Yyyyyy x. yyyyyy

Xxxxxx, XXXXXX xxxxxx ￨ (xxx-xxx-xxxx ￨ abc@xyz.com

Highly Accomplished CPC who expertly drives healthcare-centric initiatives to align with productivity- and efficiency-enhancing goals, and who makes strategic decisions to align with a top company s vision and value.

Bilingual Communicator (Spanish / English) who develops synergistic relationships with decision-makers, business teams, and clients; who leads peers by example and with ethics and integrity to meet diverse business needs; and who has been recognized by colleagues for exceptional talents in analysis and problem resolutions.

Proactive Strategist who contributes solutions-focused critical thinking for insightful, change-oriented results including maintaining cutting-edge skills and up-to-date industry trends awareness, as well as rising above issues to quickly adapt to evolving on-site scenarios, allocate key resources, and attain winning outcomes.

Allscripts, New York, NY

(2017 Present)

Senior Business Analyst Client Delivery Services Department

Capitalize on the opportunity to lead forward-thinking client delivery services initiatives, including continually interfacing among business users to understand new business requirements and enhancement requests, as well as serving as a dynamic liaison between application technology vendors, internal IS groups, and business users. Design and execute comprehensive functional, integration, and regression test plans for new application functionality, product releases and enhancement, and regulatory modifications using business scenarios and use cases. Perform functional application configurations. Write new document on assigned applications. Co-plan, coordinate, and develop detailed estimates for assigned projects as a liaison among users, IS staff, and clients.

  Seamlessly translate business requirements into product-specific designs and configuration.

  Interact among Systems Analysts during software build, configuration process, and testing process.

  Actively participate in user focus groups and requirements workshops, trainings, and demonstrations.

Memorial Sloan-Kettering Cancer Center, New York, NY

(2009 2017)

Systems Application Analyst Physician Billing Department (2017)

Utilized broad scope of industry knowledge toward building HPA carrier contract profiles for proration of claims, along with managing unit testing for profiles and continually analyzing application issues for new and / or existing systems. Co-developed program design and technical specifications for vendor applications, including data flow and data storage design on key projects. Directed applications testing, and ensured quality of applications provided to users on assigned focus. Resolved production problems on assigned systems.

  Drafted new documentation on assigned applications.

  Prepared system design specs to meet business requests.

  Served as an ongoing liaison between users, IS staff, and top vendors.

  Led systems and integrated test plans on projects from GE Centricity, ETM, and HPA.

Systems Staff Analyst Physician Billing Department (2016)

Contributed sharp analytical abilities toward generating daily claims files for submission to insurance carriers via secure FTP, including promptly analyzing and resolving claims edits returned from insurance carriers for speedy adjudication, as well as analyzing and resolving 277CA / 999 files to identify trends.

  Initiated and tested new applications from GE Centricity and ETM.

  Proactively supported staff with issues with GE Centricity BAR and ETM.

  Co-developed new operational policies and reviewed departmental processes.

  Served as MSKCC liaison with GE support staff and all insurance carriers EDI team.

Yyyyyy x. yyyyyy ￨ (xxx-xxx-xxxx Page Two

Memorial Sloan-Kettering Cancer Center, New York, NY

(continued)

Government Insurance Group Leader Physician Billing Department (2009 2015)

Led targeted decision-making among a top-performing team tasked with building and implementing Enterprise Task Management, including supporting GE ETM with testing outcomes, as well as troubleshooting key challenges. Prepared month-end receivables reports for departmental leadership. Monitored outsourcing initiatives and provided integral training support. Liaised among physicians, patient accounts, and regional sites.

  Delivered daily support to top-notch 5S specialists in resolving issues.

  Reduced and / or denied reimbursements by actively contacting key carriers.

  Co-developed new operational policies and reviewed departmental procedures.

Insurance Specialist Physician Billing Department (2009)

Expertly produced, submitted, and tracked appeal packages to insurance carriers, including adjusting patients accounts accordingly to reflect rejections or payments from carriers, as well as reporting findings to lead and supervisor. Established payment arrangements per pre-set guidelines to ensure on-time payment.

