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Project Management Health Care

Location:
Callahan, FL
Salary:
52,000
Posted:
March 28, 2024

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Resume:

EVELYN IRENE BUFFKIN

ad4mwz@r.postjobfree.com 904-***-**** Callahan, FL 32011 LinkedIn

Summary

Seasoned delivery professional with over 11 years of experience in both business and technology changes for people, processes, and technology. Strong emotional intelligence, analytical skills, and ability to connect with others to make decisions that align with organizational goals and directives. An adaptable professional with a focus on delivering value, outcomes on time, within budget and of quality.

Skills

● Focus on delivering measurable results.

● Building positive relationships and outcomes

● Delivering quality Project Management

● Excellent stakeholder management

● Excellent prioritizing and multitasking skill

● Proven analytical and problem solving

● Application Support to include EMR systems

(Touchworks, Athena, Cerner, IDX, MS400,

and EPIC) Pneumatic Tube Systems,

Temperature Tracking

● Verbal and written Communication using

various platforms such as Microsoft, GSuite, &

SharePoint

● SME in Medical Billing, AR Revenue Cycle

Management, and software lifecycle

management

Experience

IT Process & Technology Manager (National Position-Remote) Sept 2021-Nov 2022 Ascension Health Care, Chicago, IL

Achievements

● Increased user adaptation rates up 45% above forecast by tailored training development above clinical and technical teams across various hospital locations.

● Created Program and Project governance models to enrich communications across various teams which resulted in delivering business value against technology enhancements.

● Lead Senior management, business, and technology teams to endorse new MSA agreements across various programs and projects of work.

Responsibilities

● Strong alignment of project team members, SMEs and senior management to ensure organizational goals, policies and continue to align to strategic goals.

● Effectively managed Governance and Change Management frameworks to identify new areas of opportunities for the teams to meet deadlines.

● Identified gaps and opportunities within existing software systems to enhance performance business value.

● Managed portfolio of applications including server life cycles and software enhancements needed to be made to keep the end users running as efficiently as possible.

● Accountable for both Off-Shore Team and National Team to ensure SLAs and customer satisfaction were being upheld to organizational standards.

● Participated in project planning discussions. Assisted in cost estimation, time frames, staffing requirements, and preparation of cost justifications for projects. IT Systems Analyst (National Position-Remote) Mar 2016-Oct 2021 Ascension Health Care, Chicago, IL

Achievements

● Appointed higher duties due to exceeding performances and took further responsibilities as acting Manager for National IT projects.

● Transforming resistors into advocates and champions by creating tailored training materials and support systems.

● Effectively managed quality control for change management policies and procedures which resulted in expedited deployments and releases across the project. Responsibilities

● Managed Service Maintenance Agreements for a portfolio of applications to ensure that there were no service interruptions or patient disruptions.

● Oversaw the management of vendors, Business Owners and site liaisons for application installations, upgrades, and maintenance to keep the system compliant and stable.

● Provided advanced application support and guidance to end users of all experience levels. Served as point of contact for application problems.

● Used excellent stakeholder management skills to engage customers, effectively determine requirements and conflict management to ensure successful project outcomes.

● Actively managed the identification and appointment of new hardware and software solutions to ensure traceability across users’ needs.

Patient Financial Services Billing Supervisor (onsite) Shands/UF Health, Jacksonville, FL April 2015-March 2016 Achievements

● Lead billing staff by assigning daily tasks, providing training and support, conducting performance evaluations and fostering a positive work environment.

● Analyzed billing data and financial reports to identify trends, patterns and opportunities for improvements. Identified opportunities for an increase in revenue within the Residency Program’s Pediatric Department.

● Developed documentation for departmental policies and procedures, including cross training materials for running end of month reports.

● Resolved customer complaints or answered customers' questions. Responsibilities

● Reviewed claims prior to submission to determine accuracy and completeness by verifying insurance information and all demographics.

