Summary
Overview
Work History
Education
Skills
Accomplishments
Affiliations
Timeline
Generic

David Osborne

Louisville

Summary

Dynamic professional specializing in revenue optimization and financial analysis at UofL Health. Demonstrated success in contract validation and pricing strategies, enhancing interdepartmental collaboration. Expertise in data management and regulatory compliance, delivering solutions that improve operational efficiency and support organizational goals. Strong communication skills focused on achieving measurable results.

Overview

25
25
years of professional experience

Work History

Reimbursement – Contract Modeling Analyst

UofL Health
Louisville
03.2021 - Current
  • Maintained and updated hospital proration schema to optimize revenue generation.
  • Utilized application/database calculations to project reimbursement levels based on regulations and contracts.
  • Developed collaborative relationships with contract relations personnel, finance staff, and auditors.
  • Provided feedback on reimbursement issues to departments, finance, and leadership.
  • Implemented pricing tools for expected reimbursements and generated variance reports for underpayments.
  • Prepared estimates for patients based on contract rates to ensure pricing transparency.
  • Validated new contracts using payment models to maintain rate integrity.
  • Analyzed late charges for appropriateness of rebilling or write-off decisions.

PCI Compliance Expert, Implementation Project Manager, Support Services Agent

Waystar formally ZirMed Inc.
Louisville
09.2011 - 04.2020
  • Managed and assigned Implementation Projects for Medical Facilities.
  • Provided expert level assistance with PCI compliance standards, regulations, and laws.
  • Assisted merchants in becoming PCI compliant via Standard Assessment Questionnaires.
  • Maintained and reviewed all PCI DSS rules and regulations.
  • Researched and resolved PCI standards problems/questions from sales reps/merchants; diagnosing the problem and determining appropriate responses to ensure effective call resolution and PCI compliance.
  • Provided a crucial link to the company success by finding balances between company policy, customer / employee satisfaction and retention.
  • Implemented and Trained Clients on Patient Payments Software.
  • Assisted in training new Support Services Representatives.
  • Maintained and reviewed records of support requests.
  • Provided escalation level assistance to internal and external customers.
  • Utilized applications including word processors, spreadsheets, presentation graphics, and databases.
  • Provided excellent customer relations via strong communication, written and organization skills.
  • Worked in Help Desk and Call Center environment.

PCI Escalation Specialist III / Resolution Team Leader

National Processing Company
Louisville
07.2007 - 09.2011
  • Provided first level assistance with PCI compliance standards, regulations, and laws.
  • Provided escalation level assistance to internal and external customers.
  • Assisted merchants in becoming PCI compliant via Standard Assessment Questionnaires.
  • Maintained and reviewed all PCI DSS rules and regulations.
  • Researched and resolved PCI standards problems/questions from sales reps/merchants; diagnosing the problem and determining appropriate responses to ensure effective call resolution and PCI compliance.
  • Provided a crucial link to the company‘s success by finding balances between company policy, customer / employee satisfaction and retention.
  • Utilized applications including word processors, spreadsheets, presentation graphics, and databases.
  • Provided excellent customer relations via strong communication, written and organization skills.
  • Worked in Help Desk and Call Center environment.

Data Analyst

Traffic Builders, Inc.
Louisville
01.2006 - 01.2007
  • Imported, cleaned, and manipulated large amounts of data with SQL and .Net interfaces.
  • Created mailing list from data submitted via Dealerships, TMS Web Portal, and Polk list for promotional and service coupon mailers.
  • Uploaded, extracted, maintained, and monitored dealers’ data into REV system.
  • Prepared mailing lists for mailing using NCOA and Postal Soft Software.
  • Created performance reports from Crystal Reports, Access, and Excel.
  • Analyzed daily reports to immediately detect system problems.
  • Created documentation for data analyst position.
  • Conducted/participated in daily departmental meetings.
  • Conducted training classes on Data Analyst roles, terminology, and procedures.

Technical Account Analyst

Appriss Inc.
Louisville
06.2000 - 06.2005
  • Primary liaison to customers to effect real-time problem analysis and resolution.
  • Collected detailed information to determine method of resolution.
  • Provided advanced technical support for networks of computers.
  • Provided a crucial link to the company‘s success with client relations.
  • Analyzed daily monitor and alarm monitor reports to immediately detect problems.
  • Responsible for troubleshooting VINE/Commercial hardware in the Call Center as well as clients‘ hardware and software.
  • Assisted in training new Technical Account Analysts.
  • Created documentation for client accounts.
  • Maintained and reviewed records of support requests.
  • Created cross-functional teams to address issues, as needed.

Education

Bachelor of Science - Information Sciences, Business Administration

University of Louisville - Speed Technical and Scientific School

Skills

  • Revenue optimization
  • Financial analysis
  • Contract validation
  • Pricing strategies
  • Data management
  • Regulatory compliance

Accomplishments

Analyzed contracts and coordinate with hospital charge master and other departments on reimbursement amounts and use of service/revenue codes., Coordinated with Financial Counselors and other team members to analyze accounts and develop estimated pricing for procedures., Utilized reimbursement workflows along with interfacing with software/databases in the healthcare environment (McKesson, PMMC, STAR, EPSi, EPIC and other payer modeling systems)., Maintained Compliance with all company policies, procedures, and standards of conduct., Played key role in the creation of a proficient and efficient system for ensuring quality customer service for compliance standards., Utilized a deep understanding of PCI DSS compliance standards for the merchant’s requirements., Managed technical services for Law Enforcement Agencies throughout the country., Analyzed site problems to determine and implement best resolution, preventing disrupted services and potential cancellation of contracts., Developed training manuals and PowerPoint presentations on data analyst role, terminology, and daily procedures., Developed training manuals and materials for various Compliance Guidelines, Jail Management Software, basic computer tasks, troubleshooting techniques, and compliance specialist position., Developed and implemented system to convert from paper to computer filing systems., Provided problem escalation assistance to internal and external customers., Conducted training classes on compliance standards., Conducted daily departmental meetings., Prioritized daily departmental work tasks., Trained new Service Representatives on selected functions and daily activities., Assisted in the hiring of Technical Service Representatives., Managed the installation of business hardware and software., Trained and evaluated performance of employees., Consistently maintained high KLAS Customer Service Satisfaction Ratings., Managed over 30 Implementation Projects for major medical facilities, doctor offices, ambulatory services and medical billing companies throughout the country., Established and maintained excellent communication with Law Enforcement agencies throughout the country: Primary sites included 119 counties in Kentucky, 66 counties in Florida, 36 counties in Oregon, and 3 counties in New Jersey in addition to the Department of Corrections, for each of those states., Responding to the client‘s requests within 24 - 48 hours., Answered and maintained daily requests from over 100 customers., Extensive experience in Call Center and Help Desk environments.

Affiliations

Active with Alpha Phi Alpha Fraternity, Inc. (35 years)

  • Graduate Advisor for college chapter @ University of Louisville (2022 - 2025)
  • Served on various committees as both leadership and support roles (1990 - Present)

Timeline

Reimbursement – Contract Modeling Analyst

UofL Health
03.2021 - Current

PCI Compliance Expert, Implementation Project Manager, Support Services Agent

Waystar formally ZirMed Inc.
09.2011 - 04.2020

PCI Escalation Specialist III / Resolution Team Leader

National Processing Company
07.2007 - 09.2011

Data Analyst

Traffic Builders, Inc.
01.2006 - 01.2007

Technical Account Analyst

Appriss Inc.
06.2000 - 06.2005

Bachelor of Science - Information Sciences, Business Administration

University of Louisville - Speed Technical and Scientific School
David Osborne