Education
MBA-International Business FloridaAtlanticUniversity(08/2009)
Certificado Avanzado de Negocios en Español University of Wisconsin (02/2010)
BS Health Administration University of Central Florida(06/2001)
Internet Background
- Personally responsible for the concept, brand development, marketing, content creation and customer service at GiFreak.com
- Currently serve as general and business editor for GroundWork magazine, print and digital editions (GroundWorkBJJ.com)
- Ghost writing at MMAFightFlights.com
Business Background
2002-present…………………………...Accretive Health/SureDecisions
Project Manager-7 years/ongoing
- Responsible for developing claims review and pursuit strategy for new projects/facilities
- Developed SOPs for work coordination with offshoreIndiabased team
- Managed and streamlined revenue assurance projects to improve revenue flow for nationwide, multi-facility hospital systems. Facilities ranged between 200 and 750 beds
- Coordinated with clients to identify and resolve data, billing and contract issues and coordinate operations with client desired results
- Performed solution testing for newly acquired facilities to determine potential monetary success of projects
- Interpreted and modeled hospital/payor contracts in SQL database
- Designed, developed and managed knowledge sharing database for multi-facility, multi-system market
- Developed training program and materials for both domestic and foreign employees. Trained analysts face to face and remotely via phone and internet
Contract Manager-2 years
- Conducted regular meetings (in person and remote) with health insurance companies to resolve contract interpretation and claim underpayment issues
- Responsible for front line learning of hospital patient accounting systems and subsequent training of analysts
- Trained and managed work flow forIndiabased analysts.
Claims analyst-2 years
- Analyzed underpaid inpatient, outpatient and same day surgery claims through in depth document review, payment analysis and contract interpretation
- Identified underpayment trends due to billing and coding errors, contract interpretation issues and insurance processing mistakes
2 years human resource consulting…………………….Recourse Communications
Sourcing Traffic Manager
- Edited and provided feedback on HTML advertising campaigns
- Trained and instructed recruiters on use of resume database
- Delegated resume sourcing duties to a team of ten. Reviewed and processed work submissions and client orders
- Managed client resume database through resume evaluation
- Heavily involved in the development and testing of applicant tracking software
sold to clients nationwide
Skills
SOP development
Project management
Internet marketing
Brand development
Self motivated, strong conceptual skills
SQL reporting and queries
Understanding of data flow issues in patient account software
Contract modeling
Superior communication skills
Excellent presentation skills
Practical understanding of US healthcare systems
Rapid language acquisition
Spanish-Intermediate
Mandarin-Beginner
Interests and Affiliations
Mensa International
Brazilian jiu jitsu
Language acquisition
International Travel (China,Japan), Culinary Arts, Martial arts, Latin Dance
USChinaPeoples Friendship Association