Ellen Jordan
Detroit,MI
Summary
Data Analyst skilled in requirement analysis and database management. Self-directed and proactive professional with 25 years of vast experience in multiple areas of Healthcare. Natural problem-solver possessing strong cross-functional understanding of information technology and business processes. Highly-motivated person 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
8
8
years of professional experience
Work History
Data Analyst
Blue Cross Blue Shield of MI
Detroit , MI
02.2024 - Current
- Provided data-driven solutions to support decision making.
- Utilized advanced analytics tools such as SAS, SPSS, Excel PowerPivot, to manipulate large volumes of structured and unstructured data sets.
- Optimized existing database structures for better performance on analytics tasks.
- Translated raw data into meaningful information using statistical techniques.
- Worked closely with management to prioritize business and information needs.
Data Analytics Team Lead
Strategic Staffing Inc.
Detroit , MI
01.2023 - 02.2024
- Used statistical software to analyze and process large data sets.
- Compile and analyze operational data to identify and resolve business problems related to healthcare membership.
- Provide support to both internal departments and external entities by answering questions, supplying information and training
- Support the development, coordination, and implementation of projects to enhance the overall efficiency of operational procedures, methods, controls, and performance
- Developed and coordinated trainings to help individuals learn company policies and procedures and job tasks.
Senior Analyst
Best Buy Inc
Novi , MI
02.2021 - 03.2022
- Troubleshot and resolved problems with programs and systems.
- Trained end-users in best practices to minimize errors and protect key data.
- Evaluated performance benchmarks and established review metrics for future tracking.
- Participated and led over 50 projects in 2021 while working closely with management.
- Codified system infrastructural details and operating procedures to strengthen controls and maintain performance.
- Performed in-depth analysis to help solve diverse problems with program implementation and operations.
- Developed streamlined task system to provide more effective workflows for both peers and management staff.
- Assisted with improvements to operations by showing clear connection between current policies and business results.
Billing Specialist
Trinity Health System
Livonia , MI
07.2019 - 02.2021
- Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
- Provided consultations for patients about rights and services.
- Coordinated between patients and healthcare professionals to meet patient needs.
- Established, enforced and optimized billing policies and procedures to maximize revenue, streamline operations and minimize aging balances.
- Followed up on legal claims to update and verify status or patients' of outcome and obtain due payments.
- Verified proper coding on more than claims per week, investigating and resolving issues to maintain billing accuracy.
- Executed medical billing including submitting claims to insurance companies and researching and resolving denials and explanation of benefit rejections within billing cycle timeframe.
Insurance Follow-Up Representative
R1 RCM Inc.
Chicago , IL
12.2016 - 06.2019
- Verified proper coding on more than claims per week, investigating and resolving issues to maintain billing accuracy.
- Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
- Followed up on legal claims to update and verify status or patients' of outcome and obtain due payments.
- Established, enforced and optimized billing policies and procedures to maximize revenue, streamline operations and minimize aging balances.
- Liaised with patients, insurance companies and billing office personnel to effectively create and post bills, obtain payments and update system information.
- Recommended process and systems improvements such as changes to billing/follow up operations.
Education
Medical Billing & Coding Certificate - Medical Billing Specialist
Kaplan Career Institute - Boston
Detroit, MI2010
Skills
- Organizational strengths
- Microsoft Office expertise
- Problem-solving abilities
- Revenue development
- Communication skills
- Time management
- Leadership
- Training & Development
- Reporting Tools
- Data Quality
- Statistical Analysis
- Analytical Problem Solving
- Database Programming and SQL
- Healthcare billing proficiency
- Claims denial and resolution
- Data Summaries
- Critical Decision Making
Timeline
Data Analyst
Blue Cross Blue Shield of MI
02.2024 - Current
Data Analytics Team Lead
Strategic Staffing Inc.
01.2023 - 02.2024
Senior Analyst
Best Buy Inc
02.2021 - 03.2022
Billing Specialist
Trinity Health System
07.2019 - 02.2021
Insurance Follow-Up Representative
R1 RCM Inc.
12.2016 - 06.2019
Medical Billing & Coding Certificate - Medical Billing Specialist
Kaplan Career Institute - Boston
Similar Profiles
Jasmine AkujobiJasmine Akujobi
Sr. Executive Compensation Analyst at Blue Cross Blue Shield Of MISr. Executive Compensation Analyst at Blue Cross Blue Shield Of MI
Anastasia HalseyAnastasia Halsey
Customer Service Representative II at Blue Cross Blue Shield of MICustomer Service Representative II at Blue Cross Blue Shield of MI
Taelor ByersTaelor Byers
Customer Service Representative at Blue Cross Blue Shield of MICustomer Service Representative at Blue Cross Blue Shield of MI