Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Faduma Idiris

Rochester,MN

Summary

Efficient college graduate with a Bachelor of Science (B.S.) in Business Administration. Aiming to contribute a holistic approach to successfully fill an Information Security Analyst role. Frequently praised for ability to communicate effectively, persistence to achieve goals set, great inter-personal skills, and ability to foster an innovative & problem solving mindset. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

8
8
years of professional experience

Work History

Senior Denials Recovery Rep

MAYO CLINIC
04.2021 - Current
  • Epic experience, Contacting insurance to follow up on claims, Document interactions, Independent decisions making to ensure reimbursement for patients and third-party payers, Finance experience, Medical terminology, Analyzing denial and scenario to resolve denial, Providing additional documentation for claims, Ensuring solutions to problems, Obtaining Authorization, High dollar denials, Appealing denied claims, deep understanding of revenue cycle and payer policies and ability to resolve complex issues, insight into claim processes and requiring comprehensive interpretation and understandings of payer contracts and industry standards, Comfortable with ambiguity, exhibit good decision making and judgment capabilities, and attention to detail, self-motivated, self-directed, and highly organized and agree to promote productive, collegial workplace, Multi-tasking skills, responsible for interpreting data, drawing conclusions, review findings and provide recommendations for improvements, Maintain growing knowledge of applicable State, Federal and local laws/regulations, correct billing and coding requirements including industry specific data such as modifiers, CPT and ICD-10 coding, Adherence to quality assurance guidelines as well as established productivity standards to support work unit's performance expectations, Consistently document within patient accounting system all actions and encounters leveraging necessary standard codes, Participates in special projects and other duties as directed by Supervisor.

Product Consultant

SEPHORA INSIDE JCPENNEY
09.2016 - 06.2021
  • Customer service, Communicating with customers to determine needs, Team work based, Makeup and skincare, Cashier, Build loyalty with clients.

Denials Recovery Rep II-Permanent

MAYO CLINIC
12.2019 - 04.2021
  • Epic experience, Contacting insurance to follow up on claims, Document interactions, Independent decisions making to ensure reimbursement for patients and third-party payers, Finance experience, Medical terminology, Providing additional documentation for claims, Ensuring solutions to problems, Authorization work, High dollar denials, Appealing denied claims, Identifying trends.

Denials Recovery Rep II- Contractor

MAYO CLINIC
08.2019 - 12.2019
  • Epic experience, Contacting insurance to follow up on claims, Document interactions, Independent decisions making to ensure reimbursement for patients and third-party payers, Finance experience, Medical terminology, Providing additional documentation for claims, Ensuring solutions to problems.

Billing specialist

INTERCULTURAL MUTUAL ASSISTANCE ASSOCIATION
03.2018 - 08.2019
  • Billing insurance, Preparing invoices, Verifying insurance, Using software for data entry billing, Administrative work, Accounts receivables, Quickbooks payment applications, Preparing spreadsheets.

Office aide

ROCHESTER COMMUNITY AND TECHNICAL COLLEGE
02.2016 - 02.2017
  • Data entry, Housekeeping, Administrative work, Scheduling, Prepare worksheets.

Beauty consultant

MACY'S
05.2016 - 09.2016
  • Customer service, Interact with clients to figure out needs, Teamwork based, Makeup and skincare, Cashier, Build loyalty with clients, Reaching weekly set goals.

Education

B.S. Business Administration -

WINONA STATE UNIVERSITY
Rochester, MN
12.2018

Skills

  • Microsoft experience
  • Training/coaching skills
  • Trainable and easily grasp on to new processes
  • Epic experience
  • Experience with insurance billing
  • Adaptability
  • Organizational skills
  • Conflict resolution skills
  • Communication skills
  • Documentation skills
  • Critical Thinking
  • Written Communication

References

  • MOHAMED SHEIK NUR, Language department manager, IMAA, (507) 202-0462, mohamed.sheiknur@imaa.net
  • Brenda Link, Denials Management Supervisor, Mayo Clinic, (507) 273-8992

Timeline

Senior Denials Recovery Rep

MAYO CLINIC
04.2021 - Current

Denials Recovery Rep II-Permanent

MAYO CLINIC
12.2019 - 04.2021

Denials Recovery Rep II- Contractor

MAYO CLINIC
08.2019 - 12.2019

Billing specialist

INTERCULTURAL MUTUAL ASSISTANCE ASSOCIATION
03.2018 - 08.2019

Product Consultant

SEPHORA INSIDE JCPENNEY
09.2016 - 06.2021

Beauty consultant

MACY'S
05.2016 - 09.2016

Office aide

ROCHESTER COMMUNITY AND TECHNICAL COLLEGE
02.2016 - 02.2017

B.S. Business Administration -

WINONA STATE UNIVERSITY

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Faduma Idiris