Data Analyst with a 10-year working experience with Administrative Management, Medical Administrator, Tax Preparer Assistant, and General Customer Services. Basic financial and analytical skills to ensure accurate revenue reporting and interpreting EOBβs and R/Aβs and comprehend coordination of benefits. Experience using SQL and data analytic tools for reporting and data analysis. Possessing the ability to quickly resolve and triage incoming questions and issues from customers.
β’ Perform full cycle Accounts Payable process including match, batch, and code invoices.
β’ Collaborated closely with other engineers to integrate databases with other applications.
β’ Create reports that measure the success of the Support team and how to affect the metrics.
β’ Gather, update, and maintain support documentation by creating knowledgebase articles per month for our working knowledgebase site.
β’ Identified gaps in the research agenda and contributes to filling them.
β’ Monitors and assesses data for accuracy and integrity.
β’ Provided training to colleagues as needed.
β’ Provided data analysis, including identifying and recognizing trends across multiple offices for national client operations.
β’ Research project data, procedures, and history for a thorough understanding of project direction.
β’ Responds to telephone and written inquiries from clients, providers, and in-house departments.
β’ Applied research and evaluation findings in making recommendations for process improvements, informing revisions to the accreditation Standards & Measures, identifying potential added resources and products.
β’ Responsible for design, development, and implementation of database applications and solutions for managing operational systems, data repositories, and reporting and analytical applications. This includes but is not limited to ETL, stored procedures, views, and functions.
β’ Develop, maintain, and distribute routine and custom reports to ensure compliance.
β’ Participates in testing and troubleshooting of the HRIS system.
β’ Analyzes processes and made recommendations for improvements via technology or workflows.
β’ Serve as the Subject Matter Expert (SME) in federal human capital data management for other program resources, providing analytical consultative services and expertise.
β’ Translate functional requirements to technical development teams to support the creation of reports, dashboards, and data visualizations that enhance the customer experience, enable improved analysis capabilities, and reduce manual report requests.
β’ Analyze data request trends to anticipate agency needs and proactively suggest improvements and enhancements to reporting capabilities.
β’ Develop materials to guide data literacy and improve analytic reports and dashboard usage, which may include training HR consumers in the effective use of reporting tools, ensuring their proficiency in utilizing various reporting tools.
β’ Track and provide feedback on surveyor performance to the Director of Survey Operations, QA Supervisor, and/or Training Coordinator. May be required to assist with developing surveyor tools, such as checklist and investigative tools, or provide surveyor training.
β’ Independently plan, coordinate, and conduct audits and/or investigations of businesses or refund claimants.
β’ Analyzing data, correcting reporting errors and discrepancies while meeting critical deadlines.
β’ Develop and maintain positive customer relations and coordinate with various functions within the company in a timely manner.
β’ Responsible for the identification and data entry of referral requests into the UM system.
β’ Filed, retrieved, and copied case file materials.
β’ Monitor and update data based on revised rosters received from health systems and other contracted providers in a timely manner.
β’ Assists with responsibilities of assigned requests, including preparing correspondence, entering data into management.
β’ Manages claim imports and exports for EHR and vendor systems, adds payers, NPIs, locations and ensures timely completion of EDI, ERA, and EFT enrollments, and manages electronic claim forms, and system logic.
β’ Manages complex Information Systems projects/products to provide automated solutions that meet business needs using the EHR.
β’ Effectively establish rapport, demonstrate compassion, present the company value, and create motivation with veteran client to gather necessary documents to help build an initial review strategy designed to help the veteran client gain all eligible disability compensation.
β’ Assists with a variety of administrative responsibilities of assigned requests, including preparing correspondence, accurately entering data into management databases, and generating reports using various electronic databases.
β’ Review assigned work queues and research assigned credit balances.
β’ Understands regulatory requirements concerning credit balances for patient and third-party payers. β’ Posts allowed adjustments as needed to account(s) in assigned inventory.
β’ Keep records of materials filed or removed, using logbooks or computers and generate computerized reports.
β’ Perform periodic inspections of materials or files to ensure correct placement, legibility, or proper condition.
β’ Retrieved documents stored in microfilm or microfiche and placedthem in viewers for reading.
β’ Set up and load systems with new provider demographic information.
β’ Applied knowledge of new technologies, trends, and functionalities in company systems to improve HR operations.
β’ Review clinical information for appropriateness, congruency, and accuracy as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines.
β’ Timely review and coding of OASIS documents with productivity maintained at the quarterly target set by the Director of MCM.
β’ Prevent or decrease the occasion of Medicare denials by assuring proper coding on the plan of care and accurate OASIS documentation.
β’ Communication with service offices monthly and as appropriate with a focus on documentation trends, star ratings and potential revenue impact.
β’ Sort or classify information according to guidelines, such as content, purpose, user criteria, or chronological, alphabetical, or numerical order.
β’ Answer questions about records or files.
β’ Gather materials to be filed from departments or employees.
β’ Perform general office activities, such as typing, answering telephones, operating office machines, processing mail, or securing confidential materials.
β’ Find, retrieve, and make copies of information from files in response to requests and deliver information to authorized users.
β’ Place materials into storage receptacles, such as file cabinets, boxes, bins, or drawers, according to classification and identification information.
β’ Eliminate outdated or unnecessary materials, destroying them or transferring them to inactive storage, according to file maintenance guidelines or legal requirements.
β’ Scan or read incoming materials to determine how and where they should be classified or filed.
β’ Modify or improve filing systems or implement new filing systems.
β’ Keep records of materials filed or removed, using logbooks or computers and generate computerized reports.
β’ Perform periodic inspections of materials or files to ensure correct placement, legibility, or proper condition.
β’ Design forms related to filing systems.
β’ Assign and record or stamp identification numbers or codes to index materials for filing.
β’ Complete general financial activities, such as processing accounts payable, reviewing invoices, collecting cash payments, or issuing receipts.
β’ Retrieve documents stored in microfilm or microfiche and place them in viewers for reading.
β’ Operate mechanized files that rotate to bring needed records to a particular location.
β’ Add new material to file records or create new records as necessary.