Contract Manager Patient Account

Resume of Tanya Gates

Email: ************@***.***

EPIC CERTIFICATIONS

Resolute Professional Billing (RPB)

PROFESSIONAL EXPERIENCE

Epic PB Analyst

Tech Mahindra America Inc.

February 2022 to September 2022 Contract

Helpdesk end-user support

Build, update and testing of PB modules

Epic PB Analyst

University of Illinois/WWT Phys Group

2006 to 2020

Build, test, implement, train and support for Epic Resolute Professional Billing, Prelude, and Identity applications

Successfully, implemented Ingenix Claims Manager Scrubber and Contract Manager. Responsible for build, updates and interfacing within Resolute PB (Project Lead)

Build and implemented successfully Epic upgrade from Spring 08 to Summer 09; Summer 09 to Spring 2015 and May 2020

Responsible for all Epic PB build, testing and implementation and updates

Responsible for preparation, build and maintenance of ANSI 837 claim files and ANSI 835 remittance files format, build and updates

Denials build and support

Successfully build and implemented Medicaid, Harmony 835’s and Aetna 4010’s Electronic file and posting

Build and successfully implemented Medicaid form 3697 (Medicare Crossovers)

Build, tested and successfully implemented E-Remit Error Workqueues for Electronic Error Payments

Build and update Fee Schedules, Import CPT, ICD 10 Codes as needed

Support Registration Interface and billing interfaces

Assist and Support Realmed - Optum (Clearinghouse for claims

PB Support desk tickets

Build and implement Anesthesiology fees, modifiers and rules for PB Billing

Create, build, test and add new rules to workques; Charge Retro, Charge Review, follow up, Patient account and Claim Edit Workqueues in Epic PB

Analyze, troubleshoot and resolve critical issues pertaining to the Billing Office/Epic RPB and Claims

Provide management and training to staff

Registration – Scheduling Supervisor/Applications Support

North Suburban Clinic – Skokie IL

2001 to 2006

Analyzed and resolved critical issues pertaining to the Central Billing Office

Provide training and support to the Epic Prelude and Cadence to users

Maintain and updated Master File maintenance, PB fee schedules, benefit plans, Place of service, provider, locations, reporting workbench

Documented and created workflows and procedures

Provided help desk support to end users

Created test plans, tested applications for upgrades and new releases. Prepared training documentation

Trained end users on charge entry, payment posting and registration

EDUCATION

Bachelors Degree in Business Management/Healthcare Systems Administration

University of Phoenix

Present

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