Database Administrator, Financial/Database Analyst, Revenue Cycle Mgmt
Resume:
PERSONAL INFORMATION
SKILLS
SOFTWARE AND APPLICATIONS
Address
Calera, Al, 35040
Phone
***********@*****.***
Social Network
www.linkedin.com/in/connie-henry-685566187
Education
Bachelor of Business
Strayer University
https://strayer.sophia.org
10/19-current
GPA-4.5
Credits Completed 37
Troy University 8/20
Certificates
The Essentials of Managing Conflict www.strayer.sophia.com
Developing Effective Teams-www.strayer.sophia.com
Business Communication Managing Successful Team Meetings www.allison.com
Working with Difficult People www.strayer.sophia.org
Problem Solving
Revenue Cycle Management
Database Management
Implementation
SFTP/Batch Processing
Written and Interpersonal Communication
Research and Oversight
Medical Billing-Revenue Cycle Process Improvements
Statistical-Data Analysis
Delinquent Account Management
Medical Terminology-Medicare
HIPPA
Microsoft Office Suite-Excel, Access/Word/Publisher/PowerPoint
MSSQL Simple Queries/Management/Updates
WayStar-Denial Management/ Analytics-Administrator/User
DocuTap-Administrator/User
Centricity Practice Management-Administrator/User
Ascentis-Timekeeper/Reports/Time Management
HR-Recruiting/Benefits
Billing Administrator
TeamViewer-Remote Support
Aprima-Administrator/User
Capital X-ray-Administrator
VPN
Central Lab-Interface
Centricity Practice Management/ Analytics
Administrator/User
Wells Fargo-Commercial Electronic Office® (CEO®) portal- Administrator/User
JP Morgan-Provider Solutions-Administrator/User
WORK HISTORY
1/01/20-
6/14/20
Jack's Family Restaurants
POS Manager
Primary Responsibility is to manage all data for the Point of Service Sale (POS) database for 170 stores
Create action plans for adding inventory items new campaigns
Vetted changes made POS to the POS within the POS lab
Created and supported Duplicate charge report
11/2006-
05/2019
American Family Care, Inc., Birmingham, Al.
Director of Revenue Cycle Management
Product Implementation
Assistant Director
Supervisor
Summary
Lead and plan the Revenue Cycle Department consisting of 103-person department
Create and implement policies and procedures as well as streamline effective billing processes across all functions of the revenue cycle department from the beginning of a patient visit until the balance on the claim was $0
Complete quality analysis on production and that they were performing it by every team member
Performed personnel development/staff meetings
Resolved patient escalated issues
Perform strategic planning and collaborate with staff to develop priorities and personal goals, as well as company goals
Completed Interviews-Team Building-Hire and plan training of Staff-Plan-Assign work queues
Direct Staff on Policy and changes in Standard Operating Procedures
Resolved Patient Complaints
Collaborated with Human Resources to resolve escalated staff issues
Work with an open-door policy to encourage Supervisors to do the same
Effective communication is critical when you have a group this large
Accomplishments
Project Lead for four banks conversions-Regions-Compass-Wells Fargo-JP Morgan
Collaborated with Wells Fargo to develop an Electronic Remit Advice function the enabled Wells Fargo to convert Commercial payer remits to the required 5010 formats but also to convert daily Patient Payments as well. The process reduced cost to the company by 2 Full-Time employees and cut five days off the Close-Out process
Plan and Execute Special Projects teams- "Clean-up Centricity," "EOBs Not Posted" and "Over 90 Days"-Created Special Projects Team-Managed Trained teams
American Care, Inc/Birmingham, Al
Help Desk
Database Administration
Summary
Researched and correct patient and information on x-rays
Served as project lead for implementation and integration of joint venture financial processes
Supply Analytical Support
Aide in Creating and Implementing IT Budget
Manage Practice Management Application which included supporting SQL database and 14 Citrix servers; updated, ran scripts to correct errors
Accomplishments
Self-Taught claims process and learned reimbursement trends
Researched electronic claims process to show areas where there was a non-payment due to an error that the system can resolve
Formed a process where the company was able to increase the time of service collections by 30%
Experience and initiative allowed the ability to reach a position in revenue cycle management and develop a solid with executive staff
Designed claims on hold process to relationship capture "black hole" claims (> $1 m) to increase revenue and decrease patient balance write-offs
Maternity Leave
Credentialing
Managed credentialing for 150 providers with contracted participating insurance carriers
Communicate updated provider information needed to receive reimbursement from contracted payers
Aid provider relations director in completing provider payroll, running analytical reports, and verifying the quality of data reported
Support a confidentiality agreement with staff medical providers
Initiate response to emails, voicemails, and written correspondence promptly
Support relationships with payers to aide with contract issues
Accomplishments
In April of 2001, claims on hold were more than a million dollars. When I left in 2005, the claims on hold, due to contract issues, was around $4000
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