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Manager Customer Service

Location:
Glen Allen, VA, 23060
Posted:
August 22, 2011

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Resume:

Asghar Valad

**** ******** ****

Glen Allen, VA 23060

C: 804-***-****

abgwd3@r.postjobfree.com

EDUCATION

. Tehran University Bachelor's Degree in Accounting 1979

. Iranian Armed Forces - 2 years service and communications credits

. Advanced training completed for Microsoft Excel, Vision Clear Access,

Business Objects, Monarch, Easy Macro, Automate and Data Pump software

. Certification Microsoft MCP

. Model-Netics certification for completion of leadership training

. Epic Certification for ADT/Prelude, Cadence, Resolute Hospital Billing

and Charge Router

PROFESSIONAL HIGHLIGHTS

. Thirty years experience in healthcare information systems

HSO BSHSI Revenue Cycle Director for Epic Implementation

. Design overall revenue cycle strategy to ensure revenue neutrality or

increase for all facilities

. Oversaw testing for revenue cycle applications including Cadence,

ADT/Prelude, HIM, Identity & Resolute

. Oversaw all clinical workflows related to charges for ASAP, Willow,

Orders, OpTime, ADT & Clin Doc

. Oversaw all charges coming from ancillary systems

. Oversaw support for all revenue cycle applications

. Oversaw MRN and CDM clean-up

. Created interface mapping for 2 facilities in Greenville, SC using HBOC

for registration and billing, while implementing Epic clinical

applications including Willow, ASAP, Clin Doc, Orders, Beacon, OpTime and

BedTime, Developed charging methodologies for ASAP, Willow and OpTime

and 13 clinical departments to ensure charge neutrality and charge

capture in Epic and interfaced back to HBOC.

. Worked with senior leadership on decision to purchase and implement Epic

revenue cycle applications including Cadence, ADT/Prelude and Resolute

Hospital Billing.

. Created interface mapping for 13 facilities to interface with legacy

Invision to Epic for CDR (Clinical Data Repository) for clinical EMR

. Implemented Epic revenue cycle and full clinical applications in 4

Richmond facilities. Developed all charge methodologies for Epic

including Clin Doc flow sheet rows, Orders charge navigators and charge

Router Charge Entry. Developed methodologies for charge capture from all

ancillary systems including SunQuest lab, Novius radiology and ParX for

supplies.

. Dropped clean claims on day 5 for first 2 facilities and day 3 for the

last 2 facilities. First payments received 9 days after dropping claim.

. Oversaw 100% auditing of first 2 weeks of claims for 6 facilities to

ensure no lost revenue.

. Created interface mapping for 3 facilities to interface with legacy

QuadraMed system and implemented ASAP with charge capture at one of these

facilities.

. Tested and validated charging via Epic for Epic Willow, ASAP, Clin Doc,

ParX, Lab and Radiology for revenue neutrality and charge capture for all

clinical departments generating patient revenue

. Liaison between Consolidate Business Office and Epic build teams to

ensure charge capture and valid workflows to maintain operational

efficiency.

. Assisted in CDM standardization and pricing for enterprise of 14

facilities.

HSO BSHSI Manager of Technical Development and Support

. Created contract dashboard for 15 facilities

. Created a parallel database with JDA for South Carolina on a foreign

system

. Standardized insurance plan codes for 15 facilities

. Facilitated the implementation of an IVR and Customer Service Web Tool to

be used by the Call Center for all facilities.

HCA Financial Analyst Manager for Richmond Patient Account Services

. Financial analyst for 28 hospitals in 5 states serving HCA's Richmond

Patient Account Service Center. Hospitals represent 3 corporate

divisions.

. Established Best Practice for correction of interface error reports

between systems

. Migrated 28 facilities to Richmond Patient Account Services Patient

Accounting

. Conversion of Accounts Receivable for 15 non-HCA facilities to HCA

systems

. Conversion of Case Mix for 15 non-HCA facilities. Identified by Corporate

HCA as only facilities done correctly

. Conversion of CDM for 15 non-HCA facilities

. Created standardized monthly Operations Report for administration of 28

facilities

. Standardized payment and adjustment procedure codes 28 facilities.

