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Professional Summary
A detail oriented Individual with prompt and professional attitude towards work tasks. Good interpersonal skills to maintain relationship with fellow workers and customers. In depth understanding of Strategic Planning, Finance, Marketing, Process Improvement, Team Building, Presentations and Communication. Hands on experience in general accounting, medical payment processing, Revenue Cycle, and financial database analysis.
Skills
  • Gap analysis
  • Identifying best practices
  • Leading software development teams
  • Managing multiple projects
  • Time management
  • Effective communication
  • Business process improvement
  • Business development
  • Business artifacts documentation
  • Business process mapping
  • Team player
  • Strategic planning
  • Decision-making ability
  • Data analysis
  • Data validation
Work History
Business Analyst II, 07/2014 to 07/2017
 Northwell Healthcare – Lake Success, NY
  • Serves as primary operations consultant for Revenue Cycle Business Operations implementation and maintenance.
  • Liaises between various project teams.
  • Develops and delivers plans and training materials throughout implementation and ensures smooth operations post-implementation.
  • Develops and analyzes implementation of Revenue Cycle Business Operations which may include design, testing, and/or any other components of the project plan cycle.
  • Serves as a liaison between business and technology teams.
  • Educates site management team on Revenue Cycle Business Operations policies and procedures.
  • Assists implementation team in configuring HIPAA rules based on System policies and legal requirements.
  • Develops procedures for system audits.
  • Resolves discrepancies, as required.
  • Collaborates with departments and clients to resolve user issues.
  • Troubleshoots issues and resolves concerns as well as recommends necessary fixes.
  • Advises management of results and recommends actions.
  • Analyzing provider's credentials for scheduling system build.
  • Help in residents' on-boarding process and their scheduling set up.
  • Work on various scheduling reports set up.
  • Work with Cerner on Soarian Enhancements.
  • Skillfully developed departmental goals, objectives, standards of performance, policies and procedures.
  • Skillfully developed departmental goals, objectives, standards of performance, policies and procedures.
  • Led the planning and achievement of goals and objectives consistent with the agency mission and philosophy.
  • Interpreted and communicated new or revised policies to staff.
  • Identified process improvements in the day-to-day functioning of the department.
  • Closely collaborated with management team to make necessary improvements and satisfy resident needs.
  • Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs.
  • Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs.
  • Managed testing cycles, including test plan creation, development of scripts and co-ordination of user acceptance testing.
  • Implemented user acceptance testing with a focus on documenting defects and executing test cases.
Business Analyst, 12/2012 to 07/2014
 Northwell Health Systems – New Hyde Park, New York
  • A Revenue Cycle operations and Soarian Patient Access consultant for "Project Access." Accountable for system implementation and maintenance, as well as liaises between various project teams.
  • Recommends and delivers plans and training materials throughout implementation and helps ensure smooth operations post-implementation.
  • Assists implementation team in configuring HIPAA rules based on System policies and legal requirements.
  • Build in Soarian Scheduling.
  • Documented business processes and analyzed procedures to see that they would meet changing business needs.
  • Identified process inefficiencies through gap analysis.
  • Managed testing cycles, including test plan creation, development of scripts and co-ordination of user acceptance testing.
  • Recommended operational improvements based on tracking and analysis.
Clinical Practice Plan Representative, 12/2011 to 12/2012
 Northwell Health Systems – Westburry, New York
  • Assessing, processing, and tracking patient billings and reimbursements procedures; capturing charges for inpatient and/or outpatient visits.
  • Reviewing, editing, and verifying Patients' accounts for Medicaid, Medicare, third party payers along with resolving claim related issues.
Revenue Cycle Analyst, 05/2011 to 11/2011
 NY Hospital Of – Queens, NY
  • Field based experience in managing, reporting, and analyzing financial data.
  • HCRA surcharges evaluation.
  • Analyzed key aspects of the business to evaluate the factors driving results and summarized results into presentations.
  • Project: Co-pays, Deductibles, and Co-Insurance effective collection in Elective surgery procedures.
Revenue Cycle Analyst, 10/2010 to 05/2011
 NY Hospital Of – Queens, NY
  • Identified and investigated variances to financial plans and forecasts by interpreting financial results. 
  • Created an analytical framework for identifying and developing financial growth opportunities.
  • Project: Researched effective methods of collecting co-pays and deductibles, meanwhile wrote a financial policy plan for patients and a collection plan for hospital.
Financial Advisor, 02/2008 to 06/2009
 NAMAJ Corporation – Port Washington, NY
  • Monitored and analyzed financial, statistical and operational data trends.
  • Conducted financial and legal research and analysis for high net-worth individuals.
  • Budgeted active and proposed projects by accurately determining pricing, margins and risk factors.
  • Reviewed and analyzed project spending throughout project life cycle.
  • Identified risks associated with projects, contract approvals and other client accounting issues.
Universal Banker, 02/2007 to 06/2007
 Bank of Smithtown – NY
  • Responsibility for servicing and responding to overall customer needs within the branch.
  • This position provided me the experience of both service & sales, which included opening accounts, handling teller transactions, sells/cross-sells bank products and services, and resolves customer service issues.
Education
Master of Science: Health Informatics Administration, 2020
 University Of Maryland - Online


