Health Insurance

Melissa A. Peglowski

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

** ***** ******* #* ***********, New York 14225 716-***-****

OBJECTIVE Professional Business Administration Graduate with a firm foundation of technical knowledge

and practical application seeking a business opportunity in the healthcare setting.

EDUCATION CANISIUS COLLEGE, Richard J. Wehle School of Business

Master of Business Administration, GPA 3.2, expected May 2011

UNIVERSITY AT BUFFALO

Bachelor of Science in Business Administration, Finance Concentration, 2009

EXPERIENCE Kaleida Health Corporate Finance, Buffalo, New York

Reimbursement Analyst, 10/09-Present

• Coordinates and prepares state cost reports for yearly filing which includes in depth analysis

of hospital and skilled nursing revenue trends and performance statistics

• Acts as the lead analyst for the Office of Mental Health clinical restructuring process and

reimbursement projection tool model

• Proactively completes Statewide Pool and Hospital Cash Assessment analysis for monthly

submission and also determines the impact on reimbursement

Kaleida Health Suburban Emergency Room, Williamsville, New York

Patient Registration Representative, 5/09-10/09

• Completed registration, insurance verification, and financial clearance processes in

accordance with HIPPA guidelines

• Interviewed patients/guarantors to obtain confidential demographic, clinical, and

financial information necessary to appropriately treat and bill patients

Kaleida Health Flint Laboratory, Williamsville, New York

Laboratory Processor,2/08-4/09

• Conducted weekly audits of laboratory specimens in order to maintain accurate data logs for

Department of Health review

• Communicated plan of care and follow up with third party insurance payers to ensure

effective resource utilization during the continuum of care

Kaleida Health Corporate Executives at Larkin Exchange, Buffalo, New York

Internship with Vice President of Financial Operations, Fall 2008

• Analyzed and maintained correct financial reports including Payment Variance, Pre-Bill Edit,

Accounts Receivable Aging, and Cash Posting

• Assisted in setting up monthly access forms for budget analysis

COMPUTER Advanced in Microsoft Office Programs, Oracle Discover, Cerner, Eclipsys, Magellan

SKILLS Familiar with Lotus Notes, Adobe Pagemaker, JavaScript

ACTIVITIES/ Member, University at Buffalo Alumni Association, 2009

AFFILIATION Member, Healthcare Financial Management Association, WNY Chapter, 2009

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