Administrator Manager

Tracie escalante

***** **** *** **, *******, WA 98012 479-***-**** ( *******@*****.***

EPIC CERTIFIED RESOLUTE PROFESSIONAL BILLING/CLAIMS ADMINSTRATOR

Epic certified Resolute Professional Billing with experience in Epic

multiple implementations of healthcare information systems. Have a tendency

to gravitate toward challenging projects and take pride in being considered

a dedicated team player and requested resource. One word to describe me

would be 'Determined'.

Expertise Highlights

Certified Epic Resolute PB Epic System DBV, Maintenance and

Administrator Optimization

Certification for Claims Epic Resolute PB Workqueue Build and

Administrator 3/2011 Maintenance

Credentialed Epic Resolute Epic Masterfile and Specific Item

Facilitator Export/Import

Epic Fee Schedule Build and Multiple Epic Applications Collaborative

Maintenance Hands-on experience; Resolute PB/HB

Epic Security Build and Maintenance Billing, Inpatient/Ambulatory ADT/Prelude,

Epic Unit, Regression, Integrated Cadence

and Upgrade Scripting/Testing and Data/Business/Systems Analysis and

Support Strategic Technology Planning

Epic Resolute Professional and System Implementation, Upgrades,

Hospital Build. Optimization and Revenue Cycle Processes

Change Management Process. Perform On-call duties as required for all

Billing applications.

Professional Experience

SWEDISH MEDICAL CENTER - SEATTLE, WA 2/2010 to 4/2011

Enterprise Applications Analyst - Epic Resolute

Professional Billing

Provide IT analysis and system build for Swedish CIS/Epic technology team.

Assist with large-scale enterprise Resolute PB Go-Live processes and

migration projects, systems conversions and performance tuning and monitoring

of Epic applications/systems. Coordinated PB Unit, Integrated and Regression

scripting and testing efforts. Performed PB Security processing for PB

Go-Live events and Production Support and general department support.

MERCY HEALTH SERVICES - ST. LOUIS, MO (stationed in 3/2008 to 2/2010

Rogers, AR)

Epic Resolute Professional Billing Administrator

Provide IT analysis and system build for Epic-Genesis technology team. Assist

with large-scale Resolute PB Go-Live processes and migration projects,

systems conversions and performance tuning and monitoring of Epic

applications/systems. Help set long-range technical direction and capacity

plans. Team Lead over six regions for EPP/EPM. Build and test Epic system

set-up prior to go-live activities and design/test custom modifications to

accommodate special requests/requirements depending on physician specialty.

Assist with Integrated and Regression testing. Gather and assess needs from

internal business units, create custom solutions to resolve issues and

develop functional specifications for Epic system optimization.

GOLDEN LIVING, INC. - FORT SMITH, ar 5/1994 to 2/2008

McKesson HBOC/Horizon Billing Systems Technical Supervisor

Provide object-oriented analysis/design, coding and testing of Hospice and

Home Health accounts receivable management software HBOC/Horizon

application by McKesson. Manage projects that affected the Accounts

Receivable billing and Collections systems. Provide direct support to

Billing Analysts on claim-processing functions. Maintained billing system

updates to include all annual plan billing rates as received, built new

insurance payors and plans (24,000+ plans). Build and update GL interface

mappings for all service types.

GOLDEN LIVING, INC. - FORT SMITH, AR (Cont'd.)

month-end close GL Interface and mapping processes. Support all Hospice and

Home Care locations with technical system support as needed related to

billing/collections system.

GOLDEN LIVING, INC. - FORT SMITH, AR (Cont'd.)

Business Office A/R Consultant

Manage the business office functions of eight long-term care facilities.

Conducted routine reviews of accounts receivable monthly reports and

assisted in resolving issues that prohibit the facility/district from being

successful. Regularly conduct training and consultations on scheduled

basis. Reviewed past due accounts receivables with Business Office Managers

and assisted with necessary corrections to resolve past due account

balances. Assess progress and action taken by ED/BOM and provide weekly

feedback to ensure aggressive and comprehensive collection efforts.

Collections Consultant

Manage revenue for seventeen Hospice agencies. Communicated and reviewed

accounts subject to audit with Executive Director and Business Office

Manager. Performed monthly line-by-line reviews of all outstanding revenue

over 90 days old. Documented procedures used to decrease and resolve aging

balances. Prepared account adjustments and write-off documentation for

processing to corporate. Team lead for Hospice centralized billing office

set-up. Initiated and mastered electronic billing for multiple state

Medicaid programs. Consult with Business Office Managers on rules and

regulations of state and federal insurance programs.

Education

Capella university - Online

Bachelor of Science Information Technology Administration December 2012

DRAUGHON'S BUSINESS COLLEGE - Jackson, MS

Associates Degree in Accounting with a concentration in Legal

Documentation, 1991

Technology Summary

Certification Epic Resolute Professional Billing Administrator 12/2008,

s: 2009NVT, 2010NVT

Epic Claims Administrator 3/2011

Epic Credentialed Resolute Professional Billing Facilitator

Applications Epic Resolute PB/HB, Horizon Homecare, McKesson HBOC, Emdeon

& Clearinghouse and Claims Processing, Mainframe, AS400,

Systems: Intranet/Internet, Microsoft Office.

References Available Upon Request

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