DANA JOSEPH
Brookline,MO
Summary
Dynamic Case Coordinator with a proven track record at United Healthcare, adept at managing multiple projects simultaneously while maintaining precision and meeting tight deadlines. Skilled in prioritizing tasks, possessing strong problem-solving abilities, and driven by a commitment to continuous learning and adaptability. Excellent communication skills facilitate seamless collaboration and contribute to team success, consistently achieving positive outcomes. Eager to embrace new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Case Coordinator
UnitedHealthcare
08.2024 - Current
- Contributed to the creation of a supportive work environment by actively participating in team meetings, sharing resources, and offering constructive feedback to colleagues.
- Completed comprehensive evaluations of each assigned case at closure to assess overall effectiveness of interventions employed and identify opportunities for improvement.
Cost Adherence Analyst
United HealthCare
11.2014 - 07.2024
- Evaluated patient accounts for potential balance billing, showing keen attention to detail.
- Performed quality assurance functions over the entire process including documentation preparation, submission methods and follow up procedures.
- Prepared spreadsheets outlining data from multiple sources to present an overall picture of claim activity, for internal legal associates.
- Successfully negotiated settlements with collection agencies on behalf of members, demonstrating excellent communication and problem-solving skills.
- Adhered strictly to established protocols when dealing with sensitive patient information according to HIPAA privacy regulations.
- Facilitated resolution of complex claims issues by researching and analyzing data and collaborating with internal teams.
- Provided timely responses to Department of Insurance inquiries regarding the billing processes, displaying sound customer service skills.
TRACR 2
United HealthCare
01.2008 - 10.2014
- Consistently maintained high standards for accuracy when performing provider recoupment-related duties.
- Maximized resources through effective time management practices when dealing with multiple tasks concurrently.
- Utilized critical thinking skills to troubleshoot challenging problems encountered during the tracing process.
- Proficient in Front End Key.
- Qualified for Restrict 6 and EE Claims.
Adjustments
United HealthCare
10.2007 - 02.2008
- Worked with coworkers to complete tasks.
- Demonstrated ability to manage multiple tasks while remaining adaptable and flexible.
- Responded quickly to meet customer needs and resolve problems.
- Participated in ongoing training to enhance own job skills and knowledge.
Claims Associate
United HealthCare
01.2007 - 10.2007
Customer Service Representative
T-Mobile
09.2006 - 01.2007
- Maintained a high level of professionalism when dealing with difficult customers.
- Handled customer complaints and inquiries in a courteous and efficient manner.
- Provided exceptional customer service to ensure customer satisfaction.
- Investigated and researched issues to determine root causes and appropriate resolution methods.
- Read from scripts to promote uniformity and consistency in communications.
Customer Service Representative
J P Morgan Chase Bank
01.1996 - 09.2006
- Performed data entry tasks accurately and in a timely manner.
- Provided exceptional customer service to ensure customer satisfaction.
- Addressed customers courteously using suitable methods and problem-solving skills.
- Assisted with training and mentoring new team members.
- Adhered to company policies and procedures while providing superior service.
- Participated in team meetings to discuss new ideas for improving the overall quality of customer service provided.
- Provided account information to customers and explained bill service policies and customer rights.
- Identified opportunities for upselling additional products or services based on customer needs.
- Complied with corporate and regulatory policies regarding information confidentiality and privacy.
- Navigated multiple computer systems and applications and utilized search tools to find information.
Education
Nursing
Omar Gibson Vocational Technical
Reeds Spring, MO05.1985
High School Diploma - undefined
Reeds Spring High School
05.1985
Skills
- Effective communication
- Strategic decision making
- Analytical Skills
- Leadership Abilities
- Effective team engagement
- Service excellence
- Healthcare vocabulary expertise
- Detail-oriented approach
- Microsoft Office
- Thorough documentation practices
- Data collection
- Consistent dependability
Certification
- Certified Nurses Assistant
- Certified Med Tech
Timeline
Case Coordinator
UnitedHealthcare
08.2024 - Current
Cost Adherence Analyst
United HealthCare
11.2014 - 07.2024
TRACR 2
United HealthCare
01.2008 - 10.2014
Adjustments
United HealthCare
10.2007 - 02.2008
Claims Associate
United HealthCare
01.2007 - 10.2007
Customer Service Representative
T-Mobile
09.2006 - 01.2007
Customer Service Representative
J P Morgan Chase Bank
01.1996 - 09.2006
High School Diploma - undefined
Reeds Spring High School
Nursing
Omar Gibson Vocational Technical