Christine Puricelli
Eureka,Missouri
Summary
Experienced with managing project timelines, resources, and stakeholder communications efficiently. Utilizes problem-solving skills to address project challenges and ensure smooth execution. Track record of implementing project management best practices to deliver quality outcomes.
Overview
15
15
years of professional experience
Work History
Claims Consultant
Aon
01.2013 - Current
- Demonstrate adeptness in handling and accomplishing customized management and administrative projects.
- Complete client audits for Workers’ Compensation claims.
Marketing Coordinator
Orthopedic Specialists
01.2011 - 01.2013
- Facilitated in-depth research of patient records for appeal process to United Healthcare by query of their database. Accurate documentation required to provide quality analytic results.
- Took charge of maintaining workers’ compensation book of business, updating company website, identifying processes in need of improvement, and implementing key insights.
- Ensured smooth clinical workflows associated with electronic medical records.
Education
Bachelor of Arts - Psychology and Sociology
Maryville University
St. Louis, MOSkills
- Effective problem resolution
- Prioritization and scheduling
- Strong focus on accuracy
- Collaborative team management
- Record-keeping proficiency
- Analytical decision-making
- Project timeline management
- Service excellence
- Adaptable to change
- Task scheduling
- Task prioritization
- Client relationship management
Timeline
Claims Consultant
Aon
01.2013 - Current
Marketing Coordinator
Orthopedic Specialists
01.2011 - 01.2013
Bachelor of Arts - Psychology and Sociology
Maryville University
Key Qualifications
- Research and investigate specific information or approaches to project management to draft effective plans, establish well-organized schedules, and determine optimal courses of action.
- Audit Workers’ Compensation claims against claim best practices and special handling instructions with the goal to improve claim management of the claim service provider.
- Communicate processes clearly after gathering insights from subject matter experts, with the goal of anticipating project needs, increasing operational efficiencies, and driving greater service demand.
- Develop tools and documents that provide structure, allowing team members to access relevant information efficiently and equipping others with the resources needed to achieve project objectives.
Selected Achievements
- Led insurance carrier and patient medical record project which resulted in medical provider gold star status and increased service demand.
- Assisted project managers with client request for proposals for third party administrators. The result streamlined a complicated process.
- Directed project to have data fields mapped from patient appointment system onto authorization form which decreased duplication of efforts by medical staff.
- Coordinated claim data feed project between third party administrator and insurance carrier with result of time-saving monthly reporting for my client.
- Facilitate open items meetings between client and insurance carrier which produced completion of client goals.
- Organize meetings with internal and external partners to bring cost effective claim results for clients on ongoing basis.
- Participated in project to reconstruct website working with IT, the practice manager and medical staff.
- Collaborated cross functionally to create paper bill implementation checklist with a time saving result for the account management team.