Financial Analyst Medical
Resume:
Peggy Siler
Riverview Estates, FL
*****.****@*****.***
* Managed Care Contract Analysis and Modeling.
* 30 years Healthcare Financial Analysis experience.
* Superior multitasking talents with the ability to manage multiple high-priority projects
* Super-User for Epic system and other major Contract Management Systems. Work Experience
Senior Financial Analyst
Insight Global, Inc - Tampa, FL
November 2017 to Present
Responsibilities:
*Gather and organize financial data from all accounting departments
*Compile and analyze financial reports and find discrepancies that require senior management's attention
*Manage the general ledger and devote time to risk management, especially with regard to accounts receivable
*Prepare financial reports with reliable conclusions that management can use to implement more effective operational strategies
*Forecast models for revenue changes and expenditure increases/decreases
*Provide EOM reports for C-level executives
Senior Analyst-Managed Care
Tampa General Hospital - Tampa, FL
August 2011 to October 2017
Responsibilities:
* Certified Super-User for Epic system: Cadence and Ambulatory.
* Customer Service/Report writing for Internal Customers/Employees
* Managed Care loading of all Payor Contracts for Hospital and Physician Groups
* On the spot problem solving to Resolve Reimbursement discrepencies/underpayments.
* Responsible for managing Transplant reimbursement/billing levels
* Coaching and mentoring fellow employees
Analyst-Decision Support
Johns Hopkins- All Children's Hospital - Saint Petersburg, FL October 2007 to August 2011
Responsibilities:
* Responsible for loading, modeling, support and maintenance of managed Care Systems. (Med Assets- Ascent and Thomson-Reuters).
* Provides standard and customized reporting/analyses throughout Health System.
* Provides key support for the implementation of new and upgraded systems/releases.
* Back up support to labor management system, maintenance and reporting (Kronos-Visionware)
* Supports Nurse Auditors with all on-going audits.
* Assist Director of Managed Care with on-going negotiations and forecasting for various escalators Contract Administrator
Bottom Line Systems, Inc. Wellington Regional Medical Ctr - Wellington, FL April 2005 to September 2007
Responsibilities:
* Modeled and loaded contracts for proper adjudications to all accounts.
* Assists with Collectors' calculations to ensure proper refunds to patients/Payors.
* Oversees all Appeal processes and negotiations with all Payors (Commercial/Govmnt).
* Assists all employees with contract interpretations and payment understanding.
* All other duties and requests as assigned.
Financial/Managed Care Analyst
Tenet-Good Samaritan and St Mary's Medical Centers - West Palm Beach, FL March 2002 to April 2005
Responsibilities:
* Managed modeling of all Managed Care Contracts for both Medical Centers.
* Assisted all employees with Contract Interpretation and understanding of compensations due hospitals.
* Hospital Liaison for admissions/contract verifications and policies when clarifications are needed.
* Month End closing with both Comptrollers to meet monthly expectations.
* Manually contracted adjustments within system
* Insurance Credentialing
Education
Bachelor of Health Services Admin in Health Services Admin Florida International University - North Miami Beach, FL August 1987
Skills
Billing, EPIC, Account Management, Contract Management, Excel, MySQL, Project Management, Team Building
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