Paul Climaco, CCA

Paul climaco, cca

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location of Paul Climaco, CCAOrlando, Florida, United States
Followers of Paul Climaco, CCA366 followers
  • Timeline

  • About me

    Auditor at RSM US LLP

  • Education

    • University of central florida

      2014 - 2018
      Bachelors in health informatics and information management health information/medical records technology/technician

      Activities and Societies: American Health Information Management Association Florida Health Information Management Association

    • University of central florida

      2022 - 2023
      Bachelor's degree accounting
  • Experience

    • Adventist health system

      Jan 2018 - Jun 2018
      Business intelligence analytics

      Business Intelligence Data Analyst Intern- Coordinated with a team consisting of 50+ members to complete various tasks such as analyzing corporate data and creating various dashboards utilizing Oracle. - Worked with end-users to add detail to Adventist’s Healthcare Associated Infections dashboard to assist research to help acknowledge the rate of infections in each facility. - Developed the Healthcare Associated Infections Data Dictionary and created templates for end-user access to all other dashboards. - Worked with the Extract, Transform, Load (ETL) team using Tool for Oracle Application Developers (TOAD) to extract data and transform it for use to load into Oracle Business Intelligence Enterprise Edition (OBIEE). - Simultaneously managed multiple projects in a time effective manner by adhering to proper project planning. Show less

    • Encompass health

      Dec 2018 - Dec 2019
      Accounts receivable

      Accounts Receivable- Worked with over 127 hospitals, collaborated with the Billing team, Medicaid/Medicare team and Cash Department to execute effective policies and procedures to ensure accurate reimbursement from payers. - Negotiated high-dollar account balances with over 25 different insurance companies and reviewed managed care contracts to identify irregularities in each account balance to resolve underpayments and overpayments. - Utilized claims data to identify trends and issues to efficiently and effectively resolve high-dollar account balance issues.- Resolved difficult accounts analytically with Managed Care at each hospital facility by managing several different payer-issues through TeamWorks calls and the Action Item log. Medicaid Team- Helped manage the Passport Health Refund request project, which will reduce the credit balance from Passport Medicaid via refund requests from 265 different transactions/revenue cycles, and over 100 accounts.- Pioneered the Data Processor Onboarding process for all future Data Processors hired, and provided improvements and optimizations to the process flow. Show less

    • Healthfirst

      Jan 2020 - Mar 2021
      Healthcare data analyst

      - Managed Medicaid Denials Project with over 60,000 entries by analyzing annual and monthly trends to identify lapses in efficiencyof account resolutions.- Identified trends in high-dollar accounts through financial reports to decrease overall redundant account review and increase activeproductive time by allocating resources to difficult and high-dollar accounts with balances of over $10,000.- Pioneered several projects such as the Missing Membership Backlog, Missing Voucher Backlog, KIDS Controls Project, A133Audits Backlog project, Medicaid Denials Project and Child Health Plus voucher analysis.- Utilized knowledge of data modeling and statistical analysis to note trends and draw conclusions. Show less

    • Rsm us llp

      Jun 2022 - Aug 2022
      Audit intern
    • Rsm us llp

      Jan 2024 - now
      Audit associate

      Performed audit services specializing in the healthcare industry.

  • Licenses & Certifications