Erin Hodges
Wentzville,MO
Summary
Results-driven professional with a strong work ethic and adaptability, known for mastering new skills efficiently. Exceptional interpersonal abilities enhance collaboration and foster positive relationships within teams. Eager to embrace new challenges that contribute to professional growth and organizational success.
Overview
8
8
years of professional experience
Work History
Business & Data Analyst
GeoBlue
King Of Prussia, PA
08.2024 - Current
- Crafted SQL scripts to consolidate data from various sources into one database.
- Engaged with IT, sales, marketing, finance, and operations teams to understand project needs.
- Executed improvements through detailed data examination, realizing substantial savings of 75%.
- Designed comprehensive reports using data visualization tools.
- Aggregated and structured data for trend analysis.
- Analyzed and prepared State Department of Insurance reports, achieving 85% improvement rating.
- Support compliance with federal and state regulatory filings.
Claims Team Leader
GeoBlue
King Of Prussia , PA
11.2023 - 08.2024
- Monitored key performance indicators, achieving a 90% claims accuracy rating.
- Optimized processes for quicker claims resolution.
- Monitored tasks during periodic discussions to manage challenges.
- Maintained accurate tracking of claims to facilitate prompt resolution.
- Achieved a 90% reduction in turnaround time.
- Reviewed existing policies and procedures for claims handling, making recommendations for changes as necessary.
- Contributed to strategic discussions in monthly executive gatherings.
Claims Analyst
GeoBlue
King Of Prussia, PA
10.2023 - 11.2023
- Enhanced team accuracy by 75% through effective evidence collection.
- Formulated plans to address challenging claim matters.
- Suggested enhancements based on trend analysis
- Uphold consistent adherence to industry regulations.
- Earned promotion to Team Lead by consistently providing valuable insights into claim exposures.
- Analyzed requirements, leading to improved customer report delivery times.
- Assisted clients with various aspects of their claims.
Claims Benefit Specialist
Aetna
Wentzville, MO
01.2022 - 09.2023
- Aggregated information from multiple sources to determine benefit eligibility.
- Clarified benefit coverage details.
- Identified inaccuracies within the system through thorough review which gave me the opportunity to work on the Root Cause Problem Resolution Team.
- Evaluated financial records such as tax returns, bank statements, pay stubs., to determine eligibility for benefits or entitlements.
- Generated investigative reports elucidating results of fraudulent claims reviews.
- Verified completeness and compliance of customer claims.
- Evaluated compensability for various cases.
- Processed claims accurately monthly with a 98% success rate.
- Reduced rework rate to 2% in claim investigations.
Lead Medical Assistant
West County Spine & Sports Medicine
St. Louis , MO
10.2018 - 12.2021
- Handled management of patient records with high attention to detail.
- Guided team through examination protocols.
- Managed administrative tasks including filing, billing, and coding of insurance claims.
- Secured necessary medical supplies were consistently available in all examination areas.
- Effectively addressed patient health concerns.
- Executed routine audits ensuring all safety procedures were properly maintained.
- Elevated patient satisfaction rate to 90% through improved service protocols.
- Created and updated electronic health records system data before patient visits.
- Clarified physician's directions for patient understanding.
Customer Engagement Manager
Ignite Technologies
Wentzville, MO
09.2016 - 12.2018
- Designed customer engagement strategies to boost loyalty.
- Implemented strategies to reduce customer complaints and inquiries.
- Increased revenue through multi-million dollar contract development.
- Implemented strategies ensuring timely management of customer inquiries.
- Organized sessions to deepen staff understanding of products and services.
- Integrated best practices into customer renewal strategies.
- Identified renewal-associated opportunities and risks, driving a 75% boost in customer satisfaction.
- Delivered support for customer technical issues in renewal phase.
- Verified policy compliance in handling renewals.
- Provided recommendations to enhance utilization of renewed services and products.
Education
Associate of Applied Science - Medical Assisting
San Joaquin Valley College Online
Visalia, CA09-2006
Bachelor of Science - Business Administration
Colorado Technical University Online
Colorado Springs, COSkills
- Adobe software
- Oracle platform proficiency
- SQL analytics
- Business requirements analysis
- Data validation
- Business intelligence
References
References available upon request.
Timeline
Business & Data Analyst
GeoBlue
08.2024 - Current
Claims Team Leader
GeoBlue
11.2023 - 08.2024
Claims Analyst
GeoBlue
10.2023 - 11.2023
Claims Benefit Specialist
Aetna
01.2022 - 09.2023
Lead Medical Assistant
West County Spine & Sports Medicine
10.2018 - 12.2021
Customer Engagement Manager
Ignite Technologies
09.2016 - 12.2018
Associate of Applied Science - Medical Assisting
San Joaquin Valley College Online
Bachelor of Science - Business Administration
Colorado Technical University Online
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