BRIAN SHADID
OKLAHOMA CITY,OK
Summary
Healthcare professional with extensive background in pre-authorization nursing and patient care. Proven ability to manage complex pre-authorization requests while maintaining compliance with regulations and guidelines. Known for collaborative approach and adaptability in dynamic healthcare environments, ensuring seamless team operations and optimal patient outcomes.
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Senior Business Analyst
MERCY HOSPITAL
05.2023 - Current
- Improved project efficiency by analyzing business processes and identifying areas for improvement.
- Supported leadership team with reporting, analysis, and business presentations to inform divisional strategies.
- Mentored junior analysts on best practices for business analysis techniques, fostering professional growth within the team.
- Streamlined workflow for better productivity.
- Led process mapping initiatives, resulting in optimized workflows and reduced redundancies across departments.
- Analyzed data to identify root causes of problems and recommend corrective actions.
PATIENT BENEFIT REP III
MERCY HOSPITAL
01.2022 - 05.2023
- Maintained up-to-date knowledge of insurance policies, guidelines, and regulations to ensure accurate pre-authorization approvals.
- Monitored trends in denied or delayed authorizations, implementing corrective actions as needed to minimize future occurrences.
- Communicated with insurance companies to obtain pre-authorizations for treatment.
- Provided ongoing education to clinical staff on pre-authorization requirements, resulting in improved compliance rates.
- Reduced denials and appeals by ensuring accurate documentation and timely submission of authorization requests.
- Enhanced workflow efficiency by streamlining the pre-authorization process for both inpatient and outpatient cases.
- Conducted regular audits of pre-authorization documentation to ensure compliance with regulatory standards and mitigate potential risks.
Education
High School Diploma -
PUTNAM CITY NORTH HIGH SCHOOL
OKLAHOMA CITY05-2000
Skills
- Requirements gathering
- Process mapping
- Business process improvement
- Data analysis expertise
- Data analysis
- Pivot tables
- Process optimization
- Workflow Analysis
- Internal auditing
- Problem-solving
- Clear communication
- Attention to detail
Certification
- Advanced Unlicensed Assistant - 4/2011 - Present
Timeline
Senior Business Analyst
MERCY HOSPITAL
05.2023 - Current
PATIENT BENEFIT REP III
MERCY HOSPITAL
01.2022 - 05.2023
High School Diploma -
PUTNAM CITY NORTH HIGH SCHOOL