  Efficiently accessed online systems and contacted patients and insurance companies to verify data.

Columbia University, Fort Lee, XXXXXX

(2006 2009)

Revenue Cycle Representative Clinical Revenue Officer (2008 2009)

Contributed sharp analytical abilities toward establishing payment arrangements per pre-set guidelines, as well as assisting with claim issues and delinquent accounts as required. Performed comprehensive collection actions, including resourcefully contacting patients and insurance companies to continually exceed objectives.

  Consistently reduced accounts receivable by following up on all unpaid claims.

  Performed collection audits, including contacting patients and insurance companies.

Insurance Verification Representative Clinical Revenue Office (2006 2008)

Spearheaded details-centric access of online systems to verify information among patients and insurance companies, including promptly responding to and / or resolving telephone and email inquiries to meet key goals.

  Proactively reported diverse delinquent accounts to manager for outsource referrals.

  Resubmitted claims to 3^rd party payers and generated new bills to patients as required.

Collection Specialist Department of Dermatology (2006)

Played a vital role in performing collection actions via communications among patients and insurance companies, including resubmitting claims to 3^rd party payers and generating new bills for patients as necessary.

  Promoted continual resolution of delinquent accounts by reporting to manager for outsource referrals.

Bachelor of Science in Information Technology University of Phoenix

In Progress ￨ Healthcare Information Technology Emphasis

Associate s Degree in Database Programming University of Phoenix

Certified Professional Coder (CPC) American Academy of Professional Coders (AAPC)

CompTIA A+ Certified ￨ PC Pro Certified

GE Centricity Flowcast 5.0 (ETM, HPA, Web, BAR, PCS, eCommerce) ￨ WebCIS

RAM ￨ Siemens Invision ￨ Stockamp Profee / OnTrac ￨ Healthcare Information System ￨ Eagle ￨ Easy Print

Yyyyyy x. yyyyyy

Xxxxxx, XXXXXX xxxxxx ￨ (xxx-xxx-xxxx ￨ abc@xyz.com

Date

Hiring Agent Name

Company Name

Address

City/State/Zip Code

Dear__________________:

I am exploring a new career opportunity within a challenging [ Insert Job Title ] role, and I believe that I can make a positive contribution to your bottom-line performance.

To acquaint you with my background, I offer proven talent in Healthcare IT / Healthcare Management, Systems Analysis / Development, Program Design / Development, Strategic Planning, Trends Tracking, Resource Allocation, and Workflow Prioritization, and am well-versed in Physician Billing, Claims, Business / Management Principles, Team Building / Training, Multi-Process Optimization, C-Suite Relations, Vendor Relations, and Customer / Client Services, among other areas. Furthermore, I consistently attain winning outcomes due to my superior skills in bilingual communications (Spanish / English), critical thinking, and attention to detail.

To complement this experience, please note that I am pursuing a rigorous Bachelor of Science in Information Technology (Healthcare IT emphasis) from the University of Phoenix, and attained an Associate s Degree in Database Programming from the same university. I am also recognized as a Certified Professional Coder (CPC) with the American Academy of Professional Coders (AAPC).

Currently, as a Senior Business Analyst for Allscripts Client Delivery Services Department, I successfully interface among business users to continually understand new business requirements and enhancement requests, including serving as a dynamic liaison between application technology vendors, internal IS groups, and business users. Within this role, I design and execute functional, integration, and regression test plans for optimal new application functionality, product releases and enhancement, and regulatory modifications using business scenarios and use cases. I also co-plan, coordinate, and develop detailed estimates for assigned projects as a liaison among users, IS staff, and clients.

A sample of my recent accomplishments include:

  Seamlessly translating business requirements into product-specific designs and configuration.

  Participating in user focus groups and requirements workshops, trainings, and demonstrations.

  Interacting among Systems Analysts during software build, configuration process, and testing process.

I am eager to discuss how my qualifications uniquely match your current and future needs, and look forward to interviewing with you soon.

Sincerely,

Yyyyyy x. yyyyyy