Allison Glass
Dallas,Texas
Summary
Looking for a company to grow with and use my experience to help the company on meeting their goals. I have been in the claims department for over twenty years. I have a background being a manager, with commercial, governmental and workers compensation accounts.
Overview
7
7
years of professional experience
Work History
Strategic Initiatives Analyst
Prime Healthcare
11.2024 - Current
- Analyzing data for denials and rejections
- Training strategic partners on improvements on collecting money
- Controlling inventory and assigning out assignments
- Making job aids to improve registration process, patient billing, workers compensation billing, and appeals
- Auditing claims for errors in coding, and compliance
- Coached employees on policies and compliance
- Training strategic partners on errors and compliance
- Weekly meeting to go over errors and questions
Edi Claims Manager
Parallon- HCA Healthcare
02.2020 - 10.2024
- Leading 48 employees, managing goals, metrics, audits, annual reviews, pto, short term disability, fmla, and yearly reviews
- Overseeing inventory for rejections, denials, appeals, enrollment of providers
- Running inventory reports, making excels spreadsheets for department results
- Checked insurance eligibility by making appropriate phone calls and researching services rendered
- Collected data to complete detailed financial reports for stakeholders and management
- Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork
- Conducted research, gathered information from multiple sources, and presented results
- Collaborated with direct reports to achieve target results
- Resolved problems, improved operations, and provided exceptional service
- Led projects and analyzed data to identify opportunities for improvement
- Used critical thinking to break down problems, evaluate solutions and make decisions
- Help train new employees on working multiple applications, working rejections, commercial plans, Worker’s compensation Plans, and PRP tickets
- Audit claims for coding, compliance, and errors
Team Lead Adjuster
United HealthCare
10.2017 - 02.2020
- Help co-workers with questions and escalated calls
- Coaching and supporting coworkers
- Training new employees
- Using CMA 1500 and UB billing insurance
- Follow-up insurance denials
- Appealing denials
- Interacting with the doctor's office for coding
- Adjusting claims to the correct contractual rate and denials
- EOBS
- Corresponds with emails to employees and management
- Worked on patients’ medical records when they were submitted to justify billing
- Worked on compliance issues with governmental, commercial and workers compensation
- Audit claims, appeals and adjustments
- Coached employees on errors and procedures
Intake Coordinator
Conifer Health
05.2017 - 02.2018
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Passionate about learning and committed to continual improvement.
- Worked flexible hours across night, weekend, and holiday shifts.
- Managed time efficiently in order to complete all tasks within deadlines.
- Organized and detail-oriented with a strong work ethic.
- Paid attention to detail while completing assignments.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Strengthened communication skills through regular interactions with others.
- Adaptable and proficient in learning new concepts quickly and efficiently.
- Learned and adapted quickly to new technology and software applications.
- Proved successful working within tight deadlines and a fast-paced environment.
- Developed and maintained courteous and effective working relationships.
- Demonstrated strong organizational and time management skills while managing multiple projects.
Education
Bachelor of Arts - Healthcare Administration
University of Arizona Global Campus
10.2023
Skills
Excel
Accomplishments
Trained on compliance. Investigation compliances. Led projects with over thirty people. Hit goals and metrics. Support direct reports with training, production and metrics. I have great leadership skills.
Communication Skills
I have been in insurance billing for over twenty years. I have good communication skills. Great leadership skills. I know how to reach metrics goals with claim inventory.
References
Geneva Dunn, Parallon, Debra.Smith2@Parallon.com
Timeline
Strategic Initiatives Analyst
Prime Healthcare
11.2024 - Current
Edi Claims Manager
Parallon- HCA Healthcare
02.2020 - 10.2024
Team Lead Adjuster
United HealthCare
10.2017 - 02.2020
Intake Coordinator
Conifer Health
05.2017 - 02.2018
Bachelor of Arts - Healthcare Administration
University of Arizona Global Campus