Alden Joe
Revenue Cycle Management @Robert Half Executive Search
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WORK HISTORY
Revenue Cycle Management @Robert Half Executive Search
Verifying credentials, qualifications, licenses, certifications, and other relevant documents submitted by individuals or organizations. Ensuring compliance with legal regulations. Maintaining accurate and up-to-date records. Physician credentialing management, Payer contract management, payer relations. Communicating with healthcare professionals and insurance companies regarding the credentialing process. Provide insight on Revenue Cycle operations. Handling paperwork to ensure healthcare workers are properly certified.Leading, coordinating, and monitoring the review of practitioner applications.• Managed revenue cycle activities including billing, compliance, and collections to optimize patient financial interactions.• Developed strategies to enhance revenue stream and managed relations with payers and providers for high reimbursement rates.• Oversaw A/R, denials, and appeals to ensure effective revenue cycle analysis and reporting.
EDUCATION
Arizona State University
Masters of Legal Studies, Health Law & Public Policy
Grand Canyon University
Bachelor of Science - BS, Health/Health Care Administration/Management
Arizona State University
Master of Science - MS, Health/Health Care Administration/Management
ABOUT ALDEN JOE
Experienced Revenue Cycle Director, Finance & Accounting knowledge with a demonstrated history of working in the healthcare industry. Skilled in management, Healthcare Executive Management, Excellent Customer Service, Human Resource, Case Management leadership, Accounting, and Payer contracts/negotiations. Experienced in management reporting, external & regulatory reporting, profitability and costing projects, financial analysis, audit-risk-internal controls, long term planning & budgeting, financial statement preparations, revenue recognition and work-in-progress accounting, US GAAP, and information systems upgrades & implementations. Advanced A/R experience working in denial management. Knowledgeable of all revenue cycle operations in the healthcare system.•Progressive accounting experience working for healthcare organizations and private organizations•Multi-industry costing-controls-audit experiences in health care (hospital, health insurance), professional services (engineering, design), education, manufacturing, and financial services•Various systems and software background in Microsoft Dynamics Navision, Meditech, NextGEN and Cerner. Agresso, Oracle, QuickBooks and Microsoft Office products.•Experience implementing Revenue Cycle applications in a healthcare system (Meditech Expanse, Soarian, Epic, Cerner, NextGEN). Involved in implementing two large EHRs into the hospital setting and part of the implementation team. NextGEN & Meditech involved process flows aspects of Patient Access and Scheduling Loading, system testing for data validation for process data migration, upgrades, and collection of data issues and making corrections for customization of organizations processes. dentifying and resolving problems occurring in all database environments including performance related issues (i.e. database & SQL tuning)Providing ongoing progress to leadership, system owners, and peers regarding health of the environment and status of testingResearching and analyzing emerging Oracle database technologies, techniques, and protocols and making recommendationsInterfacing with C2 system owners during integration testing preparation and executionSupporting and documenting the implementation of approved changes to system configurations, software, and infrastructure within the approved testing scheduleData mapping, mining and transformational analysis toolsInstallation, testing, implementation and patching. 5 Years experience with NextGEN, 5 years of Meditech Expanse and 3 years of NextGen Exp in Revenue Cycle and Finance applications.
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