● Resolved customer complaints or answered customers' questions.

● Posted payments, followed up on outstanding AR, issued refunds, and handled patient complaints, patient payments, daily deposits, and manual adjustments on accounts. National Revenue Service Center Liaison (onsite) April 2014-Jan 2015 Ascension Health Care, Jacksonville, FL

● Traveled to various offices in and out of state to train providers and staff on the Athena processes.

● Developed training materials for offices to enhance their daily productivity.

● Actively monitored and managed team performance against their estimate at completion (EAC) and their actual performance milestones.

● Coordinated the success of development, deployment and continuous improvement of Changes, Release and Service Transition.

Billing Supervisor (onsite) Feb 2011-April 2014

St. Vincent's Family Medicine Center, Jacksonville, FL Achievements

● Lead billing staff by assigning daily tasks, providing training and support, conducting performance evaluations and fostering a positive work environment.

● Analyzed billing data and financial reports to identify trends, patterns, and opportunities for improvements. Identified opportunities for an increase in revenue within the Residency Program’s Pediatric Department.

● Developed documentation for departmental policies and procedures, including cross training materials for running end of month reports.

● Successfully oversaw effort to have each staff member cross trained to ensure continuity of daily business operations.

Responsibilities

● Reviewed claims prior to submission to determine accuracy and completeness by verifying insurance information in and all demographics in both Cerner and IDX.

● Resolved customer complaints or answered customers' questions.

● Posted payments, followed up on outstanding AR, issued refunds, and handled patient complaints, patient payments, daily deposits, and manual adjustments on accounts. Clinical Med Informatics/Medical Records Lead (onsite) Jan 2009- Feb 2011 St. Vincent's Family Medicine Center, Jacksonville, FL

● Maintained up-to-date knowledge of industry standards and best practices in relation to clinical informatics system (Touchworks/Allscripts).

● Identified needs of customers promptly and efficiently with the Electronic Medical Record System.

● Worked with cross-functional teams to achieve goals and modify existing software systems to enhance performance and add new features.

● Monitored incoming faxes and emails for new requests and routed physicians accordingly.

● Fulfilled phone inquiries from patients, physicians, insurance companies, attorneys and other healthcare providers regarding medical records requests in a timely manner.

● Scanned medical records into patient charts and sent messages for providers to review. Billing Team Lead (onsite) Jan 2007-2009

St. Vincent's Medical Center Riverside, Jacksonville, FL

● Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.

● Responded to customer inquiries regarding billing issues over the phone or through email correspondence.

● Collected, posted, and managed patient account payments in IDX.

● Researched and processed appeals of denied claims in a timely manner.

● Worked clearing house edits, system edits and denials received via EOB. Conducted regular reviews of AR aging reports, taking appropriate action as needed on past due accounts.

● Analyzed billing data and financial reports to identify trends, patterns, and opportunities for improvement.

Patient Accounting Representative II (onsite) Mar 2006-Feb 2007 St. Vincent's Family Medicine Center, Jacksonville, FL

● Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.

● Responded to customer inquiries regarding billing issues over the phone or through email correspondence.

● Collected, posted, and managed patient account payments.

● Actively ran and conducted reviews of AR aging reports to know where the carriers need the most focus and follow up.

● Worked clearing house edits, system edits and denials received via EOB.

● Investigated past due invoices and delinquent accounts to generate revenues and reduce the number of unpaid and outstanding accounts.

Medical Patient Accounting Representative II (onsite) Jan 2003-2006 Baptist Medical Center. Jacksonville, FL

● Submitted claims to insurance companies. Worked clearinghouse and EOB denials.

● Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.

● Actively ran and conducted reviews of AR Reports in order to know where the carriers needed the most focus and follow up.

● Researched and processed appeals of denied claims in a timely manner.

● Processed insurance payments and refunds, updating account information as needed. Experience pre-Jan 2003 can be provided upon request. REFERENCES

References are ready and available upon request.



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