Summary
Overview
Work History
Education
Skills
License Number
Timeline
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BARBRINA MAYO

Creedmoor,NC

Summary

Dynamic and results-oriented Licensed Practical Nurse and Researcher with a proven track record at Anthem/Medlinks. Excelled in data collection and analysis, enhancing HEDIS season efficiency by 30%. Skilled in team collaboration and critical thinking, adept at translating complex data into actionable insights. Demonstrates a strong work ethic and exceptional attention to detail, ensuring high-quality care and research outcomes.

Research professional with solid history of delivering thorough and insightful analyses in various research projects. Known for collaborative approach, adaptability to changing project needs, and results-driven mindset. Skilled in data interpretation, report writing, and utilizing advanced research methodologies to drive outcomes.

Skilled Researcher enthusiastic about supporting advancements in Area of expertise. Passionate about increasing knowledge to drive growth and needed improvements. Ready to apply knowledge and Number years of experience in research.

Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Job Title position. Ready to help team achieve company goals.

Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.

Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.

Overview

11
11
years of professional experience

Work History

Researcher/Abstractor

Anthem/ Medlinks
11.2024 - Current
  • Company Overview: Remote
  • Reviewed required data analysis and researched within data/claim systems to conduct a search for specific claims needed for the HEDIS season
  • Completed chart abstractions for HEDIS season when needed
  • Remote

Licensed Practical Nurse

Professional Healthcare INC.
06.2014 - Current
  • Company Overview: Knightdale, NC
  • Provide skilled private duty nursing care
  • Provide custom home care, specializing in patients with g-tubes, ventilators and tracheotomies
  • Knightdale, NC

Researcher/Abstractor

Anthem/ Medlinks
11.2023 - 04.2024
  • Gathered and organized information for research purposes.
  • Collaborated with interdisciplinary teams to conduct comprehensive studies and generate valuable insights.
  • Conducted thorough literature reviews to identify gaps in knowledge and inform future research directions.
  • Synthesized large volumes of information, identifying key trends and patterns relevant to research objectives.

Episodic Care Manager

BCBSNC
04.2022 - 11.2023
  • Company Overview: Remote
  • Perform medical reviews to assess, facilitate, and coordinate the delivery of care across the healthcare system
  • Advocate to promote and coordinate the delivery of quality, cost effective healthcare services based on medical necessity and contractual benefits
  • Coordinate with providers and consumers to support the delivery of high quality care across the healthcare system
  • Remote

Researcher/Abstractor

Anthem/ Medlinks
12.2021 - 04.2022
  • Company Overview: Remote
  • Reviewed required data analysis and researched within data/claim systems to conduct a search for specific claims needed for the HEDIS season
  • Completed chart abstractions for HEDIS season when needed
  • Remote

Episodic Care Manager

BCBSNC/Matrix
06.2021 - 12.2021
  • Company Overview: Remote
  • Perform medical reviews to assess, facilitate, and coordinate the delivery of care across the healthcare system
  • Advocate to promote and coordinate the delivery of quality, cost effective healthcare services based on medical necessity and contractual benefits
  • Coordinate with providers and consumers to support the delivery of high quality care across the healthcare system
  • Remote

Researcher/Abstractor

Anthem/ Medlinks
12.2020 - 05.2021
  • Company Overview: Remote
  • Reviewed required data analysis and researched within data/claim systems to conduct a search for specific claims needed for the HEDIS season
  • Completed chart abstractions for HEDIS season when needed
  • Remote

Episodic Care Manager

BCBSNC/Matrix
05.2020 - 12.2020
  • Company Overview: Remote
  • Perform medical reviews to assess, facilitate, and coordinate the delivery of care across the healthcare system
  • Advocate to promote and coordinate the delivery of quality, cost effective healthcare services based on medical necessity and contractual benefits
  • Coordinate with providers and consumers to support the delivery of high quality care across the healthcare system
  • Remote

Researcher/Abstractor

Anthem/ Medlinks
12.2019 - 05.2020
  • Company Overview: Remote
  • Reviewed required data analysis and researched within data/claim systems to conduct a search for specific claims needed for the HEDIS season
  • Completed chart abstractions for HEDIS season when needed
  • Remote

Clinical Appeals Analyst

BCBSNC/Matrix
08.2019 - 12.2019
  • Company Overview: Durham, NC
  • Approve or deny health insurance claims and appeals through reviewing case files
  • Review medical charts, diagnoses, medical histories, care plans, health insurance coverage and patient testimonials
  • Collect data, information and research to complete a thorough analysis before approving or denying requests
  • Educate patients on outcome of decisions and health insurance coverage as well as options to adjust coverage
  • Durham, NC

HEDIS Data Collection Analyst/Abstractor

BCBSNC/Matrix
01.2019 - 07.2019
  • Company Overview: Durham, NC
  • Complete chart abstractions for the HEDIS season at BCBS
  • Contact medical providers for medical record requests to complete the chart abstractions
  • Durham, NC

