Motivated professional with strong skills in data quality management and analytical thinking. A reliable team player who consistently meets deadlines and provides exceptional customer service. Demonstrates a commitment to continuous learning and maintaining accurate records.
Overview
11
11
years of professional experience
Work History
Stop Loss Data Specialist
Imagine360
04.2024 - Current
Met deadlines and delivered high-quality work to uphold excellence in data management.
Organized files and records of entry activities for easy access and retrieval.
Reviewed and updated client correspondence files and database information to ensure accurate records.
Scanned and uploaded documents into the database to maintain accurate organizational records.
Updating and managing stop loss tracking systems and logs to monitor member status against specific deductibles.
Reviewing and understanding stop loss contracts and plan documents.
Providing outstanding customer service to internal and external clients and brokers.
Medicaid Audit Analyst
Gainwell Technologies
06.2023 - 11.2023
Followed established auditing processes to meet internal and regulatory requirements.
Performed observations and evaluated supporting documents to supplement audit findings.
Communicated with clients to obtain necessary information for audits.
Analyzed data and findings to prepare reports detailing financial information.
Product Analyst
McKesson/Macro Helix
Irving
07.2022 - 01.2023
Utilized document management system to organize company files, keeping up-to-date and easily accessible data.
Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
Assisted Pharmacy Administrators with 340B account inquiries.
Tracked Pharmacy data and audit eligibility for the 340B program.
Worked closely with other departments to ensure compliance of 340B program.
Client Onboarding Analyst
AmerisourceBergen Specialty Group Inc
01.2020 - 06.2022
Developed and maintained strategic business relationships with Account Managers to promote products, services and profitable business relationships.
Created customer support strategies to increase customer retention.
Generated reports and communicated results to stakeholders to provide insights into customer success.
Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.
Enhanced team collaboration by providing clear communication of complex findings through visualizations and reports.
Patient Care Coordinator
AmerisourceBergen Specialty Group Inc
11.2017 - 01.2020
Answered and responded to telephone inquiries in a professional and timely manner.
Collected and documented all charges, co-pays and payments into EMR.
Prepared insurance claims and ran reports to ensure all charges were billed and filed.
Verified and entered patient demographics into EMR ensuring all fields were completed.
Maintained a clear understanding of insurance plans and communicated insurance information to patients.
Pulled schedules to ensure insurance eligibility prior to patient appointment and ensured files were completed.
Client Service Representative
AmerisourceBergen Specialty Group Inc
10.2015 - 11.2017
Work closely with Wholesalers and Specialty Distributors to maintain customer satisfaction
Update account information, state pharmacy license and other account maintenance for compliance
Work closely with Wholesalers, Specialty Distributors and Hospitals to place orders
Evaluate customer information to explore issues, develop potential solutions and maintain high-quality service
Responsible for providing customers with accurate answers to questions and complaints regarding products and services.
Education
Bachelors Of Science - Health Administration
University of Phoenix
Dallas, TX
05-2011
Skills
Data analysis
Data cleaning
Data quality management
Excel formulas
Identifying errors
Spreadsheet management
Microsoft Office proficiency
Problem-solving
Adaptability and flexibility
Skills
Ability to interpret large data sets
Ability to effectively participate in cross functional problem solving
Ability to work in a highly structured environment