Deborah Holzhauer

acuvgw@r.postjobfree.com

727-***-****

Areas of Expertise and Specialties:

Business Analyst SDLC Account Management Revenue Cycle Operations Project Management Process Improvement Work Flow Analysis Complex Problem Resolution Operations Staff Management Team Building and Development Implementation Strategy

Professional Experience

AR Assist, LLC March 2012-Current

Consulting Project Based Revenue Cycle Management and Operations

Analytical collectable model of self-pay collections and revenue cycle management that is specialized for Hospitals, Provider Groups, and Medical Debt buyers

Single point of contact handling disputes, backup requests, insurance verifications/billing current CBO (Central Billing Office) or ours if we manage your billing/coding. Handling all remits and sent to clients and providing monthly status and payment reports.

Providing consulting services on all coding and billing projects

Interaction will major payers for the purpose of collecting claim denials and recoupment of funds

Consult on debt buying purchases upon request

Community Health Systems August 2014 – February 2016

Operations Business Analysis Process Improvement Revenue Cycle

•Revenue Hospital application Implementation of new enhancements providing expert support

•Prioritized and Managed multiple projects and implementations for multiple facilities and ensure delivery was on time without issue

•Triage all support and enhancement requests presented to the development team securing information from outside sources and business users

•Coordination of team meetings, conference calls producing outcome status reports in a Project Server environment.

•Proven ability to think outside the box to initiate better workflow or to decrease number of support incidents and to improve customer satisfaction

•Organize, lead and initiate meetings for executive leadership to provide status updates on all project assignments

•Worked in fast paced environment to meet deadlines and government mandated enhancements

•Conducted all aspects for ICD10 preparation testing, go live and ongoing support efforts. Quality control of the ICD10 testing project as well as the Revenue Stabilization initiative. Improved processed improvement and workflow efficiency for managing the SDLC process for the development team. Interaction with Coding Vendor and Coding team for the purpose of ensuring 100% compliant for processing claims

•Design, create and utilize test scripts to ensure accurate application performance is delivered

•Team efforts and mentoring to other staff to ensure the progress and handoff was smooth

Advisory Board Corporation/Southwind Healthcare October 2012 – February 2014

Client Relationship/Project Management / Revenue Cycle Management/Policy & Procedure Consulting

•Initiate and Maintain Client relationships while developing staff and policy and procedures for new business office of Hospital Owned practices under a new corporate entity consisting of 200+ physicians

•Ability to collaborate with the vendor, training team and developers to test software and workflows are delivered as expected

•Escalated issues as needed to vendor with examples and possible resolution

•Performed analysis of data for the purpose improving error tracking, denial management and resolution for correct claim payments based on government issued fee schedules

•Identified Collection Vendors and financial Auditors to determine outsourcing of accounts receivables

•Communication with all senior management from COO, CFO, CIO, VP, Directors as well as Hospital IT/IS staff to Senior management overseeing the Central Business Office.

•Organized, conducted and attended all meetings for the purpose of Revenue Cycle Management processes which included in person meetings, emails and formalized brainstorming meetings to assure successful roll out with both leadership and physician practice staff members

•Consulting with vendors and other consultants for the purpose of redesign and configuration of new revenue cycle application and electronic health record.

•Implementation, training and support of Bank Of America Web based Payment Application with direct deposit and identified improvements to application with vendor developers that improved performance and added new functionality

Independent IT consultant

Emdeon Business Services /Comprehensive Behavioral Health/Covenant Surgery Center August 2010 – October 2012

Business Analyst, Project Management/Process Improvement Consultant

•Project Management of a Multi-State ambulatory surgery center corporate business office providing Client to vendor technical liaison analysis

•Meetings with client executive leadership and vendors providing status reports of the resolution optimize reimbursement and automation

•Direct communication via in person, emails and conference calls with VP of Operations at client site and implementation management teams from Emdeon and Fifth-Third Bank

•Review Large quantities of Data for the purpose of identifying anomalies, shortpays, denials, and error rates for establishing process improvement

•Established protocol for automated processes for inventory, purchase orders and supplies with bar code scanning and on line inventory order purchases

