Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
BusinessAnalyst
Fatira Branch

Fatira Branch

St Louis,MO

Summary

Compassionate and dependable candidate. Successful at managing multiple priorities with a positive attitude. Intentional in helping those in need of a solution, while maintaining a high standard of ethics and professionalism. Seeking a rewarding position with growth.

Overview

9
9
years of professional experience

Work History

Patient Access Representative

Optum/United Healthcare, St Louis
01.2023 - Current
  • Responsible for greeting patients and providing empathetic service in an outpatient front office setting, managing on average 100 accounts daily.
  • Performs variety of clerical duties related to delivering patient care. Secures patient information and confidential medical records in compliance with HIPAA privacy rule and standards to protect patient's privacy.
  • Attention to detail, in accurately documenting patient information during registration, while verifying insurance benefits and patient liability.
  • Contributes to reduction of accounts through completing data entry in future and post appointment dates. Preparing accounts to be submitted to billing.
  • Facilitates coordination of patient appointments and transportation with various outpatient service departments, enabling ten departments to seamlessly collect patients and corresponding paperwork.

Senior Care Navigator to Claims Adjudicator

Nova Healthcare Administrators
12.2019 - 12.2021
  • Grew with company through continually displaying a willingness to provide accurate and in-depth information to clientele. Including willing to learn and help those around me.
  • Provided assistance to members, through identification of care resources. Demonstrating initiative in helping to resolve complaints through timely corrective actions and appropriate referrals; by finding creative solutions to overcome member and provider barriers.
  • Researched member and provider queries by utilizing various insurance healthcare systems, as well as reaching out to internal clinical departments, regarding benefits, cost share, authorizations, and claims processing.
  • Collaborated with team members and management to assess and meet goals. Processing 10 claims average per hour.
  • Investigated high volume of insurance claims to determine validity and coverage eligibility. Determine if providers would be compensated for services rendered to members.

Telefundraiser

Greenpeace NZ
06.2018 - 06.2019
  • Utilized dynamic storytelling of environmental campaigns, increasing awareness around the organizations mission, work, goals, and financial needs.
  • Assisted on campaigns unique to local environmental issues as well as global issues, promoting effective solutions towards a Green future.
  • Fostered supporter retention and obtained new supporters, by engaging via telephone, email, and in-person neighborhood events.
  • Achieved and exceeded monthly fundraising goals.
  • Familiarity with event planning and coordination.
  • Demonstration of ability to be quick thinking, resilient, tenacious, and persuasive.

Server/Crew Trainer

Mission Taco Joint
04.2014 - 06.2018
  • Taught new team members correct procedures for all areas of operations, as well as helping to adapt to company culture.
  • Set positive example for team members by providing high-quality, efficient service.
  • Maintained a friendly upbeat professional demeanor, providing excellent customer, while engaging various clientele.
  • Ability to multitask while delivering food and beverage. Effectively communicating between kitchen personnel, bartenders, management, and other service individuals; identifying any issues, to quickly find resolutions.
  • Accurately kept track of financial receipts, payments, and large amounts of cash payments.

Education

Some College (No Degree) - Fashion Design & Merchandising

American InterContinental University
Los Angeles, CA

Skills

  • Verbal and Written Communication
  • Reliability and Dedication
  • Client Relations
  • Electronic Health Records Systems
  • Information Collection
  • Insurance Verification
  • Calculating Liabilities
  • Sales Expertise
  • Social Perceptiveness
  • Travel Knowledge
  • Leadership

Additional Information

An avid traveler. I love visiting and exploring other countries and learning about various cultures. I have spent time living abroad, and have visited around 30 countries spanning 6 continents. Traveling has led to opportunities such as, volunteering at a Global Youth Peace summit in Meru, Kenya. A three week gathering to help the youth of several African countries overcome negative perceptions, and break down barriers of tribalism. During my time in Buffalo NY, I was able to work alongside the founder of Project Monas House. An Anti-Human Trafficking Organization, and the first restoration home of Women in Western New York who have been trafficked. Also working with their adjacent program, The Young Women’s Empowerment Academy. These opportunities have further given me the ability to relate and communicate with a broad spectrum of people, while understanding the unique outlook of certain demographics.

Timeline

Patient Access Representative

Optum/United Healthcare, St Louis
01.2023 - Current

Senior Care Navigator to Claims Adjudicator

Nova Healthcare Administrators
12.2019 - 12.2021

Telefundraiser

Greenpeace NZ
06.2018 - 06.2019

Server/Crew Trainer

Mission Taco Joint
04.2014 - 06.2018

Some College (No Degree) - Fashion Design & Merchandising

American InterContinental University
Fatira Branch