Rachel M.

Rachel m.

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location of Rachel M.Tacoma, Washington, United States
Followers of Rachel M.522 followers
  • Timeline

  • About me

    Senior Consultant at Healthcare IT Leaders

  • Education

    • Eastern washington university

      1999 - 2001
      As biology
    • University of phoenix

      2006 - 2008
      Mba healthcare management
    • University of phoenix

      2006 - 2008
      Bachelors health admin management
  • Experience

    • Better business bureau serving alaska, oregon and western washington

      Dec 2004 - Mar 2006
      Bureau services

      • Worked as a liaison with State & Federal agencies to efficiently report companies for consumer protection. • Competently trained new hire staff too successfully and confidently transition into a caseloads.• Proactively, efficiently and accurately processed complaints while maintaining a substantial caseload via online, fax, email and mail complaint systems.• Enthusiastically requested and was assigned additional case work, including large volume companies and department scanning for electronic record transition. Show less

    • Franciscan health system

      Mar 2006 - Apr 2012

      • Manage patient EHR to reflect current data for accurate, prompt and maximum reimbursement.• Served as an onsite liaison between patients and federal and state payers to acquire funding if applicable.• Efficiently communicate with patients, care managers, doctor offices and payers to obtain authorizations. • Timely coordinate with external and internal departments to optimize financial reimbursement. • Work to overturn any denials into payable visits and reimbursable procedures or stays.• Subject Matter Expert within various Insurance and Prior Authorization guidelines.• Followed HIPPA guidelines for all internal and external communications and inquiries. Show less • Assisted with the creation and implementations of presentations and pamphlets for staff development. • Collaborated with Workers’ Compensation for Bloodborne pathogen exposures and injuries.• Acted as a liaison on organizational improvements and product implementation.• Successfully negotiated miscellaneous projects assigned by Senior Vice President of Quality, leadership members and directors including the Surgical Post Discharge Surveillance monitoring.• Consulted with regional and department directors, clinical managers and employees for skills development and training on new infectious disease policy procedures, guidelines, prevention, and reporting. • Assured annual employee compliance with adjacent departments with regards to Federal and State laws. Show less

      • Financial Access Counselor

        Nov 2009 - Apr 2012
      • Employee Health & Infection Control

        Mar 2006 - Nov 2009
    • Providence health & services

      Dec 2010 - Apr 2012
      Ed financial access counselor

      • Screen, initiate, process and manage Charity and DSHS Applications, and motor vehicle accident reports. • Scan, process and label written applications and documents for transition to patient EMR accounts. • Update patient accounts to reflect current data for accurate, prompt and maximum reimbursement.• Served as a liaison for patients with local, county, state and federal payers to acquire funding if applicable.• Volunteer for unwanted or under staffed holiday, evening, weekend and EPIC training shifts. • Obtain and provide critical information to EMT, Police and Fire Department Personnel. Show less

    • Catholic health initiatives

      Apr 2012 - Nov 2015
      Epic adt / prelude & rte certified analyst

      • Devised, verified, upgraded, built and tested Epic 2012 ADT, Prelude and RTE model build for POC. • Troubleshoot and resolve any ADT/Prelude or RTE reported problems in production environment.• Document and track all actions on SharePoint WBW and Build Tracker • Provided updated documentation of training information on assigned applications to the education team. • Communicate with external and internal clients to facilitate build process, including; Deloitte, Epic, CHI, FSS and outside vendors. • Interact with integrated business teams to develop application requirements and deployment plans.• Participate in coordinating installation of application changes in POC.• Complete assigned tasks within defined project scope, timeline and budget. • Coordinate with super users, liaisons and subject matter experts to solidify workflow processes. Show less

    • Cumberland consulting group

      Nov 2015 - Jan 2016
      Consultant
    • Mediant health resources

      Mar 2016 - Apr 2016
      Rte analyst
    • Oxford healthcare it

      May 2016 - Nov 2016
      Rte analyst
    • Healthcare it leaders

      Nov 2016 - now
      Senior consultant
  • Licenses & Certifications

    • Epic adt/prelude & rte build certified

      Epic
      Jun 2012
    • Certified healthcare access management (cham)

      Naham
      Oct 2010