Objective

Re-enter workforce after completing 1 year of fulltime graduate education.

Summary
15 years of experience in Healthcare. Dedicated, progressive healthcare Administ
rator. Quality work produced with a proactive service driven approach. Maximizes
efficiency via process improvement and staff education. Leads by example and fo
sters employee communication and professionalism. Expert with payor contracts, p
ayor relations, insurance verification, pre-authorization, denial management and
reimbursement systems.
Professional Experience
JOHNS HOPKINS MEDICINE - Howard County General Hospital Location 09/00 - 08/09
Senior Analyst, Revenue Cycle Department 07/06-08/09
Analyzed process flows throughout the revenue cycle for improvement in performan
ce, productivity and efficiency.
Designed an automated denial management & tracking function in Meditech which st
reamlined denial workflow, minimized redundant data entry and increased accessib
ility by consolidating denial data within one computer system.
Co-chaired Revenue Cycle Committee which included identifying areas for improvem
ent, recommending solutions for enhanced performance and monitoring productivity
using internally developed reports and key performance indicators.
Selected to design a Registrar Process Improvement program in Microsoft Access.
Completed project prior to deadline.
Coordinator, Managed Care Department 01/03-07/06
Negotiated & amended system wide payor contracts in collaboration with all Johns
Hopkins entities via the Managed Care Activity Committee
Provided Admitting staff with payor contract and health plan information, such a
s insurance verification, pre-authorization and pre-admission processes.
Consistently remained within department budget despite cutbacks.
In cooperation with clinical and support managers, developed procedures and proc
esses to improve managed care performance.
Business Analyst, Managed Care Department 01/01-01/03
Performed financial, product, market and operational analyses to support new bus
iness development and managed care operations. Provided report for strategic con
tract analysis to determine profitability and performance measures. Developed, d
isseminated and maintained managed care database as a resource for all departmen
ts. Database contained payor policies & contract information.
Researched trends and issues affecting hospital operations. Synthesized informat
ion to draw conclusions and make recommendations for action.
MEDSTAR - Franklin Medical Location 11/97-09/00
Specialist, Accounts Receivable Department
Facilitated merger of billing department from newly acquired company by signific
antly reducing accounts receivable.
Reduced denial rate by for claims by processing Certificates of Medical Necessit
y (CMN) and Medicaid pre-authorization forms.
KIRSON MEDICAL 06/95-11/97
Order Qualifier & Team Leader, Customer Service Department 06/97-11/97
Ensured future revenue by analyzing all DME orders to verify covered services an
d patient benefits, before authorizing orders to be processed and delivered.
Increased productivity and reduced employee turnover rate through design and imp
lementation of a Customer Service Training Program.
MAMSI Team Leader, Customer Service Department 02/97-06/97
Increased productivity and reduced accounts payable by supervising claims proces
sing for MAMSI contract.
Reduced costs and ensured fulfillment of contract terms by subcontracting "out o
f service area" DME orders.
Customer Service Team Leader, Customer Service Department 06/95-02/97
Increased productivity by monitoring CSR performance, daily schedules and open o
rder reports.
Improved customer service and order processing rate by implementing a problem re
solution procedure and increasing the available training for the Customer Servic
e Department.
Military Service
United States Coast Guard
Seaman
Honorable Discharge
Education
Loyola University
Masters in Business Administration In process
GPA 3.71
University Of Maryland, Baltimore County (UMBC)
B. A. in Health Administration & Policy
GPA 3.33
Anne Arundel Community College
Associates in General Studies
GPA 3.12
Computer
Microsoft Office 2003, 2007 & 2010 (Outlook, Word, Excel, Access, Powerpoint, Vi
sio & OneNote) Groupwise, Meditech, Maptitude and Dezine.
Awards
Received 6 Service Excellence Awards at Johns Hopkins
Best Practice Award for H*Works Eligibility Red Flags Initiative
Professional Memberships
American College of Health Care Executives (ACHE)
Healthcare Financial Management Association (HFMA)