Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
17
17
years of professional experience
Work History
Associate Analyst Information Management
HealthTrust Purchasing Group
Nashville, TN
05.2021 - Current
Work with Healthtrust Webmaster to ensure membership lists are posted and saved in the appropriate vendor areas on the Member Portal website.
Ensure Service Line engagements are accurately structured in the HOME system.
Update and maintain membership changes within the membership system.
Assist in developing recommendations for changes or improvements based on data analysis.
Participate in cross-functional teams to provide input on operational issues.
Participate in regular meetings with management to assess and address issues and identify and implement improvements.
Audit Assistant
PRGX Global, Inc
Nashville, TN
07.2018 - 05.2021
Corresponded with the supplier/vendor for any questions or explanations required.
Examined electronic data and paper data for supporting documentation to support deductions and supply this documentation to vendors as needed.
Reviewed client information including contracts, invoices, purchase orders, shipping documents, and other documentation to verify and validate deductions taken.
Provided recommendations and feedback to IT team to help ensure system is running efficiently.
Collaborated with other members of the team in order to complete assigned tasks efficiently.
Registrar
Tennova Healthcare
Clarksville, TN
08.2017 - 07.2018
Obtained complete and accurate demographic and insurance information for each patient in the Outpatient Lab, Admissions and Pre-Registration departments
Collected patient deductibles, co-payments and/or coinsurance required while maintaining exemplary customer service standards.
Accessed patient charts to collect, abstract and extrapolate patient data.
General Office Assistant
Metro Nashville Public Schools
Nashville, TN
08.2016 - 05.2017
Answered inquiries and provided information to the general public, customers, visitors, and other parties regarding activities conducted at establishment and location of departments, offices, and employees within the organization.
Performed administrative support tasks, such as proofreading, transcribing handwritten information, or computers to work with specific programs, invoices, spread sheets, or other documents.
Claims Examiner
Healthscope Benefits
Nashville, TN
05.2014 - 01.2016
Processed medical, dental, disability, and flexible spending claims in a timely and accurate manner
Worked with members of staff on identifying process improvements
Performed other duties as assigned by management.
Investigated discrepancies in claims and resolved issues with customers via telephone or written correspondence.
Claims Processor Associate
Cigna Government Services
Nashville, TN
05.2007 - 01.2011
Entered and completed full beneficiary paper claims using correct ICD-9 and HCPCS codes
Determined whether to return, pend, deny or pay oxygen claims within policies.
Processed a high volume of incoming claims in accordance with established policies and procedures.
Education
MBA - IT Management
Western Governors University
Salt Lake City, UT
05-2024
Bachelor of Science (B.S.) Business Studies Computer Information Technology -
Southern New Hampshire University
08.2020
Skills
SQL
Microsoft Office Suite
Critical Thinking Skills
Excellent Communication Skills
Database Management
Documentation and Reporting
Data Research and Validation
Evidence-Based Decision Making
MS Excel
References
References available upon request.
Timeline
Associate Analyst Information Management
HealthTrust Purchasing Group
05.2021 - Current
Audit Assistant
PRGX Global, Inc
07.2018 - 05.2021
Registrar
Tennova Healthcare
08.2017 - 07.2018
General Office Assistant
Metro Nashville Public Schools
08.2016 - 05.2017
Claims Examiner
Healthscope Benefits
05.2014 - 01.2016
Claims Processor Associate
Cigna Government Services
05.2007 - 01.2011
MBA - IT Management
Western Governors University
Bachelor of Science (B.S.) Business Studies Computer Information Technology -