  • Health Information Management
Certification in Medical Billing and Coding: Medical Billing and Coding, June 2012
 York College (CUNY) - Jamaica
  • Medical Office Billing & Coding
  • With Distinction
Masters of Healthcare Administration: May 2011
 Hofstra University - Hempstead, NY.
 With Distinction
Bachelor of Science: Business Administration, October 2005
 Devry University - Chicago, IL
  • Coursework in Business Management
Affiliations
  • American College of Healthcare Executive (ACHE). * Healthcare Financial Management Association (HFMA).
  • Volunteer Experience: *New York Community Hospital, NY (November 2009) Volunteer clerical work Organize and maintain paper and electronic files.
Languages
Hindi, Punjabi, and Urdu.
Accomplishments
·   Upsilon Phi Delta                          (Healthcare Administration Honoree Award)

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Professional Summary

Revenue Cycle Analyst with experience working claim denials, medical coding, team Leadership, patient registration. payment posting, and charge entry.

Certifications

Certified Medical Coder, Practice Management Institute


Certified Healthcare Access Specialist, NAHAM


Skill Highlights
  • ICD-9 coding
  • Maintains strict confidentiality
  • HIPAA compliance
  • Strong work ethic
  • Good written communication
Professional Experience
Revenue Cycle Analyst
November 2012 LSUHSC － Shreveport, La

Reviewed denied claims resubmit for reimbursement.


Accurately entered procedure codes, diagnosis codes and patient information into billing software.


Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.


Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.


Completed appeals and filed and submitted claims.


Applied payments, adjustments and denials into medical manager system.

.
Denials Analyst
June 2008 to November 2012 Highland Clinic, APMC － Shreveport, LA

Contacted insurance companies to resolve issues with denied claims.


Entered corrections in system to resubmit claims for reimbursement.


Completed appeals and filed and submitted claim


Submitted refund requests for claims paid in error
Certified Healthcare Access Specialist
April 1994 to April 2008 Christus Health － Shreveport, LA

Supervised approximately 10-15 employees in the ER/Admitting Department.


Acquired insurance authorizations for procedures and tests ordered by the attending physician.


Arranged and assisted with hospital admissions.


Scheduled patient appointments.


Completed registration quickly and cordially for all new patients.


Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.


Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.


Thoroughly reviewed remittance codes from EOBS/AR's.


Confirmed patient information, collected copays and verified insurance.


Posted charges, payments and adjustments.


Applied payments, adjustments and denials into medical manager system.


Efficiently performed insurance verification and pre-certification and pre-authorization functions.
Education and Training
High School Diploma : Marketing LSUS － Shreveport, LA

Coursework in Marketing.
High School Diploma : Nursing NSUS － Shreveport, LA, USA

Coursework in Nursing.
High School Diploma : Marketing La Tech University － Shreveport, LA, USA

Coursework in Marketing.

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