Brittany Young
Indianapolis,IN
Overview
8
8
years of professional experience
Work History
Provider Service Representative
United Health Care
Remote
02.2025 - Current
- Effectively navigated over 30 systems to extract critical information for issue resolution across multiple business lines.
- Researched and analyzed complex prior authorization and claim issues, implementing solutions to prevent escalations and provider dissatisfaction.
- Collaborated with various internal partners to ensure timely communication of resolved issues to providers.
- Triaged contacts from healthcare professionals, including physician offices, clinics, and billing offices efficiently.
- Advocated for providers by demonstrating accountability and ownership in issue resolution.
Medical Mangement Specialist
Elevance Health
Remote
08.2021 - 02.2025
- Facilitated communication among Medical Management, Operations, and internal departments, enhancing collaboration on case management.
- Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review)
- Consistently meet established productivity, adherence, and quality standards
Other duties as assigned by manager and/or director - Maintained and updated tracking databases, contributing to accurate case management and reporting.
- Prepares reports and documents all actions
- Consistently meet established productivity, adherence, and quality standardsOther duties as assigned by manager and/or director
- Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information.
Appeals Coordinator
CorroHealth Inc
Indianapolis, Indiana
04.2018 - 08.2021
- Investigated and resolved written complaints from consumers and healthcare professionals.
- Categorized complaints to expedite resolution processes, enhancing overall efficiency.
- Determined need for clinical review through comprehensive case analysis.
- Utilized fact-based judgement to make informed decisions on non-clinical complaints, ensuring fair outcomes.
- Completed final appeals documentation with standardized templates, streamlining review process.
- Communicated appeal outcomes to members, providers, and other stakeholders within specified deadlines.
Education
Associate of Applied Science - Business
Ivy Tech Community College of Indiana
Indianapolis, IN08-2020
High School Diploma -
Warren Central Highschool
Indianapolis06-2017
Skills
Healthcare reimbursement knowledge
- Healthcare compliance
- Healthcare system knowledge
- Proficient use of Microsoft Office Suite – Excel, Word, Outlook, and PowerPoint
- Analytical problem-solving
- Ability to prioritize tasks and manage multiple projects
- Adaptable team player
- Interpersonal communication
- Medicare, Medicaid & commercial insurance knowledge
- Expert written and verbal communication skills
Timeline
Provider Service Representative
United Health Care
02.2025 - Current
Medical Mangement Specialist
Elevance Health
08.2021 - 02.2025
Appeals Coordinator
CorroHealth Inc
04.2018 - 08.2021
Associate of Applied Science - Business
Ivy Tech Community College of Indiana
High School Diploma -
Warren Central Highschool