Project Manager Report Writer

Doris C Joyner

** ********* ***

Brockton, MA ***01

Phone: 617-***-****

ad9o4r@r.postjobfree.com

Objective: To obtain a position within a company that encourages growth, continued education, and provides a supportive work environment.

Employment History

Apex Consulting (Consultant) PB/Claims Application Analyst (Go-Live Implementation)

Project Manager (Optimization) 04/2024 – 09/2024 Hybrid

PB/HB Claims Reporting Workbench design/development

Dashboard review/development

Reporting Workbench review and design/Report Writer

Service Now ticket execution (with user support)

CLIA & Mammography project completion

Claim Edit Analysis

Work queue Design Analysis/Build

Third Party Claim Analysis

Claims Correction

Change Management

Data Courier

Successful Go-Live

Successful Risk Assessments

Data Analytics

Operational and Technical design documentations

Training and workflow documentation

HiTEC Consulting (Consultant) 11/2023 – 11/2023 Remote

PB Application Analyst

Work queue clean-up

Work queue design/development

Dashboard development

Reporting Workbench review and design

Service Now ticket execution

NOVO Technology Group 07/2022 – 07/2023 Madison, WI 53558

PB Claims/PB Billing Analyst/Cogito/RWB Report Writer

Managed 1 Analyst for Epic Report Writing

Professional Billing work queue build

Professional Billing Claims work queue build

Reporting Workbench custom report build

Custom SQL report build with new Epic integration

Business Analytics

Report training

Customized Epic Dashboards & Components

Epic Nova notes review/build

Data courier

Created custom Clarity tables

Backfilled Clarity tables

Full scope revenue cycle reporting

Full scope clinical reporting

Resolved help desk tickets via Dynamics

Slicer Dicer Build/Training

Caboodle Build/Training

Boston Medical Center 9/2017 – 1/2022 Charlestown, MA 02129

Revenue Cycle Analyst/Application Developer

Epic Implementation to Go-Live support (Command Center, On-Call, Remote)

Epic Clarity/SQL report writer for Professional Billing, Grand Central, HIM applications

Epic Clarity/SQL report writer for Healthy Planet Population Management/Registry Application

Developed and implemented Epic Crystal Reports for ECI (Epic Crystal Integration)

Developed and implemented SQL queries as ECI (Epic Crystal Integration) Reports

Designed custom Reporting Workbench reports and templates

Designed and implemented Flowsheets, Smart Forms, Smart Data Elements and Navigators for clinical use

Designed and implemented various reports for Professional Billing, Charge Capture, and Cash Collection

Designed and implemented specification documents to capture reporting needs/requirements

Designed test scripts for reports/queries/system build

Managed various projects across multiple teams to a successful outcome

Designed and implemented training material and lead training classes for Epic ‘Cubes’ tool

Business analyst/Data analysis

In depth knowledge of Clinical and Revenue Cycle Clarity tables and columns

In depth knowledge of Epic ‘Text’ environment

Created custom Clarity tables based off Registry build

Patient creation and scheduling using Grand Central & Prelude applications to test and drop charges

Created Provider and Department records

Slicer Dicer Build/Training

Caboodle Build/Training

Designed and implemented multiple Healthy Planet Registries and Rules

Resolved user issues via Service Now ticketing tool

Point person for Epic Data Courier process

Designed and implemented Epic Roster Management tool

Designed and implemented various Workqueues for Revenue Cycle and Clinical errors

Point person for Nova note updates and final sign off

Partners Health Care/eCare 07/2014 – 9/8/2017 Boston, MA 02111

Professional Billing Test Lead/Application Test Lead

Work exclusively in Epic System

Managed 8 Analysts for Hospital and Professional Billing

Developed and reviewed Professional Billing scripts for test execution

oIdentified where professional charges were expected from various Epic applications

oIdentified where professional charges were expected from various interfaces

oRecorded expected charges

oAnalyzed scripts for accuracy and logic

oAttended design sessions for script completion

oReviewed requirements and workflow

oWorked with “Split Billing” workflows

oData Analysis

Executed test cases to ensure positive/passing result

Discovered, logged, and retested defects

Developed an inventory of expected charges from various entities

Member of Skill Building and Recognition Committee

Slicer Dicer Build/Training

Caboodle Build/Training

Consistently coached and supported team members to ensure they maintained and advanced their Epic and testing knowledge

