Detail-Oriented HR Professional with Data & PM Skills

ROBERT G. TYSON

*** *. *** ******, ***. **, Roselle, N.J. 07203

646-***-****/ *************@*****.***

Summary:

Mid-level Professional with extensive expertise in enhancing client support and streamlining departmental workflows. Demonstrates strong problem-solving and data analysis skills, with a proven track record in boosting productivity and efficiency in client services. Passionate about driving customer satisfaction and operational excellence, while continuously seeking innovative solutions and adhering to standard operating procedures. Employment History:

Intake Specialist

Novartis, Remote Contractor/East Hanover, NJ - Oct. 2025 - Present

● Review source documents such as faxed patient service request forms.

● Accurate and timely data entry of source documents (within key performance indicators).

● Postal mail, email, or other source document intake, review and processing.

● Review source documents for Potential Adverse Event identification and reporting.

● Follows quality control processes to ensure data integrity; flags trends and communicates in-sights with supervisor.

● Participates in activities that improve department operations and/or support to the department for quality improvements.

● Other special projects as assigned.

Client Services Specialist

Caduceus Health, Remote/Jersey City, NJ - Sept. 2023 - Nov. 2024

● Trained Englewood Hospital staff on Athena, boosting productivity and efficiency in patient billing.

● Utilized Athena for efficient charge entry, payment posting, claim submission and set-up of new user accounts.

● Managed administrative tasks, ensuring precision and client satisfaction via Vivantio ticketing system.

● Securely handled confidential data, maintaining accuracy in medical records.

● Collaborated with upper management and various departments, enhancing client support and integration.

● Streamlined Athena client training/ billing workflows for optimal efficiency.

● Processed month-end collection reports.

● Assisted client’s front desk staff with patient scheduling.

● Other assigned tasks/duties as specified by the Client Services Manager. Sales Support Representative,Wayne, NJ

Getinge, Hybrid/ Wayne, NJ - Aug. 2022 - Feb. 2023

● Managed complex customer inquiries while maintaining seamless coordination between Sales, Service, Finance and Supply Chain teams for optimal order processing.

● Utilized SAP for order entry, tracking and inventory management, improving order fulfillment accuracy.

● Coordinated with suppliers for prompt delivery, minimizing delays and optimizing supply chain.

● Facilitated seamless importation processes, ensuring compliance and reducing shipment issues.

● Other assigned tasks/duties as specified by the Sales Support Manager. Revenue Cycle Integrity Specialist,

Summit Health, New Providence, NJ - June 2019 - Aug. 2022

● Streamlined revenue cycle operations through Athena system management, handling deposits, refunds, write-offs and payer contract compliance while ensuring optimal financial workflows.

● Utilized eCW to retrieve/ research patient's medical records for clean claim processing.

● Managed patient check deposits, improving cash flow from CityMD NJ Urgent Care locations.

● Managed deposit of Finance, Treasury, Payroll, Summit Cares(non-profit) and Corporate refund checks into Corporate Bank of America accounts.

● Supported revenue cycle staff, ensuring smooth operations and collaboration.

● Receiving and sorting external and interoffice mail.

● Other assigned tasks/duties as specified by the Revenue Cycle Manager. Reimbursement Specialist

Summit Health Management, New Providence, NJ - Dec. 2016 – June 2019

● Reviewed and resolved incomplete billing encounters, ensuring accurate provider payments.

● Processed complex medical billing encounters across multiple specialties, ensuring accurate CPT, HCPCS and ICD-10 coding while managing denials and appeals.

● Maintained comprehensive implant invoice database and coordinated with Finance Department to validate pricing and documentation accuracy.

● Streamlined claims processing workflow by implementing systematic review protocols and reconciliation reporting procedures.

● Collaborated on periodic accounts receivable projects.

● Assisted patient accounts team with patient scheduling during busy periods.

● Other assigned tasks/duties as specified by the Reimbursement Manager. Lead ICD-9 CM/10 CM Coder

Emergency Medical Associates/ Emcare, Parsippany, NJ - April 2015 - Dec 2016

● Trained and led a medical coding team of 4, managing 200+ daily charts/ medical records while ensuring ICD- 9/10 compliance for N.Y. Presbyterian Hospital - Queens ER, maintaining 100% accuracy in claims processing.

● Managed third-party coding for N.Y. Presbyterian Hospital, achieving 100 medical chart daily target.

● Audited new Coder charts/ medical records, ensuring accuracy and compliance.

● Coordinated chart/ medical record delegation and reconciliation, enhancing workflow efficiency.

● Prepared reports and supported claims processing, improving billing accuracy. Medical Billing Intern

E Central Medical Management, New Hyde Park, NY - Nov. 2014 - April 2015

● Managed physician accounts, ensuring accurate billing and payment processing.

● Resolved insurance claim issues, enhancing claim approval rates.

● Utilized Sequelmed EMR for efficient charge entry and payment posting.

● Optimized revenue cycle by addressing claim rejections, managing EOB processing and implementing efficient documentation procedures via Ebridge software.

● Improved patient data accuracy, reducing claim denials.

● Generated detailed reports, aiding management decisions. Sales Assistant

Office Depot (Corporate Office), New York, NY - Dec. 2006 - May 2008

● Streamlined order processing and pricing operations for 12 outside sales representatives, managing high-volume institutional accounts while ensuring accuracy and efficiency.

● Managed client orders, ensuring accurate pricing and timely delivery.

● Created PowerPoint presentations, enhancing sales pitches and client communication.

● Managed complex administrative operations including expense reporting/ tracking, newsletter production and statistical reporting for executive decision making.

● Coordinated vendor meetings to ensure efficient service delivery.

● Facilitated conference room setups for internal meetings and events

● Managed office supply inventory by placing timely orders. Education:

Certificate of Completion

National Career Institute, East Orange, NJ

B.S. Degree, Communications

St. John’s University, Queens, NY

Software Skills:

AthenaNet, Epic, Vivantio, SAP, Smartsheet, eClinicalWorks (eCW), Cashpro, Vision, Orbits, EHS, Docushare, Allscripts, Availity, Moyer Brown, Chartviewer, Sequelmed EMR, Ebridge, Salesforce, MS Office Suite, Google Suite, Corel Office Suite, PC set-ups and connectivity. Professional Skills:

Customer Service, Revenue Cycle, Medical Billing and Coding, HIPAA, Data Analysis, Data Entry, Training, Problem Solving, Administrative Support, Order Fulfillment, Workflow Optimization, Inventory Management, Client Engagement, Team Collaboration, Process Improvement, Claims Processing, Time Management, Attention to Detail, Decision Making, Project Management, Critical Thinking, Flexibility Achievements:

● Academic Achievement awards in Anatomy and Physiology and Medical Billing and Coding courses.

● Team winner in the Office Depot’s Sales Vendor contest (generating top sales for the month category).

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