MeganDWilliams

Resume

Education

MBA-International Business

Florida Atlantic University

(2009)

Graduate Business Communications Certification

Florida Atlantic University

(2008)

Certificado Avanzado de Negocios en Español

University of Wisconsin

In progress

BS Health Administration

University of Central Florida

(2001)

Business Background

5 years hospital consulting

Project Manager-2 years/ongoing

Responsible for developing claims review and pursuit strategy for new projects/facilities
Developed SOPs for work coordination with offshore team
Managed and streamlined revenue assurance projects to improve revenue flow for nationwide, multi-facility hospital systems. Facilities ranged between 200 and 750 beds
Worked with senior management to identify and resolve data irregularities in 835 and 837 patient files
Coordinated with clients to identify and resolve data and contract issues and coordinate operations with client desired results
Performed solution testing for newly acquired facilities to determine potential monetary success of projects
Interpreted and modeled hospital/payor contracts in SQL database
Responsible for establishing, recommending and maintaining the most efficient remote system access possible across multiple hospital platforms (AS/400, Meditech, Healthquest, Invision) and VPNs (Citrix, Cisco, custom web portals)
Designed, developed and managed knowledge sharing database for multi-facility, multi-system market
Developed training program and materials for both domestic and foreign employees. Trained analysts face to face and remotely via phone and internet
Provided technical support, maintained and upgraded all network components, software and hardware for local office and remote users

Contract Manager-2 years

Conducted meetings with insurance companies to resolve contract interpretation and claim underpayment issues
Responsible for front line learning of hospital patient accounting systems and subsequent training of analysts. Trained and managed work flow for India based analysts

Claims analyst-2 years

Analyzed underpaid inpatient, outpatient and same day surgery claims.
Identified underpayment trends due to billing and coding errors, contract interpretation issues and insurance processing mistakes.

2 years human resource consulting

Recourse Communications

Sourcing Traffic Manager

Edited and provided feed back on HTML advertising campaigns
Trained and instructed recruiters on use of resume database.
Managed bulk email campaigns and responses. Determined site relevancy, keywords and position skill sets needed to locate candidates on a national level
Tested and provided feedback on development of new, online applicant tracking tool
Delegated resume sourcing duties to a team of ten. Reviewed and processed work submissions and client orders.
Managed client resume database through resume evaluation.
Heavily involved in the development and testing of applicant tracking software sold to clients nationwide.

Accomplishments

Successfully managed SQL based claims tracking system that handled claim flow through contract based filters for trend analysis, revenue flow improvement and data/registration irregularity cleanup, leading to an increase of cash inflows for the client hospital and improved patient management practices.
Responsible for the identification and pursuit of $1.2M dollars in one year.
Designed and developed database used to track contract and claim underpayment issues, resulting in increased trend recognition and simplified review process. Reports used in business development process and knowledge sharing structure across remote office locations.
Developed training material for analysts based in India, Missouri and Florida on use of SQL based claims review and reporting and use of multiple hospital patient accounting and imaging systems.
Consistently demonstrated innovation and problem solving skills, resulting in new methods of issue tracking
Consistently demonstrated innovation and problem solving skills, resulting in new methods of issue tracking
Consistently demonstrated innovation and problem solving skills, resulting in new methods of issue tracking

Skills

Project management

SQL reporting and queries

Contract modeling

MS Sharepoint

Superior communication skills

Excellent presentation skills

Practical understanding of US healthcare systems

Rapid language acquisition

Database development (Access)

Language Skills

Spanish-Advanced (business fluency estimated in a year)