Episodic Care Manager

BCBSNC/Piper
09.2018 - 01.2019
  • Company Overview: Durham, NC
  • Perform medical reviews to assess, facilitate, and coordinate the delivery of care across the healthcare system
  • Advocate to promote and coordinate the delivery of quality, cost effective healthcare services based on medical necessity and contractual benefits
  • Coordinate with providers and consumers to support the delivery of high quality care across the healthcare system
  • Durham, NC

Licensed Practical Nurse

Health & Home Services
07.2016 - 08.2018
  • Company Overview: Raleigh, NC
  • Provide skilled private duty nursing care
  • Provide custom home care, specializing in patients with g-tubes, ventilators and tracheotomies
  • Raleigh, NC

HEDIS Data Collection Analyst/Abstractor

BCBS/Matrix
01.2018 - 07.2018
  • Company Overview: Durham, NC
  • Complete chart abstractions for the HEDIS season at BCBS
  • Contact medical providers for medical record requests to complete the chart abstractions
  • Durham, NC

Licensed Practical Nurse

RHA Health Services
06.2015 - 02.2017
  • Company Overview: Creedmoor, NC
  • Provided nursing care and quarterly nursing assessments for individuals in a group home setting for 4 group homes
  • Supervised med techs in the group homes
  • Organized appropriate medical appointments for individuals
  • Met with team members to ensure proper and necessary treatments are met for each individual residing in the group homes
  • Provided appropriate updates to necessary parties
  • Conducted chart reviews on a monthly basis and communicated with management regarding corrective action
  • Reviewed appropriate ICD-10 codes with claims to ensure accuracy
  • Communicated with doctors on a regular basis regarding appropriate action plans
  • Provided customer service to healthcare professionals, merchants, families & various companies and addressed any problems that arose, while attending to client specific needs
  • Creedmoor, NC

Licensed Practical Nurse

Tammy Lynn Center
10.2014 - 06.2016
  • Company Overview: Raleigh, NC
  • Provided skilled nursing care for clients with developmental disabilities
  • Communicated with doctors regarding appropriate action plans
  • Provided customer service to healthcare professionals, merchants, families & various companies and addressed any problems that arose, while attending to client specific needs
  • Met with team members to ensure proper and necessary treatments are met for each individual residing in the group homes
  • Provided appropriate updates to necessary parties
  • Raleigh, NC

Education

Practical Nursing Diploma -

ECPI University/Medical Careers Institute
Raleigh, NC
11.2013

Bachelor of Science -

North Carolina Central University
Durham, NC
05.2001

Skills

  • Team collaboration
  • MS office
  • Strong work ethic
  • Data collection and organization
  • Data analysis
  • Critical thinking
  • Interpreting results
  • Research planning
  • Documentation and reporting
  • Effective multitasking
  • Attention to detail
  • Active listening
  • Fieldwork experience
  • Research ethics
  • Works Well Under Pressure
  • Following direction
  • Knowledge sharing
  • Documentation
  • Data assessments
  • Internet searches
  • Research processes
  • Self-driven and motivated
  • Analytical thinking
  • Internet research
  • Research implementation
  • Microsoft Excel proficiency
  • Data entry
  • Survey collection
  • Training and mentoring
  • MS Excel

License Number

#79950

Timeline

Researcher/Abstractor

Anthem/ Medlinks
11.2024 - Current

Researcher/Abstractor

Anthem/ Medlinks
11.2023 - 04.2024

Episodic Care Manager

BCBSNC
04.2022 - 11.2023

Researcher/Abstractor

Anthem/ Medlinks
12.2021 - 04.2022

Episodic Care Manager

BCBSNC/Matrix
06.2021 - 12.2021

Researcher/Abstractor

Anthem/ Medlinks
12.2020 - 05.2021

Episodic Care Manager

BCBSNC/Matrix
05.2020 - 12.2020

Researcher/Abstractor

Anthem/ Medlinks
12.2019 - 05.2020

Clinical Appeals Analyst

BCBSNC/Matrix
08.2019 - 12.2019

HEDIS Data Collection Analyst/Abstractor

BCBSNC/Matrix
01.2019 - 07.2019

Episodic Care Manager

BCBSNC/Piper
09.2018 - 01.2019

HEDIS Data Collection Analyst/Abstractor

BCBS/Matrix
01.2018 - 07.2018

Licensed Practical Nurse

Health & Home Services
07.2016 - 08.2018

Licensed Practical Nurse

RHA Health Services
06.2015 - 02.2017

Licensed Practical Nurse

Tammy Lynn Center
10.2014 - 06.2016

Licensed Practical Nurse

Professional Healthcare INC.
06.2014 - Current

Practical Nursing Diploma -

ECPI University/Medical Careers Institute

Bachelor of Science -

North Carolina Central University
BARBRINA MAYO