•Results were manifest by the Improved collections with highest documented reimbursement in history of surgery center

Sonix Healthcare Solutions 2008 – 2010

Client Relationship/Project Management / Revenue Cycle Management

•Client Relationship and Account Retention Initiatives

•Deployed proprietary medical practice management software for revenue cycle including electronic claims processing and automated payment posting from Emdeon, McKesson and Availity

•Led multiple projects for implementation, of Electronic Medical Record system, Wireless Handheld charge capture, and practice management deployment

•Created documentation for user implementation, setup and training for practice management system

•Migrated existing clients from third party platforms to the Sonix software practice management application

•Evaluated practice management software to continually identify improvement of scalability and processes

•Collaborated with offshore resources to ensure improvements were documented and tracked

•Daily, Weekly and Monthly review of accounts receivables with Sr. VP of service delivery and the CEO

Med3000 Corp. (formerly iLIANT/National Medical Systems) 2000 – 2008

Client Relationship/Project Management / Revenue Cycle Management

Application Service Provider-Project Management / Revenue Cycle Management / QA of custom designed Automated Software Modules/HL7 integration Third Party Products

Summary Highlights:

While employed with iLIANT/MED3000 I led a team of 8 developers that were dedicated to provide integration utilizing HL7 methodology for all of our ASP client base. Automation was a focus to provide efficiency to the business user community as well as improve the bottom line eliminating staff. All paper reports for denials, ASCII code sets were converted to electronic format while using a rules based engine approach. I was the main technical contact and liaison between client/vendor/business community while managing multiple project initiatives. We deployed a variety of Practice Management systems. While working with Sonix in NY I managed the staff that did the integration between two proprietary systems via a web based platform. I have used Unix, Linux, AS400, Mainframe, and SQL platforms. NextGen and Cerner, GE Centricit, etc were part of the hospital style deployment. I have also been a team member in determining best practice configuration setups for various applications.

•Lead Account Technical Management while Collaborating on strategic planning and direct involvement with executive leadership to ensure optimum revenue cycle management for both the company and our ASP clients

•Managed projects from design through implementation and quality control of multi module applications and custom interfaces

•Provided full client services including user documentation and training and ongoing technical support in a “Tier 3” capacity

•Interfaced with health care software vendor senior level management to ensure quality of delivery and innovative solutions

•Assisted sales team with enterprise client acquisition to realize $187K unplanned revenue

•Managed 10+ staff with matrix access to all company resources and perform related scheduling, administration and financial management to ensure employee development

•Developed policies and procedures which resulted in the implementation of incentive sales plans, organizational processes and functional definitions

•Automated client business processes through configured modules (scheduling, back-office management, EDI-billing and collections, clinical records, managed care, etc.) and custom interfaces, with the result being increased financial and operational performance

•Drove the company in the migration to this technology through deep strategic planning efforts and product analyses in order to select only those qualified fully to ensure customer satisfaction

•Performed product management functions to identify, assess and resolve product gaps in functionality and improve solutions

•Analyzed client business operations, industry trends, regulatory and government compliance requirements, and technology advances in order to drive continuous product improvements

•Participated in all aspects of the software development life cycle, including product testing to ensure compliance to documented specifications and quality solution deployment

•Developed national Practice Management and Enterprise Manager implementation plans for large MSO clients (30-2000 seats) utilizing a Unique Identifier across platforms

•Designed and Customized Revenue Cycle Practice Management system to accommodate business operations and work flow for greater efficiency

•Reduced staff by 50% through customization and automation of systems

Skills

•10 + years healthcare experience

•10 + years IT experience hand on

•10 + years system and application analysis

•10 + years project management experience

•Enterprise Web and Server based application implementation, training and support

Soft Skills:

Flexible, Excellent Communicator, Mentor, Professional, Volunteer Efforts, Planning Expertise, Problem Solving, Teamwork

Education

Studied at Miami University

Microsoft application certification

Former Licensed Member of A.R.R.T.

Diagnostic Radiologic Technologist, R.T. (licensed expired)

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