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Antonio Rivera Colon

Antonio Rivera Colon

Analyst

University of Phoenix | Florida

Technologies

My Portfolio Highlights

My New Course

Introduction to SQL

My New Project

Analyzing Students' Mental Health

My New Workbook

Project: Analyzing Students' Mental Health

Data philosopher, pondering the mysteries of existence through statistical analysis.

My Work

Take a look at my latest work.

course

Introduction to SQL

course

Intermediate SQL

DataLab

Project: Analyzing Students' Mental Health

My Certifications

These are the industry credentials that I’ve earned.

Other Certificates

Udemy SQL Masterclass: SQL for Data Analytics

Codefinity Intermediate SQL

Codefinity Introduction to SQL

Codefinity Relational Database and Normalization

Codefinity SQL from Zero to Hero Overview

Prosci Certified Change Management Professional (CCMP)

DataCamp Course Completion

Take a look at all the courses I’ve completed on DataCamp.

My Work Experience

Where I've interned and worked during my career.

University of Phoenix | Dec 2022 - Present

Financial Aid Operations Report Analyst

• Prepare and oversee the preparation of internal and external financial and administrative reports. • Prepare and oversee functions related to financial aid operations, such as production tracking, reporting and analysis to provide to management. • Manage the collection of monthly operational data for financial aid operations leadership team. • Coordinate projects and action plans through documentation and by providing follow-up to ensure items are completely accurately and timely. • Assists in documentation and management of administrative processes affecting the financial aid operational areas. • Provide coordination and analysis on projects within financial aid operations. • Provide analytical strategy during the implementation of new processes, procedures and technology changes. • Provide workflow and performance management reports and analysis on a consistent basis or on request of management. • Responsible for troubleshooting potential performance or production issues and providing data findings to leadership. • Perform data consolidation, data analysis and reporting to provide clear and understandable reporting to leadership • Contribute to the development of reporting dashboards to leadership. • Perform one or more phases of reporting including coordination, monitoring, logging, tracking and resolving request appropriately and within established parameters and ensure user expectations are met. • Contribute to report design using best practices to meet business needs.
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Florida Retina Institute® | Feb 2021 - Dec 2022

Revenue Cycle Operations, Management, & Analytics

• Manage a $4M specialty drug denial inventory of billed accounts receivable. • Established reporting for denial root cause analysis • Liaison between Revenue Cycle leadership and our specialty drug reps • Manage copay assistance programs for patients enrolled in specialty drugs • AD HOC reports, analysis, breakdown, and presentation. • Manage claim escalations with payor reps and medical directors • Program and audit coding rules into billing software • Resolve payment and escalation disputes with all responsible parties. • Analysis of contract and reimbursement discrepancies. • Train and audit AR team members and their workflows. • Update AR and coding software with all medical and/or administrative bulletin updates from payors

Behavioral Analysis Support Services | Mar 2020 - Feb 2021

Revenue Cycle Manager

• Managed revenue, accounts receivable and cash receipts for an autism center consisting of 9 clinics and community care. • Created closing monthly reports for the senior members of leadership. • Oversaw vendor operations responsible for follow-up and collection of claims. • Responsible for timely and accurate billing practices.

Florida Retina Institute® | Jul 2019 - Mar 2020

Accounts Receivable Specialist

• Managed revenue of specialty drugs for 6 physicians across multiple offices in the state of Florida. • Created reports for the improvement of process analysis of specialty drugs. • Ensured timely filing and appropriate follow up on high dollar claims. • Submitted appeals and escalation documents to all insurances.

