Creative Business Analyst with broad-based background in highly competitive and dynamic organizations. Recognized as decisive leader and excellent team player. Committed to forming strong, productive teams.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Billiing Specialist
All Points ABA
Hingham, MA
04.2021 - Current
Ensured coordination of Applied Behavior Analysis claims that met medical documentation standards, leading to successful insurance claim submissions for ABA.
Created and distributed monthly client authorization reports to executive management team
Researched CPT and HCPCS coding discrepancies to ensure compliance and accuracy in reimbursement.
Maximized organization revenue and efficiency through QA of client appointments and claim submission
Demonstrated strong communication skills while working cross-functionally to resolve claim challenges
Verified client eligibility and benefits with precision
Contact insurance company to review, appeal or review status of client authorizations
Registered Behavior Technician
All Points ABA
Hingham, MA
09.2022 - 06.2024
Support individuals with autism by conducting 1:1 applied behavior analysis therapy sessions with clients in clinic setting
Execute and implement the prescribed skill acquisition and behavior modification plans with client including discrete trial training and additional ABA teaching methods
Observe client behavior, collect data, measure client’s independent success, calculate percentages and document results on a daily basis
Proactively communicate and collaborate effectively with fellow RBTs, BCBAs, caregivers and parents to support client needs
Certified Personal Trainer and Health Coach
Emilson YMCA
Hanover , MA
09.2019 - 06.2022
Monitored, motivated, and instructed participants during workouts that included aerobic and anaerobic exercises, emphasizing the importance of member health and wellness.
Tailored safe workout programs for clients with varying fitness levels and medical requirements (e.g. obesity, hypertension, cardiac issues), providing enthusiastic guidance throughout the sessions.
Created customized fitness programs for clients to maintain high interest level utilizing a diverse range of equipment such as free weights, Bosu, resistance bands, and functional trainer
Communications Developer
Dunnhumby
Boston, MA
03.2014 - 10.2017
Reviewed consumer new product submissions from leading social media platforms including Instagram, Pinterest, Facebook, Twitter, and blog posts for clients including Proctor & Gamble, J&J, Estee Lauder and Unilever
Ensured compliance of consumer reviews with Federal Trade Commission media guidelines
Instructed agents working within pharmaceuticals, retail, and CPG sectors on how to submit information that adheres to required QA standards.
Advanced Business Analyst
IBM
Quincy, MA
10.2005 - 06.2012
Collaborated with coders, clients, and management to meet needs in a timely manner while consistently exceeding client expectations.
Successfully implemented improvements and upgrades to the NASCO platform for BlueCross BlueShield's Healthcare IT system.
Contributed to research initiatives enabling the development of project scope, establishment of system requirements, and successful implementation of changes for Customer Service Requests.
Utilized research skills to interpret and analyze system documentation, resulting in improved information organization.
Collaborated with end clients to identify and analyze key requirements for system enhancements
Developed and presented training programs on new system upgrades and functionality
Business Analyst
IBM
Chicago, IL
10.2002 - 10.2005
Collaborated with stakeholders across departments to define requirements for new projects.
Drafted functional specifications documents outlining project scope, objectives and deliverables.
Conducted interviews with subject matter experts to gather information on existing systems and procedures.
Designed test plans, scenarios, scripts, cases, and results matrices to validate system functionality.
Business Analyst
IBM
Quincy, MA
06.1999 - 10.2002
Identified, captured and reported operational metrics and data on a weekly, monthly, and annual basis to assess system utilization and evaluate the impact of system improvements.
Collaborated with Business Effectiveness team to promote and recommend process improvement activities.
Created detailed process flows and user stories to document system requirements and design solutions.
Education
Bachelor of Science - Business - Health Systems Managment
University of Connecticut
Storrs, CT
05-1997
Skills
Functional specifications
End-user support
Requirements Gathering
User Acceptance Testing
Technical Documentation
Team Collaboration
Teamwork and Collaboration
Effective Communication
Affiliations
Norwell High School Track Coach, March 2022 - June 2024
Certification
Registered Behavior Technician #867505
Dr. Sears Certified Health Coach
ACSM Personal Trainer #148496
Timeline
Registered Behavior Technician
All Points ABA
09.2022 - 06.2024
Billiing Specialist
All Points ABA
04.2021 - Current
Certified Personal Trainer and Health Coach
Emilson YMCA
09.2019 - 06.2022
Communications Developer
Dunnhumby
03.2014 - 10.2017
Advanced Business Analyst
IBM
10.2005 - 06.2012
Business Analyst
IBM
10.2002 - 10.2005
Business Analyst
IBM
06.1999 - 10.2002
Bachelor of Science - Business - Health Systems Managment