Supported end users

IkaSystems 02/11-1/8/14 Southborough, MA 01772

Lead Business Analyst

Lead Business Analyst for eleven clients

Conducted trainings on behalf of IkaSystems for clients on the Ika Claims application (Administrative, COB, Claims/Claims Adjustment, Refunds, Data Reports and Payments trainings)

Conducted interviews for Business Analyst positions

Assisted clients with configured edits in iCES/Optimum Sight

Monitored reported defects and requested enhancements via the IkaSystems IAD log

Assisted clients with the resolution of technical system errors with the assistance of the developers and engineering staff

Gathered report requirements and developed report specs for Claims, COB, Receivables, Finance, Provider Serving, Member Servicing and Authorizations reports with the assistance of the developer

Public Consulting Group (Contracting) 12/09-6/10 Boston, MA 02119

Lemuel Shattuck Hospital: Collections Supervisor

Supervised 8 employees

Implemented a standard EOB for Department of Corrections claims to accurately calculate pay rates and identify overpayments immediately using brainstorming tools

Implemented a process to identify and follow up on outstanding unpaid claims within 45 days of billing

Implemented the use of team schedules to prioritize workloads

Implemented monthly department meetings for Collections A/R updates and status changes

Mass General Professional Billing Office 3/07-12/09 Charlestown, MA 02129

Billing Systems Specialist

Medical Specialty Team Supervisor

Registration Resolution Team Supervisor

Registration Rep I&II

Billing Rep I&II

Tufts Health Plan 01/05-02/07 Watertown, MA 02129

Claims Analyst

Our Lady Fatima Hospital 4/04-12/04 Providence, RI

Billing Representative

Education

Epic Certified/Proficient

Certified in Resolute Professional Billing w/ Single Billing Office, Single Billing Office

Proficient in HIM Release of Information, HIM Deficiency Tracking, Professional Billing Claims Administration, Professional Billing Electronic Remittance, Professional Billing Insurance Follow Up, Resolute Hospital Billing Administration, Hospital Billing Claims Administration, Bridges, Data Courier, Charge Description Master Management, Healthy Planet Analytics & Clinical Build

Udemy Academy (2023) Online Course

Project Management Fundamentals

Project Management Intermediate Skills

Project Management Strategies & Resource Planning

Bridgewater State (2014) Online Course

Introduction to SQL

Bryman Institute (2002-2004) Brighton, MA 02135

Medical Administrative Assistant

Medical Billing & Coding

Boston High School (2001) Boston, MA 02119

GED

Mass General Hospital (2007-2009) Charlestown, MA 02119

Leading and Motivating

Conflict Communication

Corrective Action

Behavioral Interviewing

Patcom and IDX training

Skills:

Experienced in Epic Applications (not limited to): Enterprise Payment posting, Payment Posting, Resolute Professional Billing, Claims, Charge Entry, Charge Router, User Security, Various Billing Work Queues, Coding, ADT/Cadence, Providers, Healthy Planet, Epic Putty environment, Intermediate Microsoft Test Manager, Intermediate Microsoft Visual Studios, SQL Knowledge, Extensive IDX BAR, TES and PCS knowledge, Extensive Patcom and IDX registration updating knowledge, Expert Microsoft Excel, Word, PowerPoint, PeopleSoft and Outlook user, Project Management, Project Planning, Strategic Planning & Resourcing, SCRUM, Change Management, Change Management Documentation & Tracking, Agile, Risk Management, Business Analyst, Organization, vast knowledge of how to operate various eligibility verification systems, intermediate Microsoft Access, Visio, and Meditech user, diligent and analytical thinker, superior group and individual brainstorming techniques, sharp attention to detail, fast learner, dedicated, hard working, honest, extraordinary customer service skills, team player, leader, motivator, self-starter, very strong communication

References Furnished Upon Request

Below is the complete list of certifications, proficiencies, and badges:

Name

Original Version

Completion Date

Status

CEE Complete?

