Summary
Overview
Work History
Education
Skills
Timeline
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Deondrea Cauley

Beaumont

Summary

Results-driven Revenue Operations Analyst with extensive experience at Steward Medical Group, excelling in insurance claims processing and compliance. Proven ability in data analysis and reporting, achieving 98% resolution of claim discrepancies. Strong communication and problem-solving skills enhance collaboration and customer satisfaction in fast-paced environments.

Overview

12
12
years of professional experience

Work History

Revenue Operations Analyst

Steward Medical Group
Remote
04.2023 - Current
  • Process and review insurance claims, ensuring compliance with company policies and regulatory standards.
  • Research and analyze claim discrepancies, resolving 98% of issues within 24 hours.
  • Communicate with members, providers, and insurance companies to verify claim status and gather the necessary information.
  • Document claim statuses and updates, ensuring 100% accuracy in the claims database.
  • Provide timely responses to claim inquiries, ensuring 95% customer satisfaction for the claim process.

Patients Benefit Specialist

Texas Oncology
Remote
04.2020 - 04.2023
  • Generate and analyze diverse reports and work lists in the identification and resolution of routine patient account issues.
  • Post electronic and manual cash receipts, adjustments, and denials: ensuring reconciliation of all posted data.
  • Assist with various projects as assigned by direct supervisor.
  • performed all responsibilities in compliance with company policies and procedures.

Revenue Operations Analyst

Altus Healthcare And Hospice
Beaumont
08.2019 - 08.2020
  • Process and review insurance claims, ensuring compliance with the company policies and regulatory standards.
  • Research and analyze claim discrepancies, resolving 98% of issues within 24 hours.
  • Communicate with members, providers, and insurance companies to verify claim status and gather the necessary information.
  • Document claim statuses and updates, ensuring 100% accuracy in the claims database.
  • Provide timely responses to claim inquiries, ensuring 95% customer satisfaction for the claim process.

Data Entry Specialist

Health Care Solutions Of Delaware Valley
Beaumont
08.2013 - 08.2019
  • Enter 500+ data points daily into company systems, with 99% accuracy.
  • Verify data and correct discrepancies, ensuring consistency and integrity across multiple databases.
  • Organize and maintain digital records, ensuring easy access and quick retrieval.
  • Collaborate with other departments to resolve data-related issues, improving workflow by 10%.
  • Meet weekly data entry quotas, achieving a 100% on-time completion rate for assigned tasks.
  • Reviewed completed work for accuracy before submitting it to supervisor for review.
  • Entered large volumes of data quickly with a high degree of accuracy.

Education

Health Administration

University of Phoenix
Tempe, AZ
03-2022

Skills

  • Insurance verification
  • Revenue cycle management
  • Data analysis and reporting
  • Change Healthcare
  • Commercial insurance
  • Claims adjudication
  • HIPAA compliance
  • Google Suites
  • Medicaid and Managed Medicaid
  • Communication and collaboration
  • Insurance claims processing
  • Report analysis
  • Database management
  • Communication skills
  • Time management
  • Problem solving
  • Medical billing
  • Verifying insurance
  • Payment posting
  • Professionalism and ethics
  • Claims review
  • Revenue quotas
  • Attention to detail
  • Analytical thinking
  • Workflow optimization
  • Microsoft Excel
  • Microsoft Excel certified
  • Claims appeal procedures

Timeline

Revenue Operations Analyst

Steward Medical Group
04.2023 - Current

Patients Benefit Specialist

Texas Oncology
04.2020 - 04.2023

Revenue Operations Analyst

Altus Healthcare And Hospice
08.2019 - 08.2020

Data Entry Specialist

Health Care Solutions Of Delaware Valley
08.2013 - 08.2019

Health Administration

University of Phoenix

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