HEALTH SYSTEMS ANALYST Summary Healthcare-Business professional experience competitive component resolution drives revenue, growth, profits, operational performance. I seeking opportunity organization offers visionary, innovative professional environment defines experiences rapidly understand new technologies gain new skill sets. Self-motivated, detail oriented adept communicator solid written verbal communication skills. Loyal, dedication ambitious employee. Willing travel relocate. Education Training 2016 University Saint Francis City State Master Health Administration 2010 Pfeiffer University City State Business Administration Management Information Systems Bachelor Science Degree Business Administration Management Information Systems 2012 Certified Health Information Technology -Implementation Manager Certification-CHTS-IM Skills Proven patience self-discipline Conflict resolution Relationship team building Claims analysis review specialist Critical thinking proficiency Government relations knowledge Proven patience self-discipline Motivation techniques specialist Activities Honors American Health Information Management Association, Member, AHIMA 2012-Present Dress Success 2010 Present Experience January 2017 Company Name City State Health Systems Analyst Hands-on configuration troubleshooting claim real-time environment relate Resolute. Knowledge rules, work queues, billing indicators, statement processing, letters, self-pay follow-up payment/ adjustments reporting. Extensive experience patient accounting, billing, managed care, claims decision support. A solid understanding business aspects healthcare operations workflow. January 2017 May 2017 Company Name City State Health Systems Analyst Hands-on configuration troubleshooting claim real-time environment relate Resolute. Knowledge rules, work queues, billing indicators, statement processing, letters, self-pay follow-up payment/ adjustments reporting. Extensive experience patient accounting, billing, managed care, claims decision support. A solid understanding business aspects healthcare operations workflow. January 2007 January 2014 Company Name City State Healthcare Claims Analyst Loaded analyzed Medicaid, Medicare, Commercial health plan data. Implemented analytic directives senior staff clients. Investigated issues healthcare data acquisition presentation. Contributed development maintenance operational, financial, performance-related reporting packages. Generated Medical reports summarizing cost utilization trends investigate drivers. Developed reports clients using business intelligence tool. January 1996 January 2007 Company Name City State Senior Benefit Claims Consultant Supervised (25) employees improved efficiency, increase production, implement workflow processes, optimize Lean efficiency training procedures managed care auto adjudicated claims. Achieved operating-margin targets fostering culture performance continuous improvement. Gained increase 25% financial raises stock options. Work relationship Executive, Directors, clients maintain good communication goals. Ensured contractual compliance requirements reporting. Streamlined daily operations departments, analyzed internal practices, identified areas opportunity, presented problem solutions generated efficiency recommendations. Reimburse expertise products place service medical, pharmacy vision. Experience contracting Hospital Physician. Researched Analyzed Insurance Data directed. Maintained 95% production performance goals six consecutive years. Experience coding systems electronic claims Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), International Classification Diseases(ICD-9). July 2011 April 2016 Company Name City State Academic Resource Specialist II Maintained detailed administrative procedural processes improve accuracy efficiency. assignment duties implementation performance programs, lesson assessment programs. Developed executed strategic tactical plans meet student organization needs. Interacted Partnered staff key management teams implementing strategic action plans help identifying organization objectives. Effectively increase retention efforts 75% adoption early-alert program computer software Starfish Application. Skills Accounting, billing, business intelligence, CMS, continuous improvement, contracts, CPT, Critical thinking, clients, Customer Support, Data Analysis, decision support, drivers, Financial, Health Information Technology, ICD-9, Insurance, letters, Microsoft Office, pricing, processes, Coding, Project Management, Quality, Quality Assurance, real-time, reporting, strategic, troubleshooting, Vendor Management, vision, workflow