Director, EDI and Denial Management at Cleveland Clinic
Cleveland/Akron, Ohio Area
Director, EDI and Denial Management at Cleveland Clinic
Cleveland/Akron, Ohio Area
(Non-Profit; 10,001 or more employees; Hospital & Health Care industry)
June 2008 — Present (1 year 2 months)
(Non-Profit; 10,001 or more employees; Hospital & Health Care industry)
May 2007 — May 2008 (1 year 1 month)
- Maintain job responsibility of below job duties from the Revenue Recovery team, but at an enterprise level (added the regional hospitals to current main campus responsibilities)
- In charge of centralizing main campus and regional electronic claim applications and processes
- Completed electronic claim application centralization project cost analyst for what will be the largest priority one application at Cleveland Clinic
- Consult and guide regional hospitals on their denial product (Caremedic Inc) and help implement best denial practice
(Non-Profit; 10,001 or more employees; Hospital & Health Care industry)
February 2002 — April 2007 (5 years 3 months)
- Built home grown SQL Denial Database application containing 80+ million dollars in denials a month
- Direct activities of Denial Analysts, ITD System Programmers, and ITD Database Administrators for system design enhancements and overall goals/direction
- Manage 750+ users of both The Denial Database and Claimtrack (McKesson’s electronic billing application) via user groups, email, a home grown blog, and their direct managers
- Successfully implemented new version of Claimtrack for main campus ($175,000, 1.5 year project)
- Manage, organize, and direct use of Claimtrack to ensure electronic billing of all main campus claims
- Study denial data and implement front end edits in Claimtrack to prevent delay, loss, or reduced insurance payments
(Non-Profit; 10,001 or more employees; Hospital & Health Care industry)
July 1999 — January 2002 (2 years 7 months)
1993 — 1997