Joshua Berman

Current

• Director, EDI and Denial Management at Cleveland Clinic

Past

• Senior Manager of Electronic Claims and Denials at Cleveland Clinic
• Manager of Revenue Recovery at Cleveland Clinic
• Supervisor, Medicare Billing at Cleveland Clinic

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Education

• Ohio University

Connections

146 connections

Industry

Hospital & Health Care

Joshua Berman’s Experience

• Director, EDI and Denial Management

  Cleveland Clinic

  (Non-Profit; Hospital & Health Care industry)

  June 2008 — Present (1 year 6 months)

  -Maintain job responsibilities for Cleveland Clinic Main Campus EDI and Denials with additional ownership of East Region, West Region, and all Florida region hospitals (an additional half billion a month of additional charges)
  
  -Successfully built, installed, and implemented an enterprise claims editor called ePremis which is responsible for billing all charges totaling over 1 billion dollars worth of claims a month.
  
  -Manage 1300+ users of the ePremis system
  
  -Responsible for the fusing of denial data from the two denial systems (The Denial Database and Caremedic) in order to create enterprise analytical reporting.
  
  -Handle all HIPAA 835, 837, 277, etc transaction sets , dissemination of the information, and proper processing of those files as needed

• Senior Manager of Electronic Claims and Denials

  Cleveland Clinic

  (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

• Manager of Revenue Recovery

  Cleveland Clinic

  (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

• Supervisor, Medicare Billing

  Cleveland Clinic

  (Non-Profit; 10,001 or more employees; Hospital & Health Care industry)

  July 1999 — January 2002 (2 years 7 months)

Joshua Berman’s Education

• Ohio University

  1993 — 1997

Additional Information

Joshua Berman’s Groups:

•    OU Alumni (6,000+ members)
•    HFMA - Northeast Ohio Chapter

Joshua Berman’s Contact Settings

Interested In:

• career opportunities
• consulting offers
• new ventures
• job inquiries
• expertise requests
• business deals
• reference requests
• getting back in touch