Cheryle Gillan
Bolivar,MO
Summary
Dynamic Senior Business Ops Coordinator with expertise in contract management and claims processing at United Health Group. Proven track record in leading teams to identify underpaid claims and implement effective fee schedule updates. Skilled in data analysis and regulatory compliance, driving operational excellence and enhancing service delivery.
Overview
12
12
years of professional experience
Work History
Senior Business Ops Coordinator
United Health Group, Optum
Bolivar, MO
09.2013 - Current
- Utilized Contract Management program to ensure that payor contracts with the client were being honored and claims were being processed and paid accordingly.
- Opened up support cases to update fee schedules as well as any other contract changes.
- Identified underpaid claims to be appealed either with payor representatives or through payor portal.
A/R Supervisor
McKesson/ Change Healthcare/ United Health Group
Glens Falls, NY
02.2016 - 09.2016
- Supervised A/R staff for client
- Identified issue and assigned to A/R staff
- Maintained employee records including routine reviews
- Met weekly/ monthly metrics for the client
AR Team Lead
McKesson/ Change Healthcare/ Optutm
Glens Falls, NY
06.2014 - 02.2016
AR Level 2
McKesson/ Change Healthcare/ United Health Group
Queensbury, NY
09.2013 - 06.2014
- Maintained updated knowledge through continuing education and advanced training.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Worked effectively in team environments to make the workplace more productive.
- Collaborated closely with team members to achieve project objectives and meet deadlines.
- Updated and maintained databases with current information.
Education
Some College (No Degree) - Nursing
Adirondack Community College
Queensbury, NYSome College (No Degree) - International Business
Palomar College
San Marcos, CASome College (No Degree) - Business
Jefferson Community College
Watertown, NYSkills
- Contract management
- Claims processing
- Data analysis
- Fee schedule updates
- Regulatory compliance
- Team leadership
- Proficient in Medent and Epic billing programs
- Appeals
Affiliations
- Crafting
- Concert goer
- Baseball and Football enthusiast
Accomplishments
- 11 1/2 years with perfect attendance
References
References available upon request.
Timeline
A/R Supervisor
McKesson/ Change Healthcare/ United Health Group
02.2016 - 09.2016
AR Team Lead
McKesson/ Change Healthcare/ Optutm
06.2014 - 02.2016
Senior Business Ops Coordinator
United Health Group, Optum
09.2013 - Current
AR Level 2
McKesson/ Change Healthcare/ United Health Group
09.2013 - 06.2014
Some College (No Degree) - Nursing
Adirondack Community College
Some College (No Degree) - International Business
Palomar College
Some College (No Degree) - Business
Jefferson Community College
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