SAP Trainer Analyst
Resume:
Tamara Wilson
page
Tamara Wilson
**** ***** ****, ******, ***** 75236
******@*****.***
Professional Summary
InsightfulHealthcare Billing Data Analyst and Trainerwith (14) solid years of diverse background experience in Business Administration with substantial organization and leadership skills, along with great problem solving, unyielding team building, and excellent project management skills. Proven customer service skills within business environment.Reputation as dedicated, passionate,charismatic, and assertive.Expertise includes:
* EMR/Centricity
* Auditing and QA Tester
* Billing
* Credentialing
* CRM
* ICD9/10
* Staff supervision
* IT Technician
* Training
* Budget and resource management
* Customer Support
* Manuals/Training
Professional Experience
Medical Solutions- (Temporary JobMolina) Dallas, TX July 2013 –Sep 2014
Sr. Provider Relations Regional Manager/Data Analyst
* Responsible for training the entire Dallas Ft. Worth area to build and maintain relationships with specialist and non specialist providers
* Travel to many locations to assist and educate providers and staff with contracts, system data, complaints, appeals medical scriber
* Data Analyst using SQL to update and Review claims and help recover payments balances Data mining
* High level of customer service performs multiple varieties and task
* Familiarize with the different concepts policies and procedures
* Competency, incompetency intakes outtakes authorization
Genesis Physician, Dallas, TX November 2010-July 2013
Billing/Credentialing Supervisor Analyst/Data Analyst
* Reading listening to and correcting transcrips for IPA doctors for all specialties. Implemented and maintainedcredentialing and re-credentialing processes
* Utilized primary source verification license, OIG,NPDB education, malpractice for 18,000 Providers and Nurse Practitionersand mid-level providers
* Created spreadsheets using SQL and oracle to pull the queries out of the data base for two monthly and daily reports Data mining
* Preparedmonthly & quarterly reports usingApogee Query toensure delegated payers compliedwith National Committee Assurancestandards
* Prepared and conducted audits to systematically and continuously monitor academic instruction Medicaid intakes and Authorizations, Scheduling Coordinator pediatric for specific home health agencies clinical research
* Assistedstaff with many projects obligations, scheduled time &attendance, and performed Medicaid & Medicare authorizations
TXU Energy (Pinnacle), Irving, TX August 2008-November 2010
SAPSenior Billing Analyst/Customer Relationship Management Solutions-ISU /SQLIT-POS Technician
* Participated in critical research, using ERCOT and EDI,Crips to resolve customer issues
* People Soft HCM using Super User powered by oracle to write up queries for roles structures and admin.Excel for billing customers, transaction management, Correct, incorrect bills?
* Performed re invoicing, configuration, integration,component modifying strategies?For new program developmentresponsible for maintaining the reliability of the IT environment utilizing HP OpenView’s Management suite of products. Additional responsibilities include:
* Handled adjustments andupdates creating and also deleting error on reports using SQL
* ISU upgrading using SAP Learning Management system 1305-13058
* Corrected Replication and BPEM errors work in hectic schedule rushing to various calls and troubleshooting problems of many clients and customers. Carry all the necessary instruments required for troubleshooting the computers. Carrying the software CDs related to the diagnosis of the computer problems,managed and fixed the auto dialers testers, cables and connectors, anti-virus software, thumb drives, LAN wire connectors and other important software. Ensured business account contracts would replicate and bill customer accurately
* Reviewed, restructured, and updated contracts in SAP NetWeaver
Tiena Health Care, Las Colinas, TX April-2003- August 2008
Project Manager/ Medical Auditor
* Registered new patient information
* Medical Scriber updated existing patient files with new demographics &insurances via internet & phone
* Responsible for LOD and updating policies and procedures
* Auditing CPT codes and billing A/R ICD -9/, Hicfas, EOB financials
* Processed company payroll and PTO time using ADP
* Utilized Systems to perform work EMR/Centricity/SAP/SQLEDI network software and training
* Managed daily reports, audits and payments, while implementing new software programs
Allied Mortgage Grand Prairie, TX (weekends) April 2003-May2011
Loan Processor Office Manager
* Managed and processed files accurately and on-time
* Maintained excellent customer service chapter 11, 13 Bankruptcy files
* Made improvements to processes for bankruptcy and loss mitigation from front end to close of file
* Pulled credit in timely matter and placed clients with appropriate lenders
* Maintained organizational structure and perfected filing system
* Established excellent rapport with customers, colleagues, and management
BaylorHospital, Grapevine, TX (PRN) June2002-Februaury2006
CredentialingSupervisor/ Scheduler /
* Coordinated credentialing/ re-credentialing for medical and allied health staff
* Ensured medical staff complied with JCAHOrequirements by reviewing charts and making sure they are in compliance
* Compiled minutes for Board Committee Chairman via audio transcription for hosiptal writing it down editing reports making sure there acurate before placing inside charts.
* Gathered information to schedule and re-schedule appointments within short timeframes
* Completed special projectsSuch as Organization) and entered medical terminology in systems for all doctors
* Compiled information taking from the chart and the MARS then entering data in the computer system.
* Recorded the Inputs /Out Put and keeping track for each shift?
* Assisted Triage area for OB/GYN patients by dipping urine and analysis and connecting & removing the lids
* Assisted with transporting patients to labor and delivery floor in urgent situations
Education
Business Administration/Health, Mountain View College, Dallas, TX, 2001-2012
Technical Expertise
Applications: Microsoft Office (Word, Excel, PowerPoint), Adobe Acrobat Agile, Scrum,GECB, SWest, EWS,Adobe Photoshop, Deltek,Lytec, Bryce, QuickBooks, P2P GUN, Allscript DMMS, TES, SharePoint, eccomerece,People Soft,HealthStream LMS, Peachtree, SAP, ISU, CRM, SRM,SCM, Bobj Meditech, Apogee, Net Weaver, Great Plains, Centricity Oracle
Operating Systems: Microsoft Windows
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