Chiquila Turner
Dallas,GA
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
10
10
years of professional experience
Work History
Business Analyst
Molina Healthcare
Atlanta, GA
11.2023 - Current
- Investigated and resolved customer inquiries related to the status of their claims.
- Collaborated with other departments to obtain additional information needed for claim resolution.
- Prepared detailed reports summarizing all activities pertaining to each claim.
- Maintained accurate records of all communications with customers regarding their claims.
- Performed quality assurance reviews on newly submitted claims for completeness and accuracy.
- Analyzed claim documents, such as medical records, bills and invoices, to ensure accuracy of information.
Business Analyst
Magellan Healthcare
Atlanta, GA
02.2023 - 11.2024
- Maintained up-to-date records of all providers in the system, including contact information and qualifications.
- Performed thorough data analysis on provider demographics to identify trends or discrepancies.
- Developed processes for verifying provider credentials with external sources.
- Created detailed reports to present findings from data analysis projects.
Provider Technical Trainer
Centene Corporation
St Louis, MO
12.2014 - 08.2022
- Managed and coordinated the investigation of complex claims to ensure accuracy, efficiency and compliance with applicable laws.
- Monitored staff performance to ensure high quality service delivery and adherence to established standards.
- Conducted audits on all claims related documents to identify any discrepancies or inaccuracies.
- Reviewed claim decisions to determine if they are consistent with regulations, policies and procedures.
- Organized regular training sessions for staff on new industry trends, best practices and legal requirements.
- Performed tests within Facets to insure procedures for compliance with established policies and regulations.
- Prepared detailed reports on audit findings, including recommendations for improvement.
Education
Master of Arts - Human Resources Training
Webster University
St Louis, MO12-2017
Associate of Science - Human Resources Management
Lindenwood University
Saint Charles, MO12-2015
High School Diploma -
Hazelwood East High School
St Louis, MO05-2003
Skills
- Reporting and Documentation
- Project Coordination
- Teamwork and Collaboration
- Operations Analysis
- KPI Tracking
- Business Process Improvement
Software
- Microsoft Office
- SQL
- FACETS
- Oracle
- Service Now
- Portico
- CRM
Timeline
Business Analyst
Molina Healthcare
11.2023 - Current
Business Analyst
Magellan Healthcare
02.2023 - 11.2024
Provider Technical Trainer
Centene Corporation
12.2014 - 08.2022
Master of Arts - Human Resources Training
Webster University
Associate of Science - Human Resources Management
Lindenwood University
High School Diploma -
Hazelwood East High School
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