June Shotsberger

773-***-****

ad39dw@r.postjobfree.com

WORK SUMMARY/EXPERTISE

Twelve Years’ Experience with Epic System /Resolute Professional Billing Admin/ PB Claims

A passion and ability to design and deliver creative solutions that solve client’s most challenging problems, demonstrated ability to thrive in fast-paced environments with minimal oversight; flexibility, resilience and adaptability are defining traits. A high level of critical thinking, including an ability to navigate ambiguous and dynamic circumstances. Performed multiple cradle-to-grave implementation experiences; broad health care and IT industry knowledge. Ability to interpret and interface between technical and functional counterparts across our solutions and our customers’ teams. Flexible learning mind-set, with ability to apply skills to new situations.

Epic Implementations

Epic Upgrades

Epic Optimizations

Clearing House Systems

Expert in Payer Claim Guidelines/Specifications

Twenty + Years Healthcare Revenue Cycle Management

Possesses the ability to build trusting relationships with multiple Client Executives at all levels and for numerous unique customers

Possesses analytical ability sufficient to work in a data-heavy environment and to identify trends in the data

effective communication, negotiation, influencing decision makers, business planning, strategy, problem solving, decision making and time management skills.

Leadership – guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services.

Tactical Execution – oversees the development, deployment and direction of complex programs and processes

Physician Billing /Physician Coding

Claims /Remittance /Follow-up

EHR, Claim Scrubber, Coding System Administration

CERTIFICATIONS

Epic Resolute Professional Billing SBO Administration 2013 –Current/NVT’s 2023

Epic Resolute Claims and Remittance 2015-Current /NVT’s 2023

Epic Resolute Hospital Billing 2019- Current /NVT’s 2023

PROFESSIONAL EXPERIENCE

Epic Resolute Professional Billing Analyst

Utoledo Hospital, Ohio

September 2023-Current

Resolute PB and PB Claims Support

Resolve issue for all facets of Professional Billing by use of Service Now ticket application

Provided high priority ticket support for Operational owners

Complete New and Maintenance Build within deadlines given

Develop build documentation/Test build

Work with all Epic teams on issues affecting billing

Epic Resolute Professional Billing Analyst

Rush Hospital, Chicago IL (Remote)

September 2019-September 2023

Resolute PB and PB Claims Support

Resolve issue for all facets of Professional Billing by use of Service Now ticket application

Provided high priority ticket support for Operational owners

Complete New and Maintenance Build within deadlines given

Develop build documentation/Test build

Work with all Epic teams on issues affecting billing

Upgrade Lead Routine Quarterly Upgrades

Claim Form/837 Payer Policy Updates

Projects: Auto write offs, Auto Attachments, PB Contracts

Maintain Master Files SER, EAP

Epic Professional Billing Claims Analyst

Cleveland Clinic, Cleveland, OH

June 2019 – August 2019

Responsibilities include build and implementation of Wisdom Dental Claims Module

PRE-GO-LIVE

Planning and design, fact finding meetings with operational owners

Understand Reporting Needs

Customize build to fit business needs

Work with Vendors, Claim Scrubber etc.

System Build:

Build Claim, Credit and Follow-up WQ’s/Profiles

Router Updates

Electronic Claim requirements, CDF, RMO, SA, Follow up rules, work queues, CDF, RMO

Responsible for working collaboratively with Epic TS, Billing Office and Third-Party Vendors in setting the system protocols / Use of claims scrubber and Optum Coding System

Testing:

Provided demonstrations and documentation of new build and new system functionality

Create test scripts for application testing and integrated testing

Validated and Rebuilt Epic module for successful implantation and cross application with ambulatory team and interface team

Data Courier to all environments

Go Live:

Support Command Center

Transfer Knowledge to core Resolute Team

Epic Hospital Sr. Billing Analyst SBO

Northshore Hospital, Chicago IL

Jan,2019 -May,2019

9600 Gross Point Road Skokie, IL 60201

Responsibilities:

Lead on Claims Upgrade Project

Review build requirements

Delegate Build

Prepare build documentation

Prepare test scripts /perform test

Responsible completion of all Upgrade build

Sr. Epic Professional Billing Administration/Claims/Remittance Analyst

2013- Dec,2018

Loyola University Hospital, Maywood, IL

Responsibilities:

PRE-GO-LIVE

Planning and design, lead fact finding meetings with operational owners.

Customization build to fit business needs

Interface with Vendors/ Claim Scrubber, Coding Systems, Statement Vendors

Understand Reporting needs

System Build:

Service Area, Facilities, Providers, EAP Codes, Modifiers, Fee Schedules, RMO, CDF

CDM

Fee Schedules

Router Build

Charge Review, Claim and Follow up rules, work queues and profiles

Testing/Training:

Create test scripts for all specialties

Create Training Material /Lead WebEx Training Sessions

Provided demonstrations and documentation of new build and new system functionality

Application testing, integrated testing

Validated build /update build to support workflow brought up during end user acceptance testing.

Lead inn application testing and integrated testing standards to ensure system functionality/work with interface team and ambulatory team

Document build/Data courier

Additional Build:

PBB Billing according to payer regulations

Lab/Research/Wisdom Dental Module

Extensive Anesthesia Billing build

Transplant Billing work queues

Extensive Contract builds

Estimates

GO-LIVE

Resolved go live build and workflow issues

Provide support to Operations team leads, physicians and end users

Supported the command center by answering calls and resolving Revenue Cycle Issues

Resolved issue for all facets of Professional Billing by use of Service Now

Provided support for high priority issues daily

POST GO-LIVE

Maintain system build

Work on Break Fix issues

Upgrade Installation 2015, 2017

Identify, build and implement enhancement for PB during upgrade and through special updates when new features come available

Lead System Optimization to meet Epic Stars program

Participated and lead uplift projects in all area’s scope/planning/build/installation/support

Professional Billing Revenue Cycle Operations Manager

Aggeus Healthcare, Chicago, IL

2012-2013

Responsibilities:

Epic Billing

Assisted with Install Epic System/Interfaced with Realmed Claims System

Build/Test

Train and Support Follow -up Team

Build monthly reports

Professional Billing Revenue Cycle Operations Manager

MidAmerica Cardiovascular Consultants (Sold Practice to Advocate Healthcare), Oak Lawn, IL

2010-2012

Responsibilities:

Managed Billing Team, Claims Team and Follow-up Team of 20 + FTE’s

Managed Registration/Scheduling/ Billing/Coding/Payment Posting /Follow Up by use of Nextgen System

Point of contact for Vendors Realmed claims vendor,3M Coding Vendor, Statement Vendor

Build and run monthly reports to review with practice managers

Physician Payer Enrollment

Contact this candidate