Allencia Pittman
Chicago,IL
Summary
Knowledgeable Operations Manager with solid foundation in optimizing operational processes and driving efficiency improvements. Proven track record of managing cross-functional teams to achieve project milestones and streamline workflows. Demonstrated proficiency in strategic planning and problem-solving, ensuring continuous improvement and operational excellence.
Overview
12
12
years of professional experience
Work History
Operations Manager/Denial Analyst
Community First Medical Center
02.2022 - Current
- Manage daily office operation, including scheduling meetings, coordination appointments, and handing correspondence for executives and staff.
- Organize and maintain filing systems(physical and digital), improving document retrieval time by 20%.
- Manage office equipment and technology, trouble shooting issues and liaising with vendors for repairs ensuring 98% uptime.
- Assist with onboarding new employees, providing orientation, setting up workstations, and ensuring a smooth transition for new hires.
- Coordinate staff schedules and time-off request, maintaining a balanced workload for all team members.
- Organize company events, meetings, and team-building activities, improving employee engagement and satisfaction.
- Coordinate CEU (continuing educaton unit) events for nurses and social workers.
- Review and analyze denied insurance claims(Medicare, Medicaid, Commerical etc.) to identify root causes and take corrective action.
- Collaborate with internal teams (coding, billing, and clinical departments) to resolve claim issues and ensure accurate claim resubmission.
- Investigate and resolve coding errors, missing authorizations, or eligibility issues to reduce claim denials and improve reimbursement rates.
- Research payer-specific policies and requirements, ensuring compliance with insurance guidelines and avoiding future denials.
- Generate reports on denial metrics, including, denial rates, recovery rates, and resolution timelines, for leadership review.
- Work closely with Case Management teams to address medical necessity denials, providing additional clinical information when required.
- Contribute to workflow optimization, suggesting and implementing process improvements that reduce claim rejections and administrative burden.
Newborn Screening Coordinator
Mercy Hospital and Medical Center
07.2013 - 05.2021
- Coordinated all aspects of newborn screening for a high-volume hospital, ensuring 100% compliance with state and federal guidelines.
- Served as the primary liaison between hospital staff, state NBS programs, and laboratories to ensure rapid communication of abnormal or critical results.
- Tracked and verified screening results for all newborns, ensuring prompt follow-up and reducing delays in confirmatory testing.
- Provided ongoing education and skills training to nurses and clinical staff on proper blood spot collection and NBS procedures.
- Developed and updated protocols and workflow documentation to align with changes in state requirements and best practices.
- Communicated screening information and follow-up steps to families with clarity and sensitivity.
- Collaborated with pediatricians and specialty providers to coordinate referrals for diagnostic evaluation and early intervention.
- Prepared and maintained accurate records, logs, and reports for audits, quality improvement initiatives, and regulatory compliance.
- Trained new staff on screening procedures and best practices, enhancing team performance and consistency.
Education
Associate of Applied Science - Substance Abuse Counseling
Illinois Central College
East Peoria, IL06-2009
Skills
- Operational management
- Claims analysis
- Process improvement
- Team coordination
- Strategic planning & decision-making
- Negotiation and vendor management
- Deadline and deliverable tracking
- Proficiency with EMR systems (eg Epic, Midas, and Westfax)
Timeline
Operations Manager/Denial Analyst
Community First Medical Center
02.2022 - Current
Newborn Screening Coordinator
Mercy Hospital and Medical Center
07.2013 - 05.2021
Associate of Applied Science - Substance Abuse Counseling
Illinois Central College