profile

Joshua Berman

Skills

Healthcare Analytics

Education

Ohio University

B.S. in Health Administration , B.S. in Health Administration

June 1997 - June 1997

Boardman High School

June 1993 - June 1993

Experience

Director, Business Analytics and Intelligence

RelayHealth (McKesson)

April 2010 - August 2012

-Begin to understand, organize and use RelayHealth and McKesson’s billions of lines of healthcare data to create state of the art analytic data and software solutions -Maintain and update current products in order to better the analytics within -Lead a team of 20+ to create a new analytic solution, RelayAnalytics Pulse -Understand the extensive healthcare arena and current issues such as ACOs, Meaningful Use, ICD10, etc, in order to provide analytic solutions that tie closely into the industry trends

ex: Management
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Director of Operations

McKesson

November 2009 - March 2010

-Oversee 35 Account Executives and their operations all while building group-wide operational excellence programs in order to maintain clients -Support 149 million dollars in revenue and 2300 clients which consisted of hospitals, physician practices, and value added resellers -Used extensive healthcare background in order to maintain 98% retention rate of clients -Awarded the Northface award for customer satisfaction

ex: Management
ex: Gardening
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Director, EDI and Denial Management

Cleveland Clinic

June 2008 - November 2009

-Maintain job responsibilities for Cleveland Clinic Main Campus EDI and Denials with additional ownership of East Region, West Region, and all Florida region hospitals (an additional half billion a month of additional charges) -Successfully built, installed, and implemented an enterprise claims editor called ePremis which is responsible for billing all charges totaling over 1 billion dollars worth of claims a month. -Manage 1300+ users of the ePremis system -Responsible for the fusing of denial data from the two denial systems (The Denial Database and Caremedic) in order to create enterprise analytical reporting. -Handle all HIPAA 835, 837, 277, etc transaction sets , dissemination of the information, and proper processing of those files as needed

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Senior Manager of Electronic Claims and Denials

Cleveland Clinic

May 2007 - May 2008

- Maintain job responsibility of below job duties from the Revenue Recovery team, but at an enterprise level (added the regional hospitals to current main campus responsibilities) - In charge of centralizing main campus and regional electronic claim applications and processes - Completed electronic claim application centralization project cost analyst for what will be the largest priority one application at Cleveland Clinic - Consult and guide regional hospitals on their denial product (Caremedic Inc) and help implement best denial practice

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Manager of Revenue Recovery

Cleveland Clinic

February 2002 - April 2007

- Built home grown SQL Denial Database application containing 80+ million dollars in denials a month - Direct activities of Denial Analysts, ITD System Programmers, and ITD Database Administrators for system design enhancements and overall goals/direction - Manage 750+ users of both The Denial Database and Claimtrack (McKesson’s electronic billing application) via user groups, email, a home grown blog, and their direct managers - Successfully implemented new version of Claimtrack for main campus ($175,000, 1.5 year project) - Manage, organize, and direct use of Claimtrack to ensure electronic billing of all main campus claims - Study denial data and implement front end edits in Claimtrack to prevent delay, loss, or reduced insurance payments

ex: Management
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Supervisor, Medicare Billing

Cleveland Clinic

July 1999 - January 2002

ex: Management
ex: Gardening
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Workplace personality

100+

Company Size

12

Day Length

25+

Team Size

Loud

Noise Level

Formal

Dress Code

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