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Eli Orkin

DYNAMIC HEALTHCARE AND INFORMATION SYSTEMS


PROFESSIONAL

Career Summary
Self-motivated, goal-oriented team player with strong analytical, technical, problem solving, and organizational skills, with
eight years’ experience in database implementation, database maintenance and information systems and 6 years’ experience
working in healthcare.
• Advanced coursework and knowledge in information systems analysis and design
• Work on special projects for executive management, including hardware inventory control and IS department
financial analysis tasks
• Extensively studied data warehouse design and implementation and Internet development with graphics and
animations design
• Highly skilled in customer relations, particularly with vendors and clients
• Highly efficient in multitasking, including running jobs on computers while interacting with customers while
monitoring printers to assure accurate printing of documents
• Knowledge and understanding of payer, billing, and claims rules and regulations
• Fluent in Russian and Proficient in Spanish

Critical skill set

• XClaim • Soarian • CCC


• IBAX • SAP • FoxPro
• Harvest • SQL • MS Office Suite
• Visual Basic • Visio • ITIL

Professional employment history

Senior Revenue Systems Analyst


2/09-12/09
Partners Healthcare Systems Charlestown,
MA
• Administered XClaim software for over 400 Partners member hospitals’ users and managers; maintaining, updating,
and changing login IDs and passwords; and assuring uninterrupted access to the software.
• Worked with these users to resolve any and all issues they may encounter with the software, assuring that thousands
of claims and millions of dollars per day got billed correctly and timely.
• Participated in, and contributed to inter-departmental meetings to gather requirements, determine needs and specs for
implementation of XClaim and Harvest
• Monitored, on a daily basis, the success or failure of receipt of 835 files from vendor and various payers, assuring
daily receipt of hundreds of thousands of dollars.
• Led bi-weekly conference calls with XClaim vendor to describe and explain any issues occurring with software that
needed to be resolved by the vendor.
• Taught new Systems Analyst, in a matter of weeks, all policies and procedures used in department and taught her
how to navigate through all systems used by department
• Inventoried 450+ computers on entire floor, allowing for timely submission of annual budget to upgrade systems

Chargemaster Analyst
12/03-2/09 Beth Israel Deaconess Medical Center
Boston, MA
• Assured correct setup of new and existing charge codes in the CDM by leading and/or participating in almost 100
projects over 5 years; consisting of meeting with the various departments in the hospital to gather their needs and
requirements, analyzing appropriateness of these needs, creating charge codes after proper analysis, implementing charge
codes, and continuously maintaining new and previously created charge codes
• Conducted and Participated in meetings with vice presidents and directors in the organization to determine new
charges needed and to study and correct issues with current charges in cost centers
• Established and maintained CPT, HCPCS, and ICD-9 codes in company-wide database according to standard
guidelines
• Tracked status of chargemaster projects in common database
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• Corrected Patients’ accounts to assure proper coding and billing
• Corrected incomplete accounts that lack required insurance, provider, and other information
• Corrected denials from payors to facilitate rebilling and payment
• Rectified issues concerning NPIs not properly entered into the system and/or not properly passing over to claims,
recovering hundreds of thousands of dollars that would otherwise have not billed
• Identified and remedied issues pertaining to charge code set-up that impact billing implications and Performance
• Proactively monitored payor coverage guidelines and program transmittals NOTES
• Trained incoming Chargemaster Analyst in systems and SOPs used by the department and BIDMC in a very short
time frame to the point of her being self-sufficient

Independent Consultant 6/02-12/03


WIND South Professional Networking Organization Foxborough, MA
WIND West Professional Networking Organization Westborough, MA
• Created, maintained, and monitored database of client organization’s members using Microsoft Access
• Continuously updated client organization’s members’ personal and professional information in database
Data Specialist 6/01-10/01
Uniscribe Professional Services South Boston, MA
• Maintained database, by monitoring entries daily, to ensure accuracy
• Performed necessary tasks to format images per clients’ request prior to mastering of CDs
• Performed and improved Quality Assurance duties to ensure accuracy of scanned images
• Doubled monthly CD production by developing and implementing faster methods and techniques, working
overtime, and working on weekends; during which there was a higher computer availability
• Maintained CD archive in department containing hundreds of CDs
• Mastered CDs and assured their timely delivery to clients
• Interacted, on a daily basis, with coworkers on all levels in the organization
• Learned new scanning software in a matter of days

IS Financial Coordinator 8/00-


6/01
Fresenius Medical Care
Lexington, MA
Conducted project to uncover over $150,000 in unpaid bills over previous 3 years
• Monitored corporate data center in order to ensure successful completion of jobs and managed
resolution of problems in the event of job failure
• Facilitated return of equipment upon expiration of leases by discussing and making arrangements with company
managers, vendors, and transportation companies
• Performed intra-company financial transactions on SAP on a daily, weekly and monthly basis, and
generated SAP reports for various departments within the company
• Oversaw payment for services from Medicare to FMC
• Reduced time searching for lease data by designing and implementing lease filing system
• Trained incoming manager to perform necessary tasks to complete his daily duties

Education, Certification, and Affiliations

Bachelor of Science in Accounting Information Systems


Bentley College
Masters in Healthcare Administration
Simmons College
• Student Representative, Healthcare Administration Program Committee

Candidate for ITIL V3 certification

• Health Information Management Systems Society


• Young Health Professionals
• Boston Young Professionals Association
• Young Adult Volunteer Association

Contact

Telephone: 617-566-2979 | Email: Ilya1977@hotmail.com | Website: Eli Orkin

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