Accounts Receivable Edi Coordinator
Resume:
Connie G Henry
Calera, Al **040
(205)***-********************@*******.***
************@*****.***
Work History
Tom McLeod Software
Birmingham, Al
EDI Coordinator
Summary
In my role as an EDI Coordinator, I've successfully installed McLeod Software on customer servers, ensuring smooth cross-functional collaboration and testing with trading partners. My responsibilities included not only troubleshooting with a dedicated team but also empowering end users through comprehensive training. These efforts have significantly improved user efficiency and satisfaction, showcasing my commitment to excellence and my role as a catalyst for operational success.
Installed McLeod Software on Customer server, conducted testing with Trading Partner, and coordinated go-live date for seamless integration.
• Collaborated with Team to troubleshoot issues and worked closely with Developers on template modifications.
• Trained end users in software applications, enhancing user efficiency and satisfaction.
• Utilized Microsoft Office Suite for application software support.
1/5/2021-4/13/2021
Bullock County Hospital and
Mountain Lakes Medical Center
DBA-Professional Resources
Birmingham, Al
Charge Master Coordinator and Analyst
Summary
Research and develop process and procedures for new CPT codes. Manage contracts and fee schedules. Ensure clean claim process by reviewing edits and EDI information, and reconciling batch process. Match payers. Other duties include anything that would benefit Accounts Receivable and cash flow.
1/01/20-6/14/20
Jack's Family Restaurants
Birmingham, Al
POS Manager
Summary
Managed all input and output information from Point of Sale (POS) for 170 stores, vetted changes and or updates, monitored bug, created new campaigns in accordance with marketing changes, worked with POS application owner to resolve workflow issues.
05/2012-06/2019
American Family Care, Inc.,
Birmingham, Al
Assistant Director, Revenue Cycle Management
Summary
Lead Revenue Cycle Department-consisting of a 103-person department with 7 Supervisors, the processing center for 5 companies.
Collaborated with product support and development teams to improve processes, trace bugs, and product feature requests.
Administrator of Practice Management and Clearinghouse, managed updates, and errors
Collaborated with supervisors to perform strategic planning and develop priorities.
Resolved patient complaints and escalated customer service calls.
Created SOP process within the Revenue Cycle Department Mapped data for file conversions and imports.
Managed company reimbursement rates.
Managed Eligibility (RTE) requirements for DocuTap (PM) and checked 270/271 files, resolved processing errors.
Roundtable with executive leadership on aged accounts receivable and clean claims rate for project management. Collaborated with staff on one-off situations. An effort to concentrate on what "I would do" stance to improve the ability to think creatively.
Served as project lead for implementation and integration of joint venture financial processes.
Completed enrollment of providers for 270/271, and 835/837, for 5 tax ids and over 200 providers.
Created payers, providers, facilities and system edits within the practice management system and clearinghouse.
05/2012-06/2019
American Family Care, Inc.,
Birmingham, Al
Supervisor
Summary
Same duties as Assistant Director and Director, minus leadership numbers. I led teams consisting of approximately 13 staff per team: customer service, payment processing, reimbursement, and insurance follow-up.
11/2005-05/2010
American Family Care, Inc.,
Birmingham, Al
Help Desk
Database Administrator
Summary
Served as project lead for implementation and integration of joint venture financial processes.
Supplied Analytical Support
Manage practice management application and all integrated applications. Managed HL7 message flow
Supported SQL database and 14 Citrix servers; updated, ran scripts to correct errors.
06/2005-11/2006
Maternity Leave
04/2001-05/2005
American Family Care, Inc.,
Birmingham, Al
Credentialing
Summary
Managed credentialing and contracts for 150 providers and 36 facilities
Collaborated with System Administrator to ensure expected payments from contracted payers.
Assisted Provider Relations Director in provider payroll, creating analytical reports, and verifying the quality of data reported.
Initiated relationships with providers and payers to aide with contracting.
Ensured protection of provider information and maintained the confidentiality required.
Accomplishments
In April of 2001, claims on hold were >$2.5mil. In June of 2005, claims on hold due to contract issues, was down to just under <$300,000.
Created a Medicare/Medicaid secondary review and refund process to minimize errors from over site.
Top Light the Night, Lymphoma Leukemia Foundation Fundraiser 4 years in a row
Created a process for adding physicians to all available online resources. Developed processes for managing the payer portals user access which improved efficiency by allowing multifunctional tasks.
Increased time of service collections by 30%
Developed a claim on hold process to capture black hole claims (> $1 m) increased revenue and decreased patient balance write-offs.
Project Lead of 4 banks conversions-Regions-Compass-Wells Fargo-JP Morgan.
Collaborated with JP Morgan to develop their Integrated Payment solution; by converting patient payments to an ERA, I was able to realign resources of two full-time employees, that included completing close-out process 5 days sooner.
Key Player in developing Experity’ s (Billing System) ability to receive electronic payment files from financial institutions. Additionally, a Key Player in creation Experity’s ERA product.
Plan and Execute ‘Special Projects teams’
EHR ‘Train the Trainer’ (ECW)
Practice Management ‘Super User’ (DocuTap)
Education:
Bachelor of Business
Strayer University
Honor Roll 2019-Current
Honor classes GPA-4.5
www.strayer.sophia.com
10/19-expected graduation 10/22
Certifications
Developing Effective Teams
www.strayer.sophia.com
Managing Successful Team Meetings
www.alison.com
Project Management
www.alison.com
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