer work queues to support updated department org structure.

Interim Director of MIHS Business Office with responsibility for department budget, margin improvement initiatives, and management of day-to-day operations of department of Patient Financial Services.

Identified overcharging practice by vendor which resulted in recouping over $40,000 for the facility.

Developing a subcontract to eliminate facility cost for transmitting supporting clinical documentation to payers. This will re purpose 1 FTE position currently need to complete work scope.

Leading groups within Patient Financial Services to refine current workflows to create efficiencies' and increase cost savings

Maricopa Integrated Health Systems September 2014 to December 2014

Manager Collections and Denials, Patient Financial Services

Analyzed denial trending reports to identify high volume department owners and areas of opportunity for improved work flow.

Worked with IT leadership to come up with a change control process that would allow the current consultants on site (Leidos Team) to make necessary and recommended build changes to Maricopa's Epic System.

Worked with the Grants department to discuss current charge audit work flow challenges. Made recommendations to leverage automation in Epic to eliminate the manual process and create a more efficient work flow.

Worked with MIHS trainers to implement PwC recommended refresher training to staff.

UC San Diego Health Systems May 2013 to June 2014

Epic Resolute HB Instructional Designer

Designed, built, and supported the Epic Resolute for HB master training environment for end user training

Collaborated with UCSD and Epic application coordinators and operations leads to develop the training program for the Epic Resolute Hospital Billing application

Mastered UCSD organization's specific workflow

Developed and implemented training program to meet UCSD hospital business office needs

Created and maintained all training materials in accordance with UCSD training and documentation standards

Developed curriculum for custom workflow for UCSD Clinical Research Department

Trained Senior Analysts from Clinical Research Department to train custom curriculum

Credentialed additional classroom trainers from within the organization to assist with end user training

Trained UCSD credentialed trainer to take over managing and maintaining training and master training environment.

Created training materials for new staff

Built, tested, and maintained the training environment

Provided weekly status reports outlining work completed, work in progress, risk areas, and recommended risk mitigation plan

Created multiple custom lesson plans complete with customized master training patients

Provided direction to management and IT to create payment posting operational workflows

Teamed with UCSD's HB build team to help identify potential go-live issues and assisted with troubleshooting and feedback

Provided post go-live support to end users in the form of refresher training and retraining for modified workflows

Provided on-site desk-side support, answering emails and phone calls regarding workflow questions and issues, and analyzing, troubleshooting, and offering changes to problem workflows

Created 8 week training program to reduce high volume Claim Edits and DNB’s while giving the end users additional training and increased productivity

Kadlec Health Systems Nov. 2010 to May 2013

Epic Resolute HB Instructional Designer

Created a training program for the patient financial services department to prepare for companywide implementation of Epic system

Collaborated with various departments outside of patient financial services to provide training and support

Developed all curriculums for classroom training, including PowerPoint briefings, lesson plans, workbooks, and end-user proficiency assessments

Modified Epic model training material to provide more comprehensive training for new hires

Trained members of the executive team on high-dollar refund workflow

Modified training material to provide distance training for users working remotely

Participated in multiple areas of build process, including design, validation, development, and testing

Built, tested, and data couriered all types of work queues, account activities, securities, and system actions

Analyzed end-user workflow issues and implemented necessary changes, including rebuilding work queues, modifying account activities, and making enhancements to user roles and securities

Acquired build experience in hyperspace and text, including user securities, work queues, routing rules, account activities, and HSD

Assigned appropriate dashboard reports to entire revenue department

Built custom dashboard reports for revenue department managers

Worked with end users to troubleshoot processes to create efficient workflows

Worked with outpatient therapy services to troubleshoot and create a more efficient revenue reconciliation workflow

Facilitated meetings between end users and managers in various departments to troubleshoot and improve intersection of workflows

Worked with respiratory therapy and the reporting team to create a report tracking non-billable time to accurately measure production of therapists

Analyzed other departments’ end-user securities and access for Resolute HB workflows and made necessary changes

Provided end-users from various departments access to revenue and usage reports

Provided additional training when job roles changed and securities were added

Built training environment and created training patients for that environment

Kadlec Regional Medical Center 2009 to Nov. 2010

Float

Notified patients’ insurance companies at time of initial admittance to obtain proper authorizations

Contacted insurance companies and providers offices to obtain prior authorization for scheduled patient care

Worked with case management to provide proper clinical documents to insurance for prompt claims processing

Provided support to the cash posting group by posting payments from both guarantor and payers

Kadlec Regional Medical Center 2009

Financial Counselor

Verified incoming patients’ insurance benefits for outpatient therapy

Submitted prior authorization request to insurance and provided necessary documentation as needed

Implemented process for accurate tracking of patient appointments and communicated with therapist for prior authorization for additional therapy as needed

Zuroff Orthodontics, Kennewick, Washington 2005 to 2009

Financial Secretary

Managed more than 200 monthly patient accounts, including insurance claims, collections, scheduling, financial reports, production, and doctor referrals

Maintained positive relations with referring doctors and their staff to encourage continuing referrals

Reviewed and extrapolated data for monthly production reports

Created Microsoft Excel spreadsheet to aid in balancing monthly charge account

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