Last Required CEE

Certificate or Badge?

Certificate Number

Resolute Professional Billing Administration

Epic 2014

06/26/2015

Certified - Verona

No: Required AE

Recommended NVT

2023 Versions (Not Completed)

Certificate

50748477

Resolute Professional Billing Administration for Single Billing Office Certification (Prior to 2015) (Retired)

Epic 2014

06/26/2015

Certified - Verona

N/A: Retired

Epic 2017 (Not Completed)

Certificate

24052803

Single Billing Office Administration Certification (Retired)

Epic 2014

07/10/2015

Certified - Verona

N/A: Retired

Epic 2017 (Not Completed)

Certificate

24052816

HIM Release of Information

Epic 2014

09/22/2015

Proficient - Self-Study

No: Required AE

Recommended NVT

2023 Versions (Not Completed)

Certificate

34879429

Resolute Professional Billing Claims and Electronic Remittance Administration

Epic 2015

01/19/2017

Proficient - Self-Study

N/A: Lapsed

2019 Versions (Not Completed)

Certificate

42433656

HIM Deficiency Tracking

Epic 2015

02/03/2017

Proficient - Self-Study

N/A: Lapsed

2019 Versions (Not Completed)

Certificate

35608405

Resolute Hospital Billing Charging

Epic 2015

02/17/2017

Proficient - Self-Study

N/A: Lapsed

2019 Versions (Not Completed)

Certificate

50014648

Resolute Hospital Billing Administration

Epic 2015

03/24/2017

Proficient - Self-Study

N/A: Lapsed

2019 Versions (Not Completed)

Certificate

333420149

Resolute Hospital Billing Administration (Non-SBO Version) (Retired)

Epic 2015

03/24/2017

Proficient - Self-Study

N/A: Retired

2019 Versions (Not Completed)

Certificate

50334142

Resolute Hospital Billing Claims and Electronic Remittance Administration

Epic 2015

04/07/2017

Proficient - Self-Study

N/A: Lapsed

2019 Versions (Not Completed)

Certificate

51226728

Resolute Professional Billing Electronic Remittance

Epic 2015

06/08/2017

Proficient - Self-Study

N/A: Retired

None

Certificate

52843093

ARCR: Resolute Professional Billing Insurance Follow-up

Epic 2017

06/09/2017

Proficient - Self-Study

N/A: Lapsed

2021 Versions (Not Completed)

Certificate

52881144

Bridges Interface

Epic 2017

06/30/2017

Proficient - Self-Study

N/A: Lapsed

2021 Versions (Not Completed)

Certificate

53582539

Data Courier Fundamentals Proficiency

Epic 2017

07/28/2017

Proficient

N/A: Retired

None

Certificate

54036472

Data Courier Mover Badge

Epic 2017

07/28/2017

Certified - Verona

N/A: Lapsed

2021 Versions (Not Completed)

Badge

63711640

Healthy Planet Analytics and Clinical Build (Retired)

2021 Versions

09/28/2021

Proficient - Self-Study

N/A: Retired

None

Certificate

184478865

Healthy Planet and Compass Rose Analytics Build

2021 Versions

09/28/2021

Proficient - Self-Study

Yes: Recommended NVT

None

Certificate

585143891

Healthy Planet and Compass Rose Clinical Build

2021 Versions

09/28/2021

Proficient - Self-Study

Yes: Recommended NVT

None

Certificate

585143892

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