AdventHealth Central Florida | Feb 2019 - Jul 2019

Patient Access Manager | Revenue Cycle Operations

AdventHealth Winter Park - Emergency Department | Labor & Delivery Services • Managed 24/7 Patient Access operations at AdventHealth Winter Park’s Emergency Room and Labor & Delivery Services. • Oversaw a team of 3 team leads and 18 registrars responsible for collecting a monthly goal of $250k in upfront collections at time of service. • Moved Winter Park’s collections ranking from 5th to 3rd out of 9 campuses. • Improved employee engagement GLINT score from 88 to 94 in just 3 months of taking on the team. • Reduced daily campus registration errors from 94% to 99.3%. • Reported out on ED Patient Experience and Turn Around Time meetings to the Chief Nursing and Chief Medical Officers. • Created, managed, & presented monthly reports for the campus’ Chief Financial Officer.

AdventHealth Central Florida | Jun 2018 - Feb 2019

Assistant Manager | Revenue Cycle Operations - Patient Financial Services

• Managed a $28M Clinical Denial Inventory of billed accounts receivable while overseeing 13 direct reports. • Developed processes and workflows for team inception. • Established reporting for denial root cause analysis. • Created, managed, & piloted weekly write-off meeting for the Vice President and other members of senior leadership. • Key member of the Denial Taskforce for Denial Process Improvement and Recovery. • Collaborated with the Project Management Office in the creation of work instructions and workflow maps. • Managed a weekly call with our Vendor’s leadership to ensure processes were aligned with that of Patient Financial Services. • Represented Patient Financial Services at all payor Joint Operation Committees.

AdventHealth Central Florida | Aug 2017 - Jun 2018

Assistant Manager | Revenue Cycle Operations - Patient Financial Services

United Healthcare AR Portfolio • Managed a total of $124M in accounts receivable for the United Healthcare Portfolio with 17 direct reports. • Decreased accounts receivable balance from $168M to $124M due to aged claims clean up blitz. • Restructured team for work efficiency and optimization. • Spear-headed payor recoupment and offset investigation. • Planned and organized an onsite claims event with the payor. • Trained and developed team leads who are now members of AdventHealth management. • Managed a weekly call with our Vendor’s leadership to ensure processes are aligned with Patient Financial Services. • Managed a weekly call with our United Healthcare provider representative to escalate priority claims for resolution. • Represented Patient Financial Services at all United Healthcare Joint Operation Committees. • Met monthly with the Contract Manager and Contract Negotiator to discuss the accounts receivable portfolio.

AdventHealth Central Florida | Jan 2017 - Aug 2017

Insurance Reimbursement Specialist | Revenue Cycle Operations - Patient Financial Services

N/A

Jackson Health System | Jan 2016 - Dec 2016

Lead | Patient Financial Services

• Supervised the Emergency Department for Jackson Memorial Hospital, Holtz Children’s Hospital, Women’s Hospital at Jackson, Jackson Rehab Center, and the Ryder Trauma Center. • Oversaw 24 registrars. • Ensured that registrars were meeting quality, production, and collection metrics by review Key Performance Indicator’s and providing coaching opportunities. • Monitored and controlled access to internal banking for deposits, and patients’ valuables . • Organized daily workflows, and integrated performance improvement initiatives. • Established relations between clinical and operational staff.

Compass Health System | Jan 2014 - Dec 2015

Payment Posting Supervisor | Accounts Receivable

• Oversaw cash applications team to monitor and drive key performance metrics. • Closely monitored reports to address all issues and variances timely and methodically.

Lambda Chi Alpha Fraternity, Inc. | Jan 2015 - Apr 2015

External Relations Officer

Pi Phi Zeta Chapter - Florida International University

Lambda Chi Alpha Fraternity, Inc. | Aug 2014 - Dec 2014

Chapter Secretary & Homecoming Chair

Pi Phi Zeta Chapter - Florida International University

Patient Financial Medical Services, Inc. | Jan 2010 - Dec 2013

Lead Patient Benefits Advisor

Vendor for Orlando Health

My Education

Take a look at my formal education

Bachelor of Science in ManagementUniversity of Phoenix | 2024

About Me

Antonio Rivera Colon

Analytics professional with experience in healthcare revenue cycle operations & data analysis. Specialized Power Automate, database creation in DBeaver & query development using PostgreSQL & SQLite. Proficient in PowerBI & Visual Reporting.

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