Accountant
December 2023 – January 2025
State Of Tennessee, Nashville, Tennessee
- Accounts Payable duties including receiving invoices, purchase orders, and receiving documents and performing a three-way match.
- Using Edison to create vouchers for payment.
- Tracking down invoices from vendors when needed.
- Work with local governments to ensure local occupancy and local option taxes are correct.
- Work the budget to actual reporting
Business Analyst -Advanced
January 2023 – August 2023
State Of Tennessee, Nashville, Tennessee
- Assist with projects.
- Gather project requirements.
- Follow up with the business unit to ensure satisfaction and viability of projects.
- Maintain team SharePoint.
- Writing workflows for the department and companion workflow charts in Visio.
eICR Specialist/Epi2
June 2021 – January 2023
State Of Tennessee, Nashville, Tennessee
- Transition to State employee.
- Work with informatics team on the eICR project to facilitate electronic case reporting from providers to the Tennessee Department of Health.
- Participate in testing messages sent via Rhapsody from the AIMS portal and SFTP and ensure proper consumption of XML messages into the NBS system for disease surveillance for the Department of Health in TN.
- Ensure that messages are delivered successfully to NBS (EMR) and troubleshoot with DBAs and the vendor when problems arise.
- Troubleshoot eCR messages for proper consumption to NBS working with trading partners, vendor, and STS.
- Created REDCap projects to collect data during UAT.
- Write SQL queries and Python code to automate data abstraction. Create Tableau dashboards to visualize data for internal and external stakeholders.
eICR Specialist/Epi2
November 2020 – June 2021
Medasource/contract with State of TN, Nashville, Tennessee
- Work with informatics team on the eICR project to facilitate electronic case reporting from providers to the Tennessee Department of Health.
- Participate in testing messages sent via Rhapsody from the AIMS portal and SFTP and ensure proper consumption of XML messages into the NBS system for disease surveillance for the Department of Health in TN.
- Ensure that messages are delivered successfully to NBS (EMR) and troubleshoot with DBAs and the vendor when problems arise.
- Troubleshoot eCR messages for proper consumption to NBS working with trading partners, vendor, and STS.
- Created REDCap projects to collect data during UAT.
- Write SQL queries and Python code to automate data abstraction. Create Tableau dashboards to visualize data for internal and external stakeholders.
Clinical Appeals Nurse Manager/Lead
January 2018 – November 2020
Parallon Business Performance Group, Nashville, Tennessee (remote)
- Lead a team of approximately 20 work from home staff.
- Assist in difficult denial solutions maximize payment for a large hospital corporation.
- Perform quarterly and yearly evaluations.
- Perform disciplinary actions as needed.
- Extract information from hospital records to support medical necessity for inpatient level of care and outpatient services using InterQual criteria.
- Provide education to other analysts, clinical and non-clinical to resolve accounts.
- Maintain accurate financial accounting of facility encounters ensuring accurate accounts receivable.
- Write clinical appeal letters to persuade insurance payers to overturn denials.
Health Risk Management CM
August 2017 – December 2017
Blue Cross Blue Shield of TN, Nashville, Tennessee (remote)
- Enroll members into case management to reduce overall cost by providing education and resources.
- Assess, plan, collaborate with member, family, and medical providers to ensure physical and psychosocial needs are met.
Clinical Application Analyst
March 2017 – June 2017
State of TN, Nashville, Tennessee
- Responsible for participating in design, development, and deployment of electronic health record system to include actively soliciting input from all customer levels, rapidly responding to problems, and instituting new solutions to the electronic health record system.
- Responsible for design and pulling reports for monthly and quarterly reports for the CDC.
- Adding new users and maintaining permissions for users.
- Designing new tests and deploying using standard operating procedures (SOPs) provided by laboratorians.
- Coordinate User Acceptance Testing
- Run simple SQL queries on data for auditing and reporting.
Database Administrator
April 2014 – March 2017
CHSPS/Gateway Hospital, Franklin, Tennessee (remote)
- Responsible for the ongoing maintenance and support of case management applications for a moderate size hospital corporation.
- Maintain, monitor, design, and support the application database infrastructure to maintain reliability and uptime. Start bridge calls with Network Operations to ensure uptime.
- Perform technical support, troubleshooting hardware and software, and interfaces in the enterprise application environment. Assist in creation and updating of workflows under the direction of the Vice President of Case Management and Appeals.
- Work trouble ServiceNOW(SNOW)tickets from ServiceNow and maintain SLA.
- Maintain positive working relationships with vendors and users across the enterprise. Provided training to end-users of MIDAS+ application. Received training on InterQual software to train and provide user support to Case Managers at 202 hospitals.
- Managed projects of rollout of MIDAS+ application to newly acquired facilities. Provided user training. Added users, used SQL to build worklists, and remotely loaded program onto new facilities computers as needed.
Clinical Appeals Specialist
June 2012 – April 2014
Parallon Business Performance Group, Nashville, Tennessee (remote)
- Extract information from hospital records to support medical necessity for inpatient level of care and outpatient services. Analyze root cause of non-payment and research policies of payers, ICD-9, and CPT coding issues and make suggestions for corrections.
- Assist interim manager with yearly performance evaluations.