Customer Service Management
Resume:
Debra Louise Jones
******@*****.***
My certified Application Coordinator goal is to strive for excellence by working hard and making informed
"technology" decisions; deliver excellent customer service, document task and produce clean claims in a
timely manner.
You will find me to be well spoken, energetic, confident, and personable, the type of person on whom
your hospital staff will rely. I also have a wide breadth of experience of the type that gives you the
versatility to place me in a number of contexts with confidence that the level of excellence you expect will
be met. I am confident my certifications, business readiness work experiences and skill set are
appropriate an EHR Epic Application Coordinator position associated with the Revenue Cycle and an
Integrated Systems Healthcare facility.
Summary
• 12 years Extensive Revenue Capture Infrastructure build & implementation experience to include:
Subject Matter Expert for Professional Billing full cycle new implementation and quarterly updates
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and training
Business Consultant Analyst Lead for Affiliated Physicians Electronic Medical Record
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Third Party Vendor claim coordination
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Charge Capture database infrastructure build and maintenance and functional testing
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User Acceptance testing Coordinator
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Integration testing Coordinator
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Testing: test patient test database build with test plans and scripts
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Change Management development and execution of changed software procedures
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New Software Release participated in Software release and updates
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Conducted end user work flow and gap analysis
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Professional Billing Business Analyst experience with troubleshooting: insurance payments, service
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providers, codes and prices, batch files, statements, claims, collections and remittances
Fee schedule build maintenance and Troubleshooting (codes & prices)
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Revenue Cycle end user Security Classification Specialist
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Education
University of Phoenix
M.A., Organizational Management, 1998
University of California
B.S., Applied Behavioral Science, 1981
Certifications
HIPPA Awareness Training for Healthcare Providers 2014
EPIC Resolute Professional Billing 2014
EPIC Cadence 2014
Kaiser Permenante Patient Business Services Training 1997
Phamis Lastword (now IDX) Patient Billing Forms 1997
Phamis Lastword (now IDX) Application Training 1996
Optimum Healthcare IT
Washington Hospital – Fremont, California March 2013 – December 2013
Revenue Cycle Analyst, Billing and Claims
• Performed Professional Billing and Claims Epic Application Coordination, Build, Implementation and Training
for community physicians affiliated with the Washington Hospital electronic medical record system, We
Connect
• Acted as Subject Matter Build Expert for Resolute Billing & Claims: affiliate physician design and
implementation
• Completed infrastructure analysis, service area maintenance, explored and provided procedural and system
gap assessments and workaround(s)
• Executed Specialty Clinic billing and claims build; revenue Cycle Security Classification build
• Third Party Vendor Negotiations, testing and build
• Performed Integration Testing
• Provided production Support according to change management policies and procedures
Dell Computers Consultant October 2010 to February 2013Dell
Assignment #3
Ochsner Hospital – New Orleans, LA
Resolute Professional Billing and Claims Analyst
• Lead Resolute Professional Billing Consultant supporting the Ochsner Community Connect ambulatory affiliate
physician build
• Responsible for all of the Professional Billing and Claims community connect implementation activities
• Performed Epic infrastructure organization and build development
• Clearinghouse selection and Integration
• Provided Professional Billing and claims customized build
• Conducted Affiliate Physician relationship management
• Business Requirements gathering
• Performed Integration testing
• Conducted Data Courier build preparation
• Resolute Professional Billing End User Training Master
• Provided Go live Production Support
Dell Assignment #2
Sutter Physician Services (S.P.S) – Mather, CA
Community Connect Analyst/Trainer (contract)
• Worked with associates to conduct S.P.S Community Connect Preflight Gap Analysis
• Performed Community Connect Integration Testing
• Conducted S.P.S. Training Team Master Build (patients and build)
Dell Assignment #1
Catholic Health Partners – Cincinnati, OH
Epic Professional Billing Analyst (contract)
• Tailored EPIC’s 48 Hour Professional Billing components deploy to Community Connect physicians affiliated
with Catholic Health Partners
• Conducted Workflow analysis and build for Billing and Claims
• Performed Data courier activities for billing, claims, collections, statements, fee schedule and remittances
options
• Provided Go Live Command Center documentation
• Contributed billing & claims testing scripts for Integration testing
• Provided Professional Billing production support
• Developed Professional Billing instruction aids and Tip sheets
Sutter Health Information Technology – Mather, CA Aug. 2008 – May 2009
Senior Business Analyst
• Performed root cause analysis on Charge Description Master (CDM) Hospital Billing production support issues
• Provided daily Maintenance and Resolution for Charge Router Error Report
Sisters of Mercy – Chesterfield, MI Sept. 2007 – Jan. 2008
Epic Resolute PB and Claims Principal Trainer (contract)
• Credentialed Trainers; performed group credentialed training with end users at Sisters of Mercy Hospital
• Credentialed trainers to teach other health care staff in preparation for Epic deployment of Resolute
Professional Billing and Claims
Kaiser Permanente – Emeryville, CA April 2003 – July 2007
Senior Business Analyst, IT Health Connect EMR
• Supported 454 medical offices, 36 hospitals, 15,129 physicians, and 3,223,235 members
• Performed design and modification of billing module: charge review & claims edit workqueues
• Responsible for master file build of Security Classifications, and Cash Drawer
• Created and maintained documentation professional billing build documentation
• Worked with interface programmers to bridge legacy systems
• Performed Integrated Testing
• Executed Change Management activities according to organizational requirements
• Obtained Epic Certification in Resolute Professional Billing and Cadence
Kaiser IT Health Services – Walnut Creek, CA Oct. 1998 – April 2003
Senior Business Analyst
• Supported 24 mission critical administrative and clinical applications and 12 servers that ran the accounting,
practice management applications
• Acted as liaison between home health and hospice users and HMS & OASIS application support
• Coordinated End User Group
• Communicated and escalated issues to Vantive Change Management Committee
• Provided guidance and coordination to end users in troubleshooting issues and training
• Developed testing plan and script for Y2K and the HMS application
Contact this candidate