Mary Boucher

• Support healthcare clients through internal consulting engagements focused on revenue cycle optimization. • Lead projects by extracting and analyzing healthcare data from Epic to identify trends, risks, and optimization opportunities. • Partner with Epic analysts, healthcare leaders, and operational teams to validate findings, document process changes, and implement sustainable solutions • Contribute to change management by translating analytical findings into actionable strategies aligned with regulatory and operational goals.

• Analyze high-volume claims data to identify discrepancies and reimbursement issues, leveraging multiple systems and payer portals. • Use Excel and queries to investigate trends and patterns, informing process improvements and dispute resolutions. • Partner with clients and internal teams to resolve escalated claims issues, clarify payer policies, and streamline rework. • Excellent communication and collaboration skills demonstrated through direct liaison with Aetna and internal audit teams to resolve claim disputes, clarify contract terms, and streamline rework workflows.

• Collected, annotated, and validated data to support AI model development, enhancing system accuracy. • Contributed to projects in digital mapping, search optimization, and conversational AI, driving innovation. • Collaborated with cross-functional teams to ensure data integrity, leading to improved AI performance.

- Reviewed and repriced 55+ claims daily with 100% accuracy as part of a high-priority compliance initiative. - Responded to escalations via email; created internal documentation to streamline future workflows - Collaborated across teams to reduce claim backlog and support quality assurance - Managed posting and reconciliation of $1M+ in claim payments; resolved discrepancies to ensure clean audits. - Ranked top 3 company-wide for speed, accuracy, and productivity

• Directed revenue cycle activities including accounts receivable management, insurance reconciliation, and payment posting for a $5M+ annual revenue practice. • Trained 50+ team members across multiple practices nationwide on appeals processes, underpayment reviews, and AR workflows, including SOP development and escalation handling • Reconciled claims with insurance providers, achieving a 97% recovery rate on underpayments. • I’ve worked extensively in Excel, built Power BI dashboards to track collection KPIs, and partnered with vendors like OrthoFi to enhance reimbursement outcomes. • Supported bulk email campaigns and contributed to marketing strategies with senior leadership • Resolved complex member concerns and escalations through phone and email communication

• Managed patient check-ins and phone calls, ensuring a seamless and welcoming experience for all visitors. • Coordinated schedules and office operations, contributing to an organized and efficient work environment. • Maintained inventory and cleanliness, supporting a professional atmosphere that enhances patient satisfaction.