Tricia Springs

Tricia Springs

Followers of Tricia Springs386 followers
location of Tricia SpringsNew Braunfels, Texas, United States

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  • Timeline

  • About me

    Healthcare Reimbursement Specialist | Healthcare Technology Solutions | Customer Support | Account Management | Product Implementation | E2E RCM

  • Education

    • Texas A&M University

      -
      Bachelor of Business Administration - BBA Information & Operations Management, Supply Chain Management
  • Experience

    • Schlitterbahn Waterparks & Resorts

      Jan 2008 - May 2014

      Assist with buying retail merchandise items, monitor inventory across all park locations, enter data into inventory system, create purchase orders, help conduct end of season inventory in each park location, verify totals and code invoices for all park locations, hire and train employees.

      • Retail Manager

        May 2011 - May 2014
      • Seasonal Manager

        Jan 2008 - May 2011
    • FinThrive

      May 2014 - Jun 2017

      The analyst is responsible for the successful loading of managed care contracts for assigned customers into the contract Manager System. Analyst must precisely interpret contract language and utilize contract Manager tools to generate accurate reimbursement calculations. The individual will be responsible for the successful and timely delivery of contracts for a number of assigned customers.

      • Senior Contract Analyst

        Apr 2016 - Jun 2017
      • Contract Analyst

        May 2014 - Apr 2016
    • Experian

      Jun 2017 - Apr 2018
      Contract Definition Analyst II - Quality Assurance
    • Ardent Health Services

      Apr 2018 - Apr 2019
      Contract Analyst

      -Provide reporting of payment variance reviews.-Analyze data to find missed revenue opportunities.-Load contract language by facility and payer into the contract management system.-Audit contracts prior to movement into production within contract management system-Coordinate changes needed to contract profiles or system set up-Maintain working relationships with Managed Care Department to ensure timely loading of contracts and proper interpretation of contract language-Coordinate with Reimbursement Managers to identify changes for governmental payors for contract loading.-Monitor payer websites for changes to payment rates or methods-Provide analysis of data in contract management system to facility and corporate management as requested-Prepare monthly reports providing analysis of payment variances for distribution to facility CFO’s and Market CBO’s.-Prepare reviews of accounts worked by underpayment team to ensure proper resolution-Maintain working knowledge of contract management and patient accounting systems-Build relationships with facility Finance, Business office and Managed Care Personnel-Ability to analyze data to determine corrective actions needed to effectively understand changes required to maintain the integrity of the contract management system-Ability to understand payment methodology and utilize formulas with system syntax to correctly program reimbursement rates for contracted commercial and governmental payers. Show less

    • FinThrive

      Apr 2019 - Sept 2024
      • Implementation Consultant

        Jan 2023 - Sept 2024
      • Principal QA Specialist

        Apr 2022 - Jan 2023
      • Contract QA Specialist

        Apr 2019 - Mar 2022
  • Licenses & Certifications

    • Certified Epic Resolute HB Expected Reimbursement Contract Administration

      Epic
      Sept 2018