Public Health Financial Analyst

Tami Jackson

Healthcare Financial Analyst

ad5xot@r.postjobfree.com • 504-***-****

Harvey, LA

Summary

Health care financial expert with nearly 15 years of experience in billing processes, compliance and medical insurance and seven years in supervisory positions, including program management. Proven leader who designs and implements evaluation and training programs to help staff members develop skills, improve accuracy and achieve goals. Collaborative professional known for connecting with colleagues across the state to manage records and procedures. Dedicated team member who values precision, organization and a culture that supports employees and strives for excellence.

Areas of Expertise

Medical Insurance

Record Organization and Management

Software and billing systems (Epic, Intergy, Med Assets, and N’Thrive)

Claim Entry and Payment Posting

HIPAA Compliance

Audits and Reporting

Medicaid Processes

Payroll Management

Leadership and Staff Development

Online Claim Submission & ERA

ICD-9, ICD-10, CPT and Medical Terminology

Professional Experience

Southeastern Louisiana AHEC (Contracted to Office of Public Health, Revenue Unit,

Louisiana Department of Public Health) 2020 – Present

Program Manager

Oversee the processing of professional charges related to tuberculosis, immunization, and Human Immunodeficiency Virus/Sexual Transmitted Disease services for the Office of Public Health Revenue Unit. The unit is responsible for collecting about $45 million of annual fees including patient copayments, environmental health fees and Emergency Medical Services. Facilitate entry of newborn screening demographics for testing for the State of Louisiana. Classify hard copy checks for Fiscal Department, ensuring payments are coded to post to the correct programs.

●Collaborate with counterparts and partners across the state of Louisiana to audit accuracy of coding and reimbursement for multiple conditions and diseases.

●Deliver continuous training to staff at about 300 staff members in Office of Public Health clinics, Public Health Units and specialty clinics statewide.

●Ensure governance processes are maintained, review policies and procedures and oversee credentialling of 64 public health units with payers.

Ochsner Clinic Foundation, New Orleans, LA 2008 – 2020

Revenue Cycle Supervisor III, Partnership Service (Extension of Clinic Billing) 2017-2020

Oversaw payroll and billing procedures, documentation, policies and procedures as Team Lead. Coached, motivated and evaluated staff and created collaborative culture where accuracy and customer service were paramount. Managed payroll for employees and trained team members on billing procedures, documentation, denial process and Medicare and Medicaid claims for Third Party Liability.

●Conducted individual and team evaluations. Delivered direct feedback for improving performance and identified training needs to help staff develop skills and reach personal and organizational goals.

●Prepared and presented monthly data reports for Third Party Liability to leadership to help them make informed decisions and analyze trends.

Revenue Cycle Supervisor III Clinic Billing, 2015-2017

Reviewed compliance audits, monitored records, oversaw and completed edits and ensured accuracy of billing procedures. Trained new employees in programs and tools used to coordinate billing edits and managed bill clean claims. Programs included Epic, Med Assets, Passport, Outlook, Microsoft Excel, and PowerPoint as tools to coordinate billing edits to effectively bill clean claims.

●Medicaid Biller Subject Matter Expert who collaborated to report Medicaid Bulletins to surrounding departments, conducted weekly calls with Compliance Department and delivered updates for Clinic Billing in monthly staff meetings.

●Contributed to weekly meetings with organizational departments such as Revenue System Management, Med Assets and Epic Team to troubleshoot issues and develop resolutions for claim and billing issues.

Revenue Cycle Senior Representative III, 2014-2015

Analyzed payer guidelines and developed workflow procedures for claim documentation and processing. Monitored assignment queue and distribution to ensure claims were managed efficiently and conducted quality assurance on assigned billers. Coordinated with staff in Revenue Operation Management to receive medical records from outside facilities.

Revenue Cycle Representative III, 2008-2014

Reviewed and submitted hospital and clinic claims according to the payer guidelines. Audited charge posting in patient files and made corrections or adjustments as necessary. Evaluated accounts to verify documentation. Verified eligibility and updated insurance coverage as needed

Additional Experience

Quality Control Inspector, American Sugar Refinery, Chalmette, LA

Blood Bank Laboratory Technician, Ochsner Clinic Foundation, New Orleans, LA

Education

Master of Healthcare Management, 2022

University of New Orleans

Bachelor of Science in Business Administration, 2014

University of Phoenix

Early Childhood Education Courses

Delgado Community College

Health Information Courses

Southern University of New Orleans

Certifications

Six Sigma Yellow Belt Certification

Volunteer Experience

Volunteer, Court Appointed Special Advocate (CASA), Jefferson Parish, Metairie, LA

Contact this candidate