Sandie Casto
720-***-**** / **********@*****.***
Summary
EHR experience includes 20 years of EPIC, claims submissions and reimbursement collections. Strong Communication skills; employ diplomatic skills to expand and strengthen provider/ payer relations. Dependable, Creative, ambitious, organized, self-motivated; always looking for new challenges.
Professional Experience
Children’s Hospital Colorado
Revenue Analyst 10/2010-08/2022
• Auditing contract financial performance, review and edit claims to ensure billing accuracy.
• Evaluate and compare actual versus expected reimbursement to identify and correct reimbursement discrepancies.
• Forge strong relationships with internal and external personnel. Educate team members; other departments on payer policies.
• Produce detailed reports for revenue variances, create service desk tickets as needed.
• Point of contact for commercial payers billing or reimbursement questions or concerns.
• Attend internal and payer meetings to resolve reimbursement and billing issues. Children’s Hospital Colorado
Patient Financial Team Lead 08/2006-10/2010
• Assist supervisor with duties; running productivity, aging and high risk reports.
• Assign special projects, assist with the work flow to support team.
• Payroll, quality reviews
• Mentor and convey information sharing ideas to counsel coworkers.
• Ensure proper training to staff and new hires.
• Trouble shoot problems, address concerns or issues. Write policy procedures. Skills
• Proficient Microsoft Office, Microsoft outlook, Microsoft excel and one note.
• Vast experience in claims operations. Extensive Knowledge of ICD-10’s, HCPCS, CPT’s, revenue codes and UB04 format.
• Detail oriented promote and educate accurate billing practices.
• Data entry
• Mac experience, pages
Education/Awards
• GED
• EPIC, workbench and slicer dicer reporting
• Pillar Award-Finance (assisted with recovery of 800,000 from government payer) 2011 References
• Available upon request