Experienced with analyzing provider data to ensure accuracy and completeness. Utilizes data management techniques to streamline and improve processes. Knowledge of data integrity and problem-solving, leading to enhanced operational efficiency.
Overview
19
19
years of professional experience
Work History
Provider Data Analyst
Optum Serve Health Services
01.2024 - Current
Regional POD Representative – Attend weekly meetings to discuss any scheduling trends and provider scheduling issues noted by myself and other schedulers within the Region IV POD.
Collaborated with cross-functional teams to enhance data accuracy and streamline reporting processes.
Maintain a successful working relationship between Optum Serve and network providers through working with many varied clinical delivery systems.
Being able to understand and identify the best alignment of appointment requirements to clinical times available within the varied clinical delivery systems.
Communicate with internal customers to ensure the most efficient use of time to accomplish department goals and contract requirements.
Assess and resolve scheduling concerns, developing, and implementing solutions in many varied clinical delivery systems.
Manage urgent scheduling needs and frequently shift priorities in order to maximize resources and capabilities to effectively support customer needs.
Negotiate days and times that align provider needs, Optum Serve business objectives, and veteran’s availability.
Review qualified providers in the current provider network. Manually assign and schedule appointments, while analyzing cost and scheduling timeliness to meet contractual expectations.
Continually communicate with Veteran Services, Provider Network Management, and other departments to accomplish mission tasks related to scheduling procedures.
Maintain constant awareness of queue status in order satisfy internal queue calls related to veteran reschedules, urgent provider updates, and miscellaneous order issues.
Medical Service Coordinator
Optum Serve Health Services
01.2022 - 01.2024
Worked as an outbound agent on the Mileage Exception/Telehealth IT Team, some of my job duties include but are not limited to:
Telehealth Troubleshooting Auditing Team – Investigate the process of cancelled orders to properly determine if the Veteran/Service Member was a true no-show to their scheduled appointment or if they or the provider had experienced technical issues which prevented them from completed their telehealth exam.
Coordinated patient care activities to enhance service delivery and ensure compliance with healthcare regulations.
Schedule medical services in accordance with customer availability and contract guidelines.
Respond to a variety of inquiries and resolves issues with regard to the appointment scheduling/fulfillment processing and service completion in a timely manner while maintaining sensitivity toward military culture.
Identify potential behavioral health situations and follow contract specific protocol to assist callers.
Maintain constant awareness of service level and queue status in order to meet contractual requirements.
Assist in problem-solving telehealth IT issues for Vets, Service Members and Providers.
Medical Transcriptionist
Independent Contractor for Various Companies
01.2007 - 01.2020
Worked remotely as a transcriptionist, typing and editing dictated medical documents as well as Workers’ Compensation case files.
Transcribed medical reports with high accuracy, ensuring adherence to industry standards.
Reviewed and edited documents for grammar, punctuation, and formatting consistency.
Education
Associates of Applied Science - Registered Nurse (Not Completed)
San Jacinto College
01-2002
Basic Coursework
Deer Park High School
05-1997
Skills
Experience working on Webapp, MedNet, and utilizing Mitel
Microsoft Office knowledge and comfortable working on various computer platforms
HIPAA compliance
Healthcare industry
Medical terminology knowledge
Attention to detail
Analytical problem solving
Motivated, dependable and punctual
Dedicated home office space
High-speed cable internet
Timeline
Provider Data Analyst
Optum Serve Health Services
01.2024 - Current
Medical Service Coordinator
Optum Serve Health Services
01.2022 - 01.2024
Medical Transcriptionist
Independent Contractor for Various Companies
01.2007 - 01.2020
Associates of Applied Science - Registered Nurse (Not Completed)