. Standardized patient account numbering scheme for 28 facilities

. Standardized CDM for 28 facilities

. Standardized Master Files for 28 facilities including Provider, UB92,

Bill Codes, Agency Placement, Collections Messages and Letters, Service

Code, and Insurance Plan Codes

. Established Best Practice for Patient Refunds

. Created Patient Management audit reports to identify errors and

facilitate correction prior to bill drop

. Created High Dollar Follow-up reports to facilitate most efficient

collection efforts

. Established Best Practice for Upfront Collections

. Created Payment Estimator Tool to facilitate calculation and collection

of upfront cash

. Established calculation and reporting for managed care payers to identify

untimely payment

TECHNICAL ACCOMPLISHMENTS

. Automated unbilled reports for 28 facility HIM departments

. Created of Financial Reports for Account Receivable Days, Upfront

Collection, Total Cash Collection, and Medicaid DSH reporting

. Established and automated payment and adjustment transaction line

processing for 28 facilities

. Responsible for testing and sign-off on all data migrations, profile

changes and new system implementation

. Audit any and all systems for inconsistencies as necessary. Provide end

user feedback on system or user issues

. Facilitated the development of policies and procedures for Follow-up,

Billing, Support Services and Patient Accounting Quality Assurance

. Analyze issues to determine root cause (end user verses system). Forward

true system issues with recommendations for correction

VENDOR/APPLICATION EXPERIENCE

. BSHSI - Epic ADT/Prelude, Resolute Hospital Billing, Cadence and Charge

Router. JDA Web Tool, Parallel Database, Letters, Vendors and Re-pricing

HCA - Meditech, PA/Host, Collections, Medicare Discrepancy Tool, MSC Web

Tool, Executive Data Warehouse, OnBase, Quest, MediFax, BCP, IVR, Mobius

and Dashboard reporting

Reporting Software - Business Objects, Vision Clear Access, Monarch, Adobe

and Data Pump.

Microsoft - Word, Excel, PowerPoint, Access and Project

EXPERIENCE

Bon Secours Health System Inc. - Work History and References

October 2005 - July 2011

Revenue Cycle Director - Epic Implementation

BSHSI Enterprise Implementation Team - Richmond, VA

Reporting to SVP Centralized Business Office

. Oversaw all charge activity for Epic Willow, ASAP, OpTime, Orders, Clin

Doc and ADT for 4 hospitals implementing full Epic clinical and revenue

cycle applications

. Dropped bills on day 5 for first 2 facilities and on day 3 for second 2

facilities

. Received 1st payment on day 9.

. Oversaw all charge activity for Epic Willow, ASAP and 8 departments who

charges were generated in Epic with HBOC as legacy for 2 hospitals in

Greenville, SC.

. Revenue maintained or improved at all 6 facilities.

HCA The Healthcare Company - Work History and References August

1985 to October 2005

Financial Analyst Manager - Richmond Patient Account Service Center

HCA Richmond PAS - Richmond, VA

Reporting to CEO and CFO

. Automation of Daily Interface Batch Error Reports by and for responsible

parties.

. Automation and reporting of master file audit reports for all changes

. Implemented email reporting using Business Object, Vision Clear Access

and Data Pump software. Decreased printing and paper expense by 50%.

. Automation of workflow reports driving the operations for Billing,

Collection, Payment Analysis Reporting and Support Services

. Utilized 5 office and 2 home PC's as well as 1 laptop to handle the

volume of automated reports being sent daily.

Bon Secours Health Systems Inc - Work History and References

October 2005 to Present

Revenue Cycle Director - Health System Office

HSO Revenue Cycle Director - Richmond, VA

Reporting to Vice President of Revenue Cycle Services

. Responsible for all aspect of revenue cycle for the Epic Clinical

Implementation of an EMR and the subsequent roll out of Prelude, Resolute

HB and Cadence.



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