Brittany Nute
Quality Improvement
Mesquite
Summary
Resourceful and experienced Medical Administrative Professional with over ten years of expertise in resolving patients’ medical needs and administrative tasks. Proven ability to cultivate key patient relationships, perform qualitative and quantitative research, and deliver exceptional patient services. Skilled in appointment scheduling, relationship-building, communication, and working with multidisciplinary care teams. Adept at analyzing information systems, implementing policies to ensure data privacy, and supporting HEDIS project management.
Highly organized professional with proven track record in coordinating complex tasks and ensuring seamless operations. Adept at managing schedules, resources, and stakeholders to achieve project goals effectively. Renowned for fostering teamwork and adapting to dynamic environments, making significant contributions to organizational success.
Overview
11
11
years of professional experience
Work History
HEDIS Coordinator
Blue Cross Blue of Texas
02.2023 - Current
- Supported annual HEDIS project management, coordinating the identification, collection, and abstraction of medical records.
- Assisted in the preparation and ongoing review of medical records submitted by providers.
- Participated in meetings with vendors for medical record collection and supported vendor oversight.
- Assisted in training abstractor staff and participated in medical record IRR.
- Identified member service gaps, collected medical records, and loaded data into the HEDIS application.
- Worked with the corporate HEDIS team to ensure the accuracy of abstracted records according to HEDIS specifications.
- Supported Quality Improvement studies and performance improvement projects through data collection and report development.
- Assisted with accreditation activities such as NCQA reviews, CAHPS, and state audits
- Entered data, generated reports, and produced tracking documents.
- Improved team productivity with regular communication and progress updates, fostering a collaborative work environment.
Healthcare Coordinator
PaidHealth
08.2021 - 02.2023
- Guided members through the process of enrolling in financial assistance programs through continuous follow-up with members, pharmacies, and healthcare providers.
- Ensured plan members met program eligibility requirements to receive financial assistance.
- Coordinated access to alternate funding programs and aided members and physician staff in completing necessary financial assistance forms.
- Coordinated delivery and verified receipt of financial assistance forms and applications to members, physician offices, and financial assistance programs.
- Maintained regular communication with members, physician offices, and financial assistance programs to manage the status of each member.
- Utilized Salesforce to accurately document and record all interactions with members, healthcare providers, pharmacies, and financial assistance entities.
- Verified insurance verification forms with the use of medical portals, public health informatics or telephone.
Customer Advocate
United HealthCare
07.2020 - 07.2021
- Developed and improved the capabilities of customer service skills over one year.
- Acknowledged customer inquiries by resolving concerns about benefits, claims, eligibility, or financial accounts.
- Kept records of customer interactions, processed customer accounts, and filed documents.
- Collaborated with medical providers to schedule appointments and provide information on medical specialty referrals.
- Effectively managed approximately 100 incoming calls daily to ensure customers' requests were communicated.
- Navigated all medical plans, medical terminology, and health plan design through the UHC website.
Health Unit Coordinator
Baylor Health Care
12.2014 - 07.2021
- Used strong communication skills to collaborate with team members to ensure efficient service.
- Audited and maintained office forms and procedures to assist with administrative tasks.
- Finalized discharge reports by stamping and labeling each report to ensure all confidential documents were inserted correctly.
- Programmed scheduling procedures, medical patient requests, and patient registration while demonstrating patient satisfaction via software (Allscripts).
- Confidential with HIPPA guidelines during any patient interactions and regulations.
- Facilitated supportive environment for patients and visitors, addressing inquiries and directing them to appropriate departments.
- Maintained accurate patient records through diligent data entry and timely updates in the electronic health record system.
- Increased department efficiency by organizing and maintaining stock of medical supplies, ensuring readiness for patient care needs.
Education
Bachelor of Arts -
Texas A&M Commerce University
Skills
- Microsoft Proficiency
- Epic
- Data entry
- Chart logic
- Decision Maker
- Communicator
- Medical Record Reporting
- HIPAA Compliance
- Patient Services
- Project Management
- Scheduling appointments
- Improving/Tracking Project
- Coordinating Medical Referrals
- Healthcare Administrative
- Account Auditing
Timeline
HEDIS Coordinator
Blue Cross Blue of Texas
02.2023 - Current
Healthcare Coordinator
PaidHealth
08.2021 - 02.2023
Customer Advocate
United HealthCare
07.2020 - 07.2021
Health Unit Coordinator
Baylor Health Care
12.2014 - 07.2021
Bachelor of Arts -
Texas A&M Commerce University
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