Carbrini Egbo
Tampa,FL
Summary
Experienced professional healthcare administrator with a strong background in human resources, risk management, internal audit, managed care, records management, case management, and quality assurance. Excellent analytical skills and effective communication with diverse clients and personnel. Efficiently manages multiple tasks and projects in a fast-paced environment. Thrives under minimal supervision and consistently delivers high-quality results.
Overview
17
17
years of professional experience
Work History
Fulfillment (Seasonal)
Amazon
09.2024 - Current
- Receive and put away inventory
- Get customer orders ready and pack them up
- Load boxes into trucks for shipment
- Use scanners to read bar codes on products
- View prompts on screens and follow the direction for some tasks
- Troubleshoot problems
- Ensure product meets quality requirements
Remote Scorer (Seasonal)
Pearson
06.2022 - 05.2024
- Evaluated student responses to open-ended questions in a reliable manner and scored according to customer supplied scoring guide
- Successfully internalized training and customer scoring guide
- Passed qualifying test before scoring
- Put aside personal biases and applied scoring guide according to customer requirements
- Committed to working the required number of hours each week for the duration of the project
- Met rate and quality management standards established for project
Medical Service Coordinator
Optum - United Health Group
01.2020 - 05.2022
- Managed the Privacy Inbox to ensure compliance of PHI/HIPPA
- Investigate and research breaches and other complex issues across multiple databases; works with support resources to resolve customer issues and escalated issues
- Answer incoming phone calls from customers and identify the type of assistance required
- Ask appropriate questions and listen actively to identify specific concerns while documenting required information in computer systems
- Contacts care providers (doctor’s offices) on behalf of the veteran to assist with appointment scheduling or connections with internal specialists for assistance when needed
- Assist customers in navigating UnitedHealth Group websites
Auditor
State of Texas
10.2017 - 12.2019
- Performs audit work in the Internal Audit Division
- Facilitates client interviews to provide, exchange, verify information, answer inquiries, address issues, or resolve complaints
- Obtains background information relevant to scope of audit and participates in interviews with clients to mitigate risk and establish internal controls related to audit objectives and scope of work to be performed
- Performs risk assessments for various program areas, identifying potential vulnerabilities for fraud, waste and abuse
- Documents, prepares and reviews working papers and audit report findings
- Reports audit findings and made recommendations as appropriate to Audit management and to other stakeholders
- Participates in developing and executing IAD's human resources strategic planning
- Evaluates and assesses effectiveness of recruiting strategies to improve talent acquisition efforts as necessary
Provider Data Management Specialist
Centene
12.2014 - 12.2016
- Enrolled, updated, and coordinated provider data between the managed care health plan and external delegated credentialed groups
- Corresponded and resolved problems for Delegates regarding physician changes within company network
- Researched and resolved claim issues related to data discrepancies within company database and provider directory
- Updated and maintained provider participation within Medicaid/Medicare products
- Act as liaison and work closely with the contracting and credentialing departments to ensure data integrity
- Responsible for retrieving and analyzing monthly deliverables from Delegates
Patient Resource Specialist
American Cancer Society
10.2013 - 12.2014
- Supported patients in completing treatment by removing barriers to treatment and connecting them to local and national cancer-related initiatives using approved programs and services
- Coordinated transportation, lodging and support programs to ensure patient treatment
- Counseled and served as an advocate for patients regarding insurance benefits and recommended alternative sources of payment and/or financial assistance when appropriate
- Assisted management as needed with recruitment, screening and training of volunteers
- Collaborated with managers regularly to gauge recruitment needs and maximize the effectiveness of the recruiting process
- Participated in program evaluations and recommendations
- Identified and supported opportunities for process improvement
Release of Information Specialist Lead
CIOX Health
04.2012 - 10.2013
- Provided general direction to Release of Information Specialist team in accordance of work queues and work processes
- Collaborated with management to conduct interviews with potential new hires
- Assisted in employee training and development
- Coach, facilitate, solved problems, and participated in the work of the team
- Followed and reinforced Federal, State, and Local laws pertaining to patient privacy policies
- Addressed physician and other provider concerns/ questions relating to medical record completion
- Traveled to various Seton medical facilities to perform ROI
- Provided plain or certified copies of records upon request ensuring that appropriate consents, subpoena and other medical record forms were complete upon request for a copy of medical record
- Documented the sealing or destruction of records as mandated by establishing procedures
- Obtained demographic, insurance, and financial information from patient or guarantor
Sr. Staff Assistant
Kaiser Permanente Medical Center
06.2007 - 06.2010
- Facilitated and supported physicians with weekly Peer Review visits within the Quality department
- Assisted the Infection Control department with reporting communicable diseases and other patient information to the Public Health Department
- Participate in the development of reporting and data outcome reports
- Performed hand hygiene audits and investigations
- Able to read and comprehend medical terminology
- Supported the Accreditation Regulation & Licensing department with logistics during hospital audits and surveys with CMS and JCAHO
- Collected and maintained inventory of office equipment and supplies; researched, priced and purchased office furniture
- Coordinated bi-monthly Infection Control committee meetings; compiled, transcribed and distributed meeting minutes
- Documented, investigated and resolved formal and informal complaints, risk management and sentinel events related to quality-of-care issues
Education
Bachelor of Science - Business Management
University of Phoenix
Austin, Texas05.2014
Skills
- Business process development and improvement
- Excellent communication skills
- Teamwork skills
- Microsoft Office
- Effective problem solving
- Crisis resolution skills
- Excellent verbal communication
- Excellent written communication
- Interpersonal communication
- Strong time management skills
- Attention to detail
- Ability to prioritize
- Composed under stress
- Professionalism
- Responsibility
- Independent self-starter
- Sound judgment
- Decision-making skills
- Ability to work in a team environment
- Picking and Packing
- Stock organization
- Warehouse Operations
- Inspection skills
- Order pulling
- Package preparation
- Logistics Planning
- Labeling expertise
- Shipping coordination
- Inventory Monitoring
- Adaptability and Flexibility
- Customer Relationships
- Effective Communication
Timeline
Fulfillment (Seasonal)
Amazon
09.2024 - Current
Remote Scorer (Seasonal)
Pearson
06.2022 - 05.2024
Medical Service Coordinator
Optum - United Health Group
01.2020 - 05.2022
Auditor
State of Texas
10.2017 - 12.2019
Provider Data Management Specialist
Centene
12.2014 - 12.2016
Patient Resource Specialist
American Cancer Society
10.2013 - 12.2014
Release of Information Specialist Lead
CIOX Health
04.2012 - 10.2013
Sr. Staff Assistant
Kaiser Permanente Medical Center
06.2007 - 06.2010
Bachelor of Science - Business Management
University of Phoenix
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