Resume

1. Jennifer Glaude Anthony
jennanthony@aol.com
225-773-6048
CERTIFICATIONS
Epic Resolute Professional Billing Adm(2014)
New VersionTrainingCertification(2015, 2016, & 2017)
Epic Resolute Professional Billing Claims (2012)
New VersionTrainingCertification(2014, 2015, 2016, &2017)
EPIC TECHNICAL SKILLS
 Project Management – ICD-10 Conversion& 14 AmbulatoryClinics
 Chronicles
 EAP/Fee Schedule
 Charge Router
 Charge Router, Charge Review, Remit, Retro Adjudication, Account, Follow-Up, ClaimEdit, HPF, andCredit Work
Queues
 My Reports, Dashboards
 Charge Entry
 Remittance (835), Claims (837)
 Payers/Plans, Follow Up Cycles
 Multiple Service Area build
 Component build, ExtensionRecords (LPP) build
 Printer Mapping / Trouble shooting
FMOL (Franciscan Missionaries of Our Lady)
Baton Rouge, LA
Application System Analyst 1
2/2016 – Current
 Chronicles
 EAP/Fee Schedule
 Charge Router
 Charge Router, Charge Review, Remit, Retro Adjudication, Account, Follow-Up, ClaimEdit, HPF, andCredit Work
Queues
 Charge Entry
 Remittance (835), Claims (837)
 Payers/Plans, Follow Up Cycles
Infirmary Health Systems
Mobile, AL 36607
Resolute Practice Management Analyst
10/2012 – Current
 Senior Resolute analyst
 2012 Upgrade Implementation
 Optimizationand issue resolutionfor
o My Reports – Statements – Charge ReviewWQ – Remittance – Account WQ – Claims – Benefit Plans and
Payers – Forms – BatchJobs – Retroadjudication-Claims
 New multipleservice area build
 Agencyextract build
 ICD-10 build, testing, and implementation

2.  Charge Router – create newhandler task/actions to manipulate chargesfrom Epicare & Interface sources. eg., auto
create admincodes for vaccines, setting/changing billing/service providers, marking charges DBI, appending
modifiers, change place ofservice for hospital charges, switchcharges to different service areas.
 Charge Entry– createdfront endrules to prevent charging errors.
 MaintainChronicle master files
 Researched andassistedother Epic applications that intersect withResolute
 Build/support applications/processes inResolute
Infirmary Hospice Care
Mobile, AL 36606
Billing Specialist
02/2002 – 10/2012
 Obtainpre-certification and authorizationfrominsurance companies
 Negotiate per-diem rates withprivate insurance companies
 Secure long termcare authorizations fromAlabama MedicaidDepartment
 Initiate certificationin Horizon Software System
 Submit commercialclaims and audit claims that are denied
 Audit patient accounts daily
 Compilationof quarterlyand monthlyreports for submission to proper departments
 Retrieve remittance invoices from Medicare, Medicare, and BC/BS
 Train clinical andclerical staffon federal andstate guidelines
 Assistant Director of Operations andmanagement staff on qualityassurance
 Update all software withpolicyand rate changes for state andfederalagencies
Ball Healthcare Services
Mobile, AL 36619
Corporate Account Executive
06/2001 – 02/2002
 Managedandmaintainedbudget for nursingand supplyfacilities
 Trainedadministrative staff onMedicare andMedicaidprocedures
 Assistedwithaccounts receivable and payable processes
 Responsible for allaccount payablesand account receivables
Education
Columbia Southern University
Orange Beach, AL 36561
Bachelor of Science Healthcare Administration (2010-2012)
Bishop State Community College
Mobile, AL 36603
Associates of Science Business Administration (2009 – 2010)
Springhill College
Mobile, AL 36608
Organizational Leadership (1998-2008)