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Data Entry Revenue Analyst

Location:
Lakewood, CO
Posted:
March 24, 2023

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Resume:

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



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