Heather Young
West Jordan,UT
Summary
Health insurance auditing leader with over 25 years of experience at SelectHealth. Expertise in claims processing, customer relations, and team supervision. Proven ability to enhance operational performance through effective audit operations and process improvements. Strong track record in coaching teams and communicating findings to drive accuracy and customer satisfaction.
Overview
1
1
Certification
23
23
years of professional experience
Work History
General Auditing Claims Supervisor
Selecthealth
Murray, UT
05.2024 - Current
- Lead general auditing claims department, guiding and supporting team of 9 caregivers to achieve departmental goals.
- Direct claims auditing activities, ensuring adherence to procedures and delivery of high-quality outcomes.
- Monitor workflow priorities, production, and quality to meet audit deadlines and customer needs.
- Analyze trends and identified opportunities for process improvement in claims auditing, contributing to enhanced operational efficiency.
- Support caregiver development through feedback, training, and clear communication of expectations.
- Assist with audit-related reporting to internal customers, ensuring visibility into audit activity and trends.
Auditing Department
Selecthealth
Murray, Utah
03.2003 - 05.2024
- Presented audit findings and recommendations to drive quality improvement and bolster operational accuracy.
- Audited customer service calls for accuracy and compliance with procedures, enhancing service quality.
- Reviewed claims payments for proper processing and adherence to benefit guidelines, ensuring compliance standards.
- Identified trends, errors, and opportunities for enhancement in service interactions and claims processing.
Skills
Claims auditing
Audit reporting
Process improvement strategies
Trend analysis
Workflow prioritization
Team leadership and coaching
Department collaboration
Detail-oriented documentation review
Communication skills
Certification
- Intermountain Leadership Course
Timeline
General Auditing Claims Supervisor
Selecthealth
05.2024 - Current
Auditing Department
Selecthealth
03.2003 - 05.2024