Post Job Free
Sign in

Assurance Analyst Financial

Location:
Red Bank, NJ
Posted:
December 04, 2022

Contact this candidate

Resume:

Brittany Toms

*** *** ******, ******* *****, NJ *7720

908-***-****

adtuz4@r.postjobfree.com

January 2020-Present

R1 RCM/Cerner Corporation

Senior Revenue Cycle Client Manager

Manage large and complex client relationships for overall revenue cycle performance and satisfaction. Serve as the primary representative for hospitals, practices, business offices, and client leadership. Create and promote best practice processes and workflows across the revenue cycle continuum through education, process management and reporting. Recognize high impact issues, drive resolution and identify trends impacting client performance. Contribute to programmatic approaches, data infrastructure and expertise to ensure continuous improvement on key metrics. Manage communication and updates between client and Cerner/R1 business office operations team. Design and execute strategies to grow client revenue contribution through performance improvement or net new services. May 2018 -December 2019

Prospect Medical Holdings Inc. (East Orange General Hospital), East Orange, NJ and remote Senior Financial Analyst of Revenue Cycle

Works directly with VP of Revenue Cycle, CFO, CEO, VP of Finance and department heads to manage all aspects of the revenue cycle. Distribute daily, weekly, and monthly revenue and cash reports. Monitor and review daily departmental charge capture along with correcting charge entry errors. Hold daily DNFB and Charge Reconciliation meetings. Maintain and update all Revenue Cycle reporting. Maintain relationships with Corporate, vendors, and other hospitals within the corporation to create reports and answer to any inquiries regarding Revenue Cycle. Create analytical reports, dashboards and ad hoc requests. Monitor daily KPIs to corporate and hospital leadership. Responsible for daily revenue, setting operational benchmarks and variances.

March 2016 -October 2017

RWJBarnabas HEALTH CORPORATION, Oceanport, NJ

Process Improvement Coordinator/Project Manager/Quality Assurance Analyst/LEAN Six Sigma Facilitator Worked closely at the eleven hospitals with leadership to work towards implementing new processes with improved efficiency and outcomes. Scheduled and facilitated meetings with CFOs, VPs, Physicians, Directors and Stakeholders between the hospitals and the CBO (Central Business Office). Trained staff on new/updated hospital and billing procedures and technology. Reviewed/created analytical reports for trends. Reviewed findings with weekly reporting package to each facility CFO and Directors. Established performance benchmarks to achieve goals that needed to be obtained by both the facilities and the CBO (such as KPIs). Wrote policies, procedures, and job-aides. Met with leadership weekly at each hospital and at the CBO to determine issues that needed to be addressed, along with where projects would benefit the entire Revenue Cycle.

July 2013 -March 2016

RWJBARNABAS HEALTH CORPORATION/MedAssets, currently named NThrive, Oceanport, NJ Medicare RAC (Recovery Audit Contractor) Technician/Biller/Follow-up Representative Closely worked with the Corporate Compliance VP regarding RAC accounts. Participated in meetings with CFOs, VPs and Directors by providing status updates regarding Federal payments and activities. Audited claims coding and reported results. Kept open communication with hospital site liaisons for claim corrections/adjustments. Monitored appeal decisions to make appropriate adjustments. Specialized in government payer relations. Requested RAC refund checks and applied appropriate adjustments upon appeal decisions. October 2008 -August 2010

MERIDIAN HEALTH CORPORATION, Neptune, NJ

Manager/Financial Assistance Advisor

Hired, trained and managed staff who Interviewed applicants for qualification into the NJ Hospital Assistance Program and NJ Medicaid. Recommended and tested technologies to improve business practices. Participated in quarterly state- run audits.

April 2005 -October 2008

MERIDIAN HEALTH CORPORATION, Neptune, NJ

Interim Supervisor/Access Services Representative

Lead team who managed patient registration for all hospital services. Registered patients for the services they were going to receive. Managed process and accounting of POS collections. Mentored staff, made schedules for the various Patient Access departments, and trained new employees. Education

MHA; Ashford University; Graduated 2017

BA; Psychology; Montclair State University; Graduated 2009 Certifications – current and ongoing

FACHE- currently studying for

HFMA- ongoingly taking classes

HFMA- CRCR



Contact this candidate