Barbara Tran
Kentwood,MI
Summary
Dedicated and focused Team Leader with over 9 years of experience excelling at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals.
Successful in monitoring performance, delegating work and motivating members. Versed in managing daily direction and team communication. Collaborative and resourceful professional in identifying project needs to develop and deliver creative solutions.
Overview
9
9
years of professional experience
Work History
Team Leader II
Blue Care Network of Michigan
Grand Rapids, MI
01.2023 - Current
- Conducted regular performance reviews to assess individual team member progress.
- Provided coaching and feedback on employee performance, encouraging professional development.
- Created training materials and conducted group trainings on new processes or procedures.
- Assisted with recruitment efforts by interviewing potential candidates and providing input on hiring decisions.
- Monitored daily workflow to ensure adherence to established policies and procedures.
- Established clear expectations for employees, providing guidance when needed.
- Collaborated with other departments to ensure alignment of goals across teams.
- Maintained a positive work environment that promoted collaboration between team members.
Project Consultant
Blue Care Network of Michigan
Grand Rapids, MI
11.2021 - 01.2023
- Tracked projects to ensure deadlines were consistently met.
- Prepared appropriate mitigation plans when needed.
- Coordinated with other business areas to understand project needs and provide needed support to meet targets.
- Maintained close connection with project personnel to quickly identify and resolve problems.
- Updated project plans based on changing objectives, specifications and staff availability.
- Set forth contingency plans and monitored progress and risks of various projects.
- Communicated with Leadership, delivering timely and relevant status updates.
CPI Senior Claims Analyst
Blue Care Network
Grand Rapids, MI
12.2018 - 11.2021
- Assists and support in planning, coordinating, developing and implementing of approved projects which are Divisional and/or Corporate in scope in order to enhance overall efficiency of operational procedures, methods, controls and performance.
- Analyze, process and/or expedite operational transactions; this may include timely resolution of problems.
- Provide leadership team with status of projects; issue, communicate and recommend policy decisions to achieve project objectives.
- Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process.
CPI Analyst
Blue Care Network
Grand Rapids, MI
11.2017 - 12.2018
- Monitored multiple databases to keep track of all department reports.
- Gathered the proper documentation and data for related assignments and/or projects.
- Created individual annual goals and objective. Served as liaison between management, senior analysts, unit leads, and claims staff.
- Assisted in testing for migrations and change packs. Revised policies and procedures in accordance with changes.
Status Inquiry Claims Liaison
Blue Care Network
Grand Rapids, MI
09.2016 - 11.2017
- Experienced Claims Liaison who investigated and reviewed claims to provide solutions to providers and members.
- Communicated professionally with providers and provided resolutions in a timely manner.
- Adjusted claims, processed adjustments, and assisted customer service with information.
Claims Adjudicator
Blue Care Network
Grand Rapids, MI
08.2015 - 09.2016
- Processed claims by following procedures.
- Carefully reviewed medical records for accuracy and completion as required.
- Demonstrated analytical and problem- solving abilities.
- Selected by Leadership to be a TESTER for procedures that have not yet been released.
- Exceeded or Meet quality and production standards on a monthly basis.
- Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.
Data Entry Keyer
Blue Care Network
Grand Rapids, MI
12.2014 - 08.2015
- Experienced in Formworks.
- Exceeded expectations in Production and quality.
- 10- Key experience.
Education
Bachelor of Science - Business Management
Cornerstone University
Grand Rapids, MI05-2024
High School Diploma - General
Central High School
2003
Skills
- Leadership skills
- Team Supervision
- People Management
- Analytical Thinking
- Self-motivated
- Excellent communication skills
- Ability to multi- task
- Strong organizational skills
- Strong work ethic
- Constantly strive to improve
References
Lisa Verburg
Blue Care Network
Manager
611 Cascade West Pkwy SE
(616) 916-8959
Heather Gunby
Blue Care Network
Senior Analyst
611 Cascade West Pkwy SE
(616) 285-3079
Amy Gallardo
CareSource
Manager
(269) 838-4792
Timeline
Team Leader II
Blue Care Network of Michigan
01.2023 - Current
Project Consultant
Blue Care Network of Michigan
11.2021 - 01.2023
CPI Senior Claims Analyst
Blue Care Network
12.2018 - 11.2021
CPI Analyst
Blue Care Network
11.2017 - 12.2018
Status Inquiry Claims Liaison
Blue Care Network
09.2016 - 11.2017
Claims Adjudicator
Blue Care Network
08.2015 - 09.2016
Data Entry Keyer
Blue Care Network
12.2014 - 08.2015
Bachelor of Science - Business Management
Cornerstone University
High School Diploma - General
Central High School
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