Skilled Team Lead bringing expertise in operations and project management. Helps achieve goals by coordinating resources, schedules, and team members to meet demands. Seeks every opportunity to improve operations and team performance.
Overview
17
17
years of professional experience
Work History
Senior Specialist Team Lead
Cotiviti
08.2010 - Current
Motivate and supervise employees in the COB unit that audit claims across multiple clients including BSCA, Regence, Excellus, HCSC, Cigna and Wellpoint.
Prioritizes work, meets deadlines and works to achieve client and company goals.
Self-motivated, with a strong sense of personal responsibility.
Works effectively in fast-paced environments.
Pulls daily reports to monitor inventory worked and to direct staff to the appropriate work queues daily
Skilled at working independently and collaboratively in a team environment.
Spearhead weekly meetings with staff to review goals, expectations and discuss areas for improvement
Monthly review of individual stats to drive the team to their goals
Perform semi-annual and annual performance reviews
Engages in weekly team meetings
Participates in monthly client meetings
Report quality error trends to team
Team Lead
West (Accent)
08.2008 - 08.2010
Supported 15 employees on the Anthem Blue Cross Blue Shield line of business
Responsible for answering all questions from the COB and contract teams
Assisted supervisor by reviewing inventory to direct staff in their daily work
Participated in weekly team meetings and prepared updates about changes to processes and procedures
Updated training material as needed
Engaged in client meetings to discuss questions or concerns and updated staff on any changes or feedback from the client
Validator
West (Accent)
05.2007 - 08.2010
Reviewed claims paid by United Healthcare to find overpayment opportunities
Coordinated benefits with multiple insurance companies
Made provider outreach to obtain pertinent claim information
Reviewed contracts between providers and United Healthcare to ensure claims were paid accurately
Hit monthly production metrics and quality metrics
Promoted from a Tier 1 to a Tier 2 and then a Tier 3 before being promoted to a team lead
Education
Psychology and Business Management
DES MOINES AREA COMMUNITY COLLEGE
Ankeny, IA
01.2010
CNA classes - clinical hours in a nursing home
Des Moines Community College
Ankeny, IA
01.2003
Skills
Strong verbal and written communication skills
Team management
Goal setting and meeting goals
Creating and keeping deadlines
Project management
Decision making
Adaptability
Strong problem solving skills
Proficient with computers and computer programs such as Microsoft, Tableau, SharePoint and WebEx
Ability to successfully manage staff in a virtual environment