Shaya Badie

About Shaya Badie

With over 8 years of accounting experience in the healthcare industry, I have developed a strong passion for improving the financial health and performance of my organization. I am a revenue accounting specialist at SCAN, a leading Medicare Advantage plan provider in California, where I apply my skills and knowledge in revenue recognition, reconciliation, analysis, and reporting. I am motivated by the mission of SCAN to provide affordable, high-quality, and compassionate care to seniors and people with disabilities, and I strive to contribute to this vision by ensuring accuracy and compliance in all revenue-related matters. I also value the opportunity to work with a diverse and collaborative team of professionals who share the same commitment and enthusiasm for excellence.In my current role, I am responsible for preparing journal entries related to the three main streams of revenue: Centers of Medicare and Medicaid Services (CMS), California Department of Healthcare Services (DHCS) and Premium Billing Revenue. I also review and resolve month-end risk score accruals, record and reconcile monthly membership data, and handle revenue recovery for special populations. Additionally, I prepare monthly reports and analysis on gross profit margin, working capital ratios, and membership trends for the VP of Finance and other senior management. To perform these tasks effectively, I leverage my attention to detail, analytical thinking, and problem-solving skills, as well as my applied accounting certificate and legal research certification. I also utilize various tools and systems, such as SAP, Oracle, SQL, and Excel, to enhance my productivity and efficiency.

Experience

1. Revenue Accounting Specialist

   SCAN

   Jun 2023 — Present · Long Beach, CA, US

   Prepare journal entries related to the three main streams of revenue: Centers of Medicare and Medicaid Services (CMS), California Department of Healthcare Services (DHCS) and Premium Billing Revenue. Review month end Risk Score accruals for discrepancies and resolve and then prepare month end entries for the Mid-Year and Final Risk Score revenue accruals. Prepare post settlement reconciliation of risk score accruals. Record month end membership cubes and resolve discrepancies and prepare month end journal entries and month end membership reports.Responsible for Revenue recovery for special populations: ESRD (End Stage Renal Dialysis), MSP (Medicare as Secondary Payer) and Hospice.Verify accuracy of Premium Billing GL Extracts( Invoicing, payment posting, retro adjustments and Accounts Receivable Aging) for Individual and Employer Group Members including Social Security, LIS and LEP members.Serve as back-up for Pharmacy Accounting- recording of Pharmacy Claims, Rebates, Part D Settlements (CDGP Processing/entries, Pass-thru costs, etc.). Provide reconciliation schedules to auditors for our annual CMS 1/3 audits.Responsible for preparing monthly revenue analysis by compiling information and comparing actuals to budget & forecast, on total dollars as well as on a per member per month basis, and on a rate/volume basis.Responsible for analyzing the balance sheet, income statement and cash flow statements to determine the impact of monthly revenue. Build queries, analysis tools and models to assist Finance and Accounting leadership to analyze financial results.Partner with others within Finance and Accounting, along with other departments, to help resolve cross departmental issues related to Revenue.Identify control and/or process inefficiencies and proposes enhancements to the current process striving for continuous improvement.Conduct ad-hoc analysis and special project, as needed.

Education

• University of California, Riverside

  Bachelor of Arts (BA), Business/Managerial Economics

  2008 — 2013

• University of California, Irvine Division of Continuing Education

  Applied Accounting

  2017 — 2018

Skills

• Legal Research
• Social Media
• Microsoft Word
• Microsoft Office
• Spanish
• Facebook
• Mac Os
• Powerpoint
• Social Networking
• Economics
• Microsoft Excel
• Ebay Sales
• Twitter
• Time Management
• Amazon Web Services (Aws)
• Leadership
• Customer Service
• Public Speaking
• Filing
• Event Planning
• Wordperfect
• Instagram
• Timeslips
• Adobe Acrobat
• Lexisnexis
• Westlaw
• Research
• Legal Assistance
• Teamwork
• Administrative Assistance
• Quickbooks
• Payroll Administration
• Microsoft Outlook
• Accounts Payable
• Analytical Skills
• Bookkeeping
• Spreadsheets
• Financial Statements
• English
• Phone Etiquette