Healthcare Analyst

Jacque Mason

APPLICATION SYSTEM ANALYST

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

Summary

More than 10 years as a Healthcare IT Business Analyst, experience in system applications, project management, business analysis, network administration support, medical coding, claims adjudication, compliance, configuration of health plan payment policies, data analyst, software applications, workflows and technology solutions for healthcare systems and networks.

Healthcare Analyst with hospital and physician office experience supporting various health care systems and provides Go-Live support during initial phases of implementation.

Skills Summary

Network Support, Application Implementation, System Support, UAT (User Acceptance Testing), go-live support, Data Analysis, Configuration and Compliance, Oracle Ad-Hoc Reports Development, UAT,

User Security Access, DRGs, APC, OPPS NCCI, MUE, Max Units, CPT, ICD9/10, HCPCS Coding,

Pre-authorization, Specialty/subspecialty Mapping, Credentialing, Charge Master Analysis, EHR, EMR,

HMO, PPO, EOBs, HIPPA Guidelines, QA, Insurance billing, HCFA 1500, UB92, claims analysis

V-Lookups, Pivot Table, Claims adjudication and Microsoft office

EMR Programs

AthenaNet, LMS-Paragon, Allscripts, Meditech, Blue Chip, Access-E, Pyxis, Iatrics, Picis, Midas, Isite,

Dragon, McKesson Horizon, SharePoint, Cerner Millennium, Qcare, Powerchart, FirstNet, Escription, Isite, ERP

Professional Summary

08/14-Present, AthenaHealth

Implementation Support Analyst

Provides implementation and on-site support for AthenaNet application during the “go live” period

and post “go live” transition.

Identify and address client problems with workflow process, web-based application, and develop

solutions to issues that arise post-implementation

Assists end-users with clinical documentation, patient access, claims, revenue cycle management,

charge capture, billing and cash application processes using best practice guidelines

Assists practice managers with managing and work holds in the workflow dashboard

Assists front/back office with intake and checkout process and working queue in the dashboard

Supports and evaluates client athenaNet user proficiency on-site and communicate progress

Support go-live to ensure proper utilization of Athena Health EHR and answer any questions

Provides daily reports and makes recommendations for practice improvements and escalate issues

04/12-08/14, Newton Medical Center

Financial Application Analyst

Monitored and controlled all aspect of system support, data analysis, change request, client set-up, validate, quality, closed projects, operational procedures and communicate with all functional depts.

Provided ongoing analysis and maintained charge procedure dictionary, on-call support, troubleshoot

application/system errors, created and maintained documentation for reported issues.

Implemented action for various departments to accomplish daily tasks; including but not limited to;

report writing, medical posting, billing adjustments, cash balance, charge capture, research claims,

patient accounts, auditing, data extraction, files transfer, journal entries and month end close

Provided network support; on-call support, user set-up, technical support, system configuration, user requirements, reset passwords, deactivation, active directory, file import, user security access and ensures all end-user features and functionalities

Managed assigned applications (PFS, MM, GL, OR, AP/AR, RAD/ITS, LAB) upgrade, change request

and implementation

Coordinated application updates with vendor and system users, including implementation, enhancements, change control, build and test EDI 835 within Material Management module

Conducted User Acceptance Testing of systems upgrade/enhancement from Meditech v5.65 to v5.66.

Exported and analyzed large scale of complex data from reporting source to excel database

04/08-04/12 iHealth Technologies Service

Business Analyst II

Provided implementation support for clients in preparation for the production environment.

Monitored and analyzed production and performed ad-hoc reports, periodic updates, claims, post

production and production report analysis and communicated results to project team

Assisted the Medical Director with Client presentations, researched claims and coding questions.

Communicated project status to Project team and Stakeholders

Scheduled and facilitated monthly and quarterly client team meetings.

Consistently met Production release deadlines; entered and completed client changes requests targeted

for a specific release

Captured and analyzed client rule related decisions and executed changes with 100 percent accuracy.

Performed User Acceptance Testing for software application and configuration changes

Researched and responded to client inquiries regarding claims configuration and adjudication issues.

Performed QA of policy reviews and configuration changes produced by other Analysts to ensure the

documentation is rational, concise, and accurate

Export and analyzed large scale of complex data from reporting source to excel

Successfully and accurately mapped application data for the following: Specialty/Sub-specialty

mappings, CCI deviations, Annual/Daily Max Units, DME Max Units over time and ICD-CPT link.

EDUCATION

06/02 – 05/05 STATE UNIVERSITY INSTITUTE OF TECHNOLOGY, Utica/Rome, NY

Bachelor of Science, Major in Health Information Management

03/15 – 03/15 TECHNOLOGY CENTER, Norcross GA

Certificate, Project Management

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