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Quality Assurance Revenue Cycle

Location:
Wilmington, DE
Posted:
November 08, 2023

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Resume:

Michael Baney

ad0x9j@r.postjobfree.com 302-***-****

Diligent, passionate, and results driven with an attention to detail pg. 1

EXPERIENCE

MAY, 2015 – FEBRUARY, 2023

ANALYST AUDITOR II, CONDUENT

• Analyzed raw data to implement research strategies through excel

• Utilized Excel to format the raw data to present in a format to be loaded to a proprietary database application

• Analyzed and applied search queries in Epic, Excel and out proprietary database application

• 8+ years’ experience in Epic 3+ years’ experience in Cerner, McKesson and others.

• Skilled at identifying trends and patterns and communicating these findings across both written and verbal platforms. Self-starter, self-motivated.

• Worked primarily autonomously with high productivity goals and KPIs with a high level of accountability, productivity and quality assurance.

• Revenue Cycle: Patient access, Registration, Health Information Management, Patient accounting Implemented proprietary software applications at Nanticoke Memorial Hospital.

• Work included overnight travel and production across 5 Mid-Atlantic states and extensive remote work.

• Progressive responsibilities since hire.

• Identified and recovered overpaid claims for provider-clients.

• Analyzed contracts to determine payer liability for commercial, government and subrogation payers.

• Utilized analytics and a multitude of internal and external database, accounting and document imaging systems.

• Skilled in revenue cycle management and health insurance payer 'Coordination of Benefits policy'.

• Skilled in building relationships between our provider clients and CDR/ Conduent. *Streamlined database and workflow reports.

• Created training material for teammates at Christiana Care Health Service when CCHS was transitioning to Workday applications.

• Persuaded Nanticoke Memorial Hospital to utilize CBAS, a proprietary database and report generation system.

• *Traveled throughout North East and Mid-Atlantic Region. NY, VA, PA, MD and DE. Achievements:

• Highest Recovery amount and A/R: Hospital for Special Surgery, NYC, NY in company history.

• Project lead at highest number of clients in company history. *Responsible for 400% increase in recovery dollars at Nanticoke Memorial Hospital due to implementing change in how the Hospital ran our credit balance reports. Prior to this a vast majority of our credit balances were not being generated for analysis.

• Consistently and significantly beat goals even while traveling and learning new systems and workplaces.

Michael Baney

ad0x9j@r.postjobfree.com 302-***-****

Diligent, passionate, and results driven with an attention to detail pg. 2

Education

• Graduate coursework: Analysis, Modeling, and Design Course, Wilmington University

• B.A. Public Relations, York College of Pennsylvania Skills

• Experience within the revenue cycle

• Experience with analytic tools such as Excel and SQL databases

• Attention to detail

• Results focused

Activities and certifications

In the process of obtaining the Certified Revenue Cyle Representative (CRCR) certification from the Healthcare Financial Management Association (HFMA) Volunteered with non-profits to assist with various duties including but not limited to: Coordination with elected officials, media and community outreach.



Contact this candidate