Devi Bissoon 921 SW 99 Avenue Pembroke Pines, FL 33025 954-579-9588 954-704-9779 Email: db130ae36@westpost.

net Summary of Qualifications Results-oriented, high-energy, hands-on professional, with a successful record o f accomplishment as a Financial Analyst/Specialist, Provider Network Representat ive, and a Proposal/Business Analyst in the healthcare industry. Major strengths include strong leadership, excellent communication skills, competent, strong te am player, attention to detail, dutiful respect for compliance in all regulated environment, as well as supervisory skills including hiring, termination, schedu ling, training, payroll, and other administrative tasks. Thorough knowledge of c urrent managed care practices both in the hospital setting and in the insurance company setting. Proficient with Microsoft office programs, and use of database programs. Experience Financial Specialist - Memorial Healthcare System 12/2007 a" Current * Builds and tests payer contracts within EPIC system a" Involved in the impleme ntation of new system application, interface with other systems * Builds and tests payer contracts within Eclipsys System TSI and/or other Hospi tal payment adjustment software as needed * Updates, imports or builds various schedules, tables or rates to maintain cont ract accuracy for appropriate payers * Monitors reports for contract accuracy * Updates appropriate coding and/or payment rate changes as necessary Reporting * Provides revenue forecast reporting of renegotiated payer agreements * Identifies key revenue drivers through drill-down reporting * Provides volume and trend analysis for payers, services and physicians * Creates and maintains files and tables for appropriate modeling Variance Identification * Evaluates and identifies contract build and/or sequencing issues among all pay ers * Analyzes, tracks, trends underpayments among all payers * Facilitates variance payment among all payers * Identifies registration and/or payer linkage issues Reimbursement Analyst - Boca Community Hospital 5/2007 a" 12/2007 * Builds and tests payer contracts within McKessonas Pathways Contract Manager ( PCON) and/or other Hospital payment adjustment software as needed * Updates, imports or builds various schedules, tables or rates to maintain con tract accuracy for appropriate payers * Monitors reports for contract accuracy * Updates appropriate coding and/or payment rate changes as necessary Reporting * Provides revenue forecast reporting of renegotiated payer agreements * Identifies key revenue drivers through drill-down reporting * Provides volume and trend analysis for payers, services and physicians * Creates and maintains files and tables for appropriate modeling * Prepares Cost Reporting data for AHCA, Centers for Medicare and Medicaid Servi ces (CMS) and/or other appropriate entities * Prepares CMS Medicare logs as necessary

* Variance Identification * Evaluates and identifies contract build and/or sequencing issues among all pa yers * Analyzes, tracks, trends underpayments among all payers * Facilitates variance payment among all payers * Identifies registration and/or payer linkage issues Provider Contracting Network Representative a" Conseco Inc 8/2005-5/2007 Negotiate contracts with providers to become part of the Consecoas Participating provider network. * Responsible for provider accounts nationwide. * Obtain initial credentialing information * Prepare contract drafts for legal review and obtain appropriate signatures/approvals from legal department * Responsible for research and become knowledgeable regarding licensing regulations and definitions used for home care providers as it applies to each state. * Develop and maintain business relationships with providers. Inform and educate providers regarding expectations for quality care of policyholders. * Document cost savings for contracts * Maintain effective relationships with SIU, Legal, Claims, Compliance, and Case Management Staff. Provide assistance when requested. * Update credentialing on existing in-network providers * Perform QA on existing in-network providers * Negotiate Fee Schedules * Referrals of policy holders to in-network providers * Resolve issues with existing providers * Compile and analyze management reports for the Provider Network Dept. Proposal/Business Analyst/Sales Coordinator- Humana Inc 8/1999 a" 7/2005 * Support the promotion and sale of Humanaas products by analyzing, creating, de veloping and directing multiple RFP/RFIs of moderate or limited complexity in product scope, response structure, and/or regional involvement while adhering to strict consultant and sales driven deadlines resulting in winning proposal resp onses. * Verifying CPT codes as requested by providers/consultants. * Ensure the uses of consistent and accurate responses reflective of Humanaas cu rrent capabilities and strategic focus as well as future initiatives through ext ensive business research, collection and accurate and consistent analysis and in terpretation of both qualitative and quantitative data and information. Make in dependent decisions and conclusions relating to projects, products, workflow and expectations. * Responsible for the interpretations, preparation and entry of custom and stan dard product benefit information into consultant specific electronic templates o r file for inclusion in RFPs. * Establishment, communication and accountability of data collection deadlines. Must solicit cooperation of all areas and handle any difficulties with discreti on and tact. * Provides written and verbal direction and instruction to interdepartmental sup port areas.

* Conduct enrollment meeting * Assist with Broker training of new products Education BA a" Bachelors of Business Administration Major a" Management Minor a" Marketing - Florida Atlantic University

MBA a" Masters of Business Administration a" Nova SE University