High School Insurance

Shannon M. Persha

*** **** ***** ****, ********, IL 60090

847-***-****

********@*****.***

QUALIFICATIONS

. Super user of EPIC

. 8 years of healthcare experience

. 6 years of managerial experience

. Proficient in Microsoft office

EXPERIENCE

GLEN MEDICAL ASSOCIATES Glenview, IL

Practice Manager For Internal Medicine (2006- present) two full-cycle

internal medicine physician practice implementations of Epic's Resolute

Professional Billing module for the Glen Medical Associates. Assisted the

owner with growing the physician practice from 1 physician to 5 physicians.

Got the physicians credentialed with Northshore University Healthcare

System for their Inpatient patient right. Set up each physician's

preferred provider status with 4 insurance companies. Reviewed the

contract fees and adjustments for each insurance company and negotiated

payment schedules and fee schedules.

TRAINING EXPERIENCE

. Provided one-on-one training for nurses, billers, MA's, physicians

and admin(REG/SCHED) on the system from an end user perspective

. Trained from online Modules for EPIC-Ambulatory, Cadence and

Resolute Professional Billing

. Familiar with screen shots and Power point for printed learning

material

. Edited and updated written training material for all new hires

. Taught the patients how to use NSConnect patient portal (Epic's My

Chart module for Northshore)

. Troubleshoot application malfunctions

. Knowledge of Ambulatory workflow (telephone encounters, refill

encounters, addendums, erroneous encounters, etc)

. Acted as the liaison between physicians and all EPIC contacts

. Attended EPIC upgrade seminars

. Tested all upgrades of applications before implementation for all

facets of EPIC and trained all staff on upgrade implementation

. Trained physicians on meaningful requirements & ran reports to

ensure physician compliance

. Working knowledge of the meaningful use criteria of the government

EHR incentive program

. Ambulatory workflow knowledge of rooming patients, administering

EKG's on patients, charting nursing notes, charting immunizations,

charting allergies, vitals, order entry, diagnosis, meds, level of

services, demographics, reports on vital trends, extension of order

exp dates, releasing orders, nursing, physician progress notes,

smart sets/preference lists, & Northshore Connect messaging, etc.

. Facilitated workflow training to staff per the individual physician

preferences

MANAGEMENT EXPERIENCE

. Interviewed and made hiring decisions for all positions other than

physicians including but not limited to: RN's, MA's, front office

staff, coders, billing staff, etc.

. Scheduled group interviews with the physicians and team. Sat in on

group interviews of potential new physician for the practice.

. Ensured all immunizations and allergies were billed appropriately

through Epic's Resolute Professional Billing charge entry and

transaction inquires

. Updated fee schedules based on insurance fees

. Mastered the workflow of Cadence, Ambulatory, and the Resolute

Professional Billing module

. Managed the team's schedules for staff and providers

. Created and managed the template for each provider so that patients

using MyChart could schedule their appointments electronically

. Created and managed the template for the weekly schedule for the

front end staff, physicians, radiologists, and lab techs using

Epic's Cadence module

. Credentialed and re-credentialed all four internal med providers

. Managed all scheduling templates for providers, lab and radiology

. Reported on employee and provider performance and productivity with

use of ALINK and EPIC

. Refilled all prescriptions utilizing E-scribe (e-prescribe) and

Zetafax. Ordered/resulted external exams (x-ray, ultrasound,

cardiac graphics, specialist's office notes, dexa scans, labs, etc).

. Managed Workques and Remittances/errors

. Expert use of scanning hardware

. Utilized Epic's Resolute Professional Billing module to post

insurance and patient payments

. Managed four doctor's In-baskets

. Follow up on all overdue results and orders (Mammograms, Urinalysis,

Colonoscopies, etc)

. Implemented and tracked the new once a month fee to Medicare for all

home health documentation

. Stayed up to date on the latest reimbursements and codes for

Medicare reimbursements

. Responsible for all insurance prior-authorization approvals for

radiology, cardiac graphics and medications

. Lead two monthly meetings with the physicians to discuss new

workflow requests, how to improve clinic productivity, reviewed

error reporting, trained on new ways to utilize the Epic

applications in order to create their maximum workflow proficiency

. Knowledge of Zetafax

FAMILY PLANNING ASSOCIATES Chicago, IL

Administrative Position (2003-11/2005)

. Managed front desk and insurance paperwork

. Answered phones and made appointments

EDUCATION

Maine South High School Park Ridge, Illinois

High School Diploma 2001

DePaul, Chicago, IL

2001-2003(completed course work/ political science)

Contact this candidate