Amy McPherson

About Amy McPherson

Certified Professional in Account Management with several years of progressive experience in health plan operations, Managed Care and client service. Experienced in medical terminology and Microsoft Excel with the ability to apply clinical, procedural and legal concepts to business settings. Exceptional knowledge base of HMO, PPO, LTC, PBM, Commercial products, Provider Services Contracting/Payment Processing processes and Health Care Reforms - ACA guidelines and compliance. Successful at executing project tasks to meet deadlines. Highly skilled at communicating with colleagues, monitoring status and achieving key milestones. Enthusiastic problem solver and talented team player with superior planning and decision-making skills.

Experience

1. Regional Operations Specialist Healthcare Analyst

   Revecore

   Mar 2021 — Present

   Provides executive level administrative support such as complex data analysis and reporting, workflow and process improvement, client relationship management, onboarding new hires, quality audits of peers, and leading specialized training. Audits and resolves underpaid hospital claims for three clients totaling seven facilities. Analyzes data and trends to apply findings across all clients. Total collections for 2020 were over $1 million. Cross collaborates with other departments to streamline processes and ensure client productivity goals are met. Chairperson of the Revecore Diversity, Equity and Inclusion Steering Committee (December 2020 – present).

Education

• Miami University

  BS, Human Resource Management, Spanish

  2001 — 2005

• University of Cincinnati

  MA, Labor and Employment Relations

  2007 — 2008