Teri Pung

Email: abqam1@r.postjobfree.com

Address: *** ********* **

City: Jacksonville

State: FL

Zip: 32259

Country: USA

Phone: 615-***-****

Skill Level: Director

Salary Range: $95,000

Willing to Relocate

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

TERI PUNG

409 Summerset Drive St. Johns, Fl. 32259

Phone 615-***-**** * E-mail abqam1@r.postjobfree.com

STRENGTHS

* 12 yrs MSSQL, Oracle, MYSQL

* 10 yrs leading medium to large size teams in Query Development, BI Reporting and Analytics

* 9 yrs business analysis of medical, pharmaceuticaland financial application systems

* 4 yrs team training (both operational and technical)

* 11 years of building departments and rehabilitation of struggling departments

* OLTP: using 3rd normalization

* OLAP: using Kimble methodology

* Development Applications: SQL 2005, SQL 2008, MySQL, Oracle, SSIS, Informatica, Access, PowerPoint, Visio, SharePoint

* Reporting Applications: SSRS, MicroStrategy, Crystal Reports

* Client Systems: DIAMOND, FACETS, AMISYS, AECES, AS400 Mainframe, eClinicalWorks, Zirmed

* Business Applications: Microsoft Office Professional 2010, Goldmine

EXPERIENCE

2011-2013

ScioHealthAnalytics

Jacksonville, FL

VP Data Mining & Query Development

* Gathered business requirements and translated into technical requirements

* Develop and ensure alignment between IT strategy and stakeholders business plan

* Create query logic across multiple data sets to ensure client deadlines are met

* Create Clustering of data to maximize both load time and run time. (3hr queries now return in 15 seconds)

* Develop new implementation process for client data allowing implementations to benefit the entire company rather than silos of departments

* Identify and make recommendations to resolve company AR issues in the area of collections. Resulting in increase of collection rate by 60%.

* Query Medical and Pharmaceutical claims data from 20m to 500m rows

* Initiate successful rollout of enterprise wide application

* Lead reporting project for operational/tactical reporting

2011-2011

HCA Physician Services

Brentwood, TN

Claim Status Manager - Medicaid/Tricare

* Managed day to day operations of team consisting of 22 direct reports; 12 claim status, 10 denial follow-up

* Ensured third party billing is submitted correctly and follow-up is performed

* Assured claim denials are analyzed, corrected and filed

* Established metrics to manage individual/team productivity and quality expectations

* Successfully developed strategies to reduce work queue inventory days by 20%

* Cross trained staff to improve skill sets and reduce and control inventory spikes

* Created team specific business rules and FAQ`s document to establish smarter vs. harder work mentality

* Developed knowledge base directory to house all team documentation

* Designed team news letter to improve communication and promote discussion

* Introduced and established OZ Accountability Principle; See It, Own It, Solve It, Do It

* Worked closely with other departments to improve and streamline current processes

* Analyzed and reports billing system issues to appropriate team

* Documented and provided business rules/report criteria for audit team to include technical cross reference

2008-2011

The Little Clinic

Brentwood, TN

Accounts Receivable Manager / Query Operations

* Analyze aged A/R inventory and develop solutions to maximize timely collections of receivables

* Validate and approve efficiency and necessity of SSRS reports

* Develop and maintain reports in Co Fusion reports

* Establish appropriateness of data resources; application vs. mirrored vs. warehouse data

* Query MYSQL and MSSQL 2000 data sources

* Support and establish metrics to measure departmental process automations

* Establish productivity calculations for Data Entry

* Provide calculations for A/R cost analysis; departmental budget

2004-2008

AIM Healthcare

Franklin, TN

Director of Query Operations

* Develop and manage focused, highly productive teams consisting of 6 direct and 30 indirect reports both on and offsite

* Head of testing and implementation of Predictive Modeling project

* Implement query automation projects resulting in a 63% increase in efficiency

* Oracle 9 and MSSQL 2005 data base

* Cognos cube design and SSRS reports

* Develop work flows and process plans to intersect each department based on current interactions

* Establish new team metric reporting to better track and measure individual and team efficiency and success

* Lead departmental efforts to ensure timely loading of data, data integrity and query efficiency for refund identification

* Coordinate efforts between businesses to improve team work, knowledge and efficiencies

* Enterprise wide implementation of data to satisfy client and departmental needs

* Present analysis of data to clients interested in AIM`s other lines of business

* Develop technical sales capability for the sales department without having to hire a sales technical team

* Preparation and presentation of Strategic Business Reviews, RFP`s and Operational Assessments for sales and contract negotiations

* Create 30 day, quarterly and annual work plans and daily production tracking to enhance and improve team communication, collaboration, accountability and focus

* Business sponsor and direct resource for all new business projects developed by the IT project management team

* Create a technical directory for the company on who needs to contact who when common situations occur

* Consistently met with executive management to discuss progress of goals across regions

* Strong ability to evaluate and grow individual's strengths in one on one or group setting

* Follows and is HIPAA policy and procedure compliant

2001-2004

Manager of Data Mining Operations

* Sustained a top-performing team of five direct employees focused on identification of data anomalies and patterns resulting in overpayments and direct revenue for the business

* Responsible for quality review of validation steps involving data transformation during implementation for new and existing clients

* Implemented score card system and productivity tracking devises to increase efficiency, daily productivity and ensure accountability

* Mentored individuals across multiple teams and departments

* Set productivity goals and reporting development data mining managers

2000-2001

Data Mining Manager

* Managed data extract consistency and integrity

* Performed monthly data analysis to ensure data quality, identify patterns and anomalies and to understand client internal processes or changes

* Communicated data inconsistencies or integrity issues to team and IT department

* Delivered queried analysis of client data to team for refund identification

* Responsible for auditing billing and payment errors involving Current Procedural Terminology codes, Internal Classification of Disease codes, Diagnosis Related Groups and homegrown codes

* Assisted in writing claims in order to exceed goals

1998-2000

Re\max Preferred Group

Cookeville, TN

Licensed Real-estate Agent

* Assisted agent in increasing properties listed from 35 at time of hire to a consistent 65+ properties listed

* Represented both buyers and sellers in real-estate transactions

* Performed competitive market analysis on properties

* Researched property information using county offices

* Maintained legal documents, rental accounts and business expense bookkeeping

* Completed weekly and monthly advertisements for newspaper, television and magazines

* Designed feature sheets for homes

* Updated listings for Realtors website and advertisers listings

1995-1998

First Tennessee Bank

Cookeville, TN

Customer Sales Representative

* Opened new checking accounts, CD`s, IRAs

* Scheduled investment appointments and referred customers to loan, mortgage and small business departments

* Won numerous top performer awards

* Achieved second in state for investments

* Qualified for the annual Leadership Banquet

* Second in state for all around sales

* Top in sales for introduction of PC Banking in state

* Won numerous awards and trips for bank sales promotions to include computer system, cash awards, trips to London and Jamaica and other various continental locations for sales and service excellence

EDUCATION/LICENSES

1991-1993

Laramie Community College

Cheyenne, WY

REFERERENCES

Available upon request

Micosoft Word Resume Available Upon Request

Contact this candidate