jeff buzzotta

jeff buzzotta

senior financial analyst

About

In depth knowledge of health insurance plans, carriers, and policies across global demographics. Skills in developing and maintaining operational systems in order to facilitate accounting of patient and non-clinical revenues. Acquire measurable data from multiple resources and organize it with the help of various programs (Access, Alteryx, Excel, Powerpoint) in the best interests of improving quality. Analyze collected data to find trends in order to provide resolutions for improvement. Developed customer service skills, with a focus to provide high quality medical services through continuous improvement and initiatives.

Country

united states

City

boston

Industry

hospital & health care

Skill

healthcare, microsoft excel, customer service, healthcare analytics, healthcare industry, financial accounting, quality improvement, medical billing, management, healthcare improvement, reporting metrics, data tracking, epic resolute professional billing, epic systems, harvest contract management system, icd 9, hcpcs, health insurance, edi, health policy, cms 1500, sql, microsoft sql server, access, enterprise data modeling, alteryx, sap bi, microsoft access, databases, sharepoint

Experience

partners healthcare

senior financial analyst

partners healthcare

2015-11 - Present · 10 yrs 11 mos

* Provide analysis to support the negotiation and development of hospital reimbursement terms with Commercial health plans. * Assist with drafting and review of final contract terms, including hospital rate exhibits and related contract language. * Conduct research and analysis to evaluate the impact on reimbursement of hospital outpatient bundling logic and/or other payment policy changes. * Track key healthcare indices, such as inflation and changes in Medicare and Medicaid hospital payment terms. * Maintain the department’s Sharepoint site for posting outpatient fee schedules, inpatient rates and other key reimbursement terms used for contract modeling. Act as a resource for questions from internal constituents. * Maintain constructive, professional relations both with third party payers in order to effectively represent Partners and with key internal constituents.

brockton neighborhood health center

intern in quality control

brockton neighborhood health center

2008-3 - 2008-4 · 2 mos

Designated by the quality control supervisor to initiate a safer and more efficient way to document patient allergies on medical record charts in the dental department.

boston children's hospital

ambulatory service representative

boston children's hospital

2007-5 - 2010-10 · 3 yrs 6 mos
boston children's hospital

financial assistant

boston children's hospital

2010-10 - 2013-5 · 2 yrs 8 mos

Actively maintained and reviewed provider billing forms in a timely manner to efficiently submit all procedure charges and diagnosis in order for claims to be reviewed by payers. -Initiated and consistently monitored a system designed to regulate patient revenue dollars from department copayment amounts for accounting purposes. -Managed the department accounts receivable by posting payments that are sent to our lockbox from both patient families as well as private/public payors. -Exhibited excellent customer service by facilitating communication between patient families, providers and payers, and by resolving any and all billing disputes that may occur.

partners healthcare

revenue operations analyst

partners healthcare

2013-5 - Present · 13 yrs 5 mos

Partners HealthCare is an integrated health care system, founded by Brigham and Women's Hospital and Massachusetts General Hospital, that offers patients a continuum of coordinated and high-quality care. In addition to its two academic medical centers, the Partners system includes community and specialty hospitals, a managed care organization, a physician network, community health centers, home health and long-term care services, and other health care entities. Partners HealthCare is committed to patient care, research, teaching, and service to the community. Partners is one of the nation's leading biomedical research organizations and several Partners hospitals are principal teaching affiliates of Harvard Medical School. Partners HealthCare is a non-profit organization.

Education

stonehill college

stonehill college

management

2004-1 - 2008-1 · 4 yrs 1 mo

Activities and Societies: Stonehill College Pit Band

jeff buzzotta's Contact Information

Email

******@***.com

Phone

(**) *** ****

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