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Financial Analyst Senior

Location:
Wake Forest, NC
Posted:
November 28, 2023

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Resume:

Work History

Sonya

Davis

Contact

Address

Raleigh, NC 27675

Phone

646-***-****

E-mail

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

Skills

QuickBooks

ADP

JD Edwards

Lawson

Epic

Financial statements

expertise

Growth projections

Strategic planning

Revenue trend analysis

Variance reporting

Financial Management

Motivated Senior Financial Analyst skilled in creating quantitative risk-management solutions. Manages accurate and efficient delivery of time-sensitive risk information.

Senior Financial Analyst

WakeMed Health And Hospitals

Reviewed financial reports and streamlined

operations to increase productivity and company

profits.

Collected data and developed detailed

spreadsheets to identify trends and create revenue, profitability, and expense forecasts.

Provided strategic planning advice and financial

oversight for corporate stakeholders.

Conducted detailed financial analysis to identify

and evaluate changes in operations, trends and

potential areas of improvement.

Manage professional contracts with insurance

companies, ensure compliance, and act as a liaison for the physician groups.

Build and maintain the relationships with contracted insurance plans, organize contract implementation

and operations and oversee the enrollment process. Build and maintain the relationships with contracted insurance plans, organize contract implementation

and operations and oversee the enrollment process. Works closely with Revenue Cycle team and

Executive Director in analyzing and evaluating net revenue.

Assists in supplemental filings to the State and

Federal governments and provides support on the

Medicare and Medicaid cost report/reimbursement

audits, as well as, the Financial Statement audits. 2019-01 -

Current

Supervisor/ Billing and Claims

WAKEMED Health And HOSPITAL

Applied strong leadership talents and problem-

solving skills to maintain team efficiency and

organize workflows.

2014-04 -

2018-12

Monitored workflow to improve employee time

management and increase productivity.

Enforced rules and regulations outlined in company manual to set forth expectations comprehensibly

and consistently.

Used administrative guidelines as resource or to

answer questions when processing medical claims.

Maintained knowledge of benefits claim processing, claims principles, medical terminology, and

procedures and HIPAA regulations.

Used your outstanding interpersonal skills to connect teams from multiple departments and coordinate

their contributions.

Researched and resolved complex medical claims

issues to support timely processing.

Verified patient insurance coverage and benefits for medical claims.

Followed up on denied claims to verify timely

patient payment and resolution.

Ensured compliance with federal regulations and

administrative policies, troubleshoot and assisted team with resolution of operational problems and

analyze reports to determine training needs,

payment trends, timeliness of billing and efficiency. Credentialing/Financial Specialist

REX/UNC HOSPITAL

Ensured all necessary licenses and credentials were verified and updated

Reviewed resumes and applications and verified

credentials

Provided database maintenance and account

reconciliation support

Assist with A/P team to assure vendors were being

billed correctly via spread sheet and payments were being applied to accounts in timely manner

Ensure fee schedules are loaded according to the

provider contract, including audit of implemented

contracts

Executed financial assurance audits and

implemented new control points and metrics to

support business changes.

2008-05 -

2014-05

Education

Certifications

Furnished requested financial data and reports to

auditors, regulators and investors and prepared

analysis to support risk management.

Accounts Receivable – Cash Applications

Specialist

WASTE INDUSTRIES

Provided support and E-bill/Enrollment training to coworkers and external associates

Analyzed, reconciled, and resolved accounting

discrepancies in customer accounts and cash

applications

Developed and maintained databases and forms

Worked with Lockbox processors to resolve difficult Lockbox items

Used JD Edwards to keep track of all data.

Contacted customers regarding past due balances.

2003-02 -

2008-05

Bachelors (B.S: Accounting

North Carolina Wesleyan College - Rocky Mount, North Carolina

Bachelors (B.S: Business Administration

PROCESS CREATION AND IMPLEMENTATION

CUSTOMER SERVICE

TEAM LEADING

PAYMENT POSTING AND PROCESSING

ACCOUNTS RECEIVABLE

ACCOUNTS PAYABLE

MEDICAL CODING (ICD-9)

ORGANIZATION

DATA ENTRY

EMPLOYEE TRAINING

INFORMATION VERIFICATION

DATABASE CREATION AND MAINTENANCE

ACCOUNT ANALYZATION AND RECONCILATION

PROBLEM SOLVING

ADAPTABLE

REPORT ANALYZATION

LICENSES HELD/CERTIFICATES

North Carolina Public Notary

CPT-4 Certified Medical Terminology I and II

North Carolina State Life, Accident, Health, and

Annuity

North Carolina Medicare Supplement Long Term Care

Certified Accounts Payable and Receivable

JWMI Leadership Certification



Contact this candidate