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Project Manager Management

Location:
Toronto, ON, Canada
Posted:
October 26, 2013

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Resume:

Sandra L. Blackman

* ******** **** **********, ** 19809 ( 914-***-**** +

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

Proficiencies

McKesson Horizon Performance Manager Decision Support System . McKesson

Performance Analytics Subset Editor . Meditech Client Server. Meditech

Magic .Siemens Envision. MIDAS. Lawson. Ras Viewer. Next Gen . GE

Centricity Enterprise Systems . Cognos Impromptu Reporting . Powerplay

Reporting . SAP Business Objects . MIQ Reporting . Clinstar . Medical

Manager . Last Word . Info Point . Docuscan . Climacs . Lytec . IDX .

Raintree . Milbrooks . ADS .SQL. Crystal . Access . Excel.

Professional Experience

Catholic Health East (Conshohocken, PA)

2012 - Present

Sr. Data Analyst

. Responsible for data integration, custom interface and audit process

for multiple RHC facilities to gather and manipulate financial and

statistical data to produce budgets and cost analyses to support

operations.

. Serve as the data resource to senior leadership to support the

organizational decision making and strategic planning activities.

. Responsible for developing and maintaining data as well as preparing

and interpreting information, as well as database management of the

decision support system as it relates to data integration and system

maintenance.

. Utilize, support and train facilities on Pathways Contract Management

to recover underpayments as well as Pathway Contract Management and

Denials and Appeal Module Business Insight to maximize revenue.

. Obtain, validate, analyze, report and manage data to support multiple

facilities within the CHE Organization; utilizing operational data

across all Decision Support Systems (DSS) interfacing applications

including Horizon Performance Management, Meditech and Siemens.

Tenet-St. Christopher's Hospital for Children (Philadelphia, PA)

2007 - 2013

Data Analyst

. Performed data collection, tracking and analytical duties in support

of revenue cycle operations and third-party contracting compliance

supporting the decision making process of leadership.

. Responsible for assisting the Director of Revenue Cycle Management,

Directors, Clinicians and Senior Leadership with data extractions and

analysis of the data from the various practice databases.

. Responsible for preparation and distribution of daily, weekly and

monthly reports as well as special projects as assigned in support of

division.

. Responsible for fulfilling Ad Hoc report requests for all of St.

Christopher's Hospital for Children as well as the practice plan.

. Provided ongoing data reports and analysis to all that is relevant to

the outstanding receivables and trends, and assisted in problem

solving, solution development and decision making strategy.

. Established and refined data, reporting, and analytics platform for

operational, clinical and market information, including developing

automated core reports and support for ad hoc self-service analysis

through Cognos, SQL, Access and Crystal Reporting.

. Provided complex, customized analysis and insight on issues important

to system, service line, and entity leadership

. Proactively developed solutions to operational challenges facing

leadership

. Served as a key resource in the design, deployment and utilization of

all systems for data management, Revenue

. Responsible for development, maintenance and reporting of executive

summary reporting as well as detailed key revenue cycle indicators,

MIQ Reports and contract performance metrics, as well as various ad

hoc data requests

. Provided assistance and support to the management team in addressing

any identified special project within Revenue Services including

troubleshooting reporting issues, evaluating receivables performance,

and coordinating special analyses, in order to optimize receivables

performance and support appropriate action plans.

Tenet-St. Christopher's Hospital for Children (Philadelphia, PA)

Application Support Analyst

. Implemented Next Gen EPM and EHR System as well as Training program

for Next Gen EPM and EHR System.

. Created, developed, implemented and maintained the appropriate

training programs.

. Conducted classroom and WebEx system training

. Acted as a liaison between the IS department, sites, and software

vendors regarding specific software product issues.

. Responsible for maintaining, upgrading, and testing new and existing

software applications.

. Worked closely with the Project Manager to establish training schedule

across all entities.

. Responsible for the documentation of necessary training methods and

application processes.

. Collaborated with senior and clinical leadership to schedule and

implement user trainings in the usage and maintenance of software

applications.

. Assisted in process design changes for these applications.

Worthington Consulting Group (New York, NY)

2002 - 2007

Revenue Cycle Director

. Served on the Board of Directors as well as the IT Board and conducted

on-site visits to enhance staff communication

. Provided leadership on the daily operations of all functions of

central billing staff comprised of practice managers, supervisors,

billing representatives and support staff totaling employees.

. Provided direction to staff to ensure adjudication, admissions and

billing functions were being performed accurately and in compliance

with established policies and procedures to achieve goals as defined

by the director.

. Analyzed and improved the performance of front-end billing operations

through development and monitoring of performance criteria related to:

- Front end patient data acquisition and management

. Coordinated the overall functions of Revenue Cycle Department to

ensure maximization of cash flow while improving patient, physician,

payor and other client based relations.

. Responsible for the oversight of all business related functions of the

patient visit from point of entry to accurate adjudication of accounts

as well as analyze and identify ways to improve revenue capture.

. Assist in managing and collaborate with outsource billing company and

staff on issues surrounding claims submissions as well as lead the

effort on denials management and design and implement plans for

prevention and appeals.

. Provided ongoing guidance and feedback to administrative directors and

clinical leaders on key indicator trends and performance and

recommends actions to optimize revenues and reduce barriers that

reduce collectibles

Worthington Consulting Group (New York, NY)

1994 - 2002

Data Analyst

. Designed, developed, edited reports and analyses.

. Identified medical claim billing and payment trends and issues through

data analysis and provided recommended overpayment targets for review.

. Maintained tracking databases for overpayment identification and

recovery activities.

. Worked with various manager and other organizations to collect data

. Piloted automated appointment scheduling for all clinical departments.

. Maintained relationship with internal and external staff to ensure

expectations were being met.

. Monitored and reported revenue received vs. revenue expected, writing

and analyzing statistical reports to maximize financial reimbursement.

. Supervised maintenance of all internal PC networks

Education

Walden University

Bachelors

Present

Computer Information Systems

Health Informatics



Contact this candidate