Summary
Overview
Work History
Education
Skills
Timeline
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Helen Pugliese

Lancaster

Summary

Dynamic professional with extensive experience at Lancaster General Hospital, excelling in staff management and customer service. Proven track record in enhancing operational efficiency and team productivity through effective problem-solving and training initiatives. Skilled in data analytics and committed to fostering a collaborative work environment that drives excellence.

Skilled professional ready to excel in leadership role with focus on results-driven performance. Proven ability to streamline operations and foster team collaboration to achieve organizational goals. Known for reliability and adaptability in meeting changing demands while maintaining high standards.

Overview

18
18
years of professional experience

Work History

SUPERVISOR & INSURANCE AUTHORIZATION SPECIALIST II

Lancaster General Hospital
04.2013 - Current
  • Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
  • Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
  • Improved customer satisfaction with timely response to inquiries, addressing concerns, and finding effective solutions.
  • Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
  • Resolved conflicts among team members promptly, maintaining a harmonious working environment conducive to productivity.
  • Enhanced communication within the team by holding regular meetings and encouraging open dialogue among all members.
  • Demonstrated commitment to the organization''s core values, leading by example and fostering a culture of excellence.
  • Identified operational inefficiencies and implemented corrective measures to increase effectiveness.
  • Achieved significant improvements in operational efficiency, introducing and enforcing quality control measures.
  • Collaborated with directors to create a new department.

CLAIMS ANALYST

Coresource Insurance
05.2011 - 04.2013
  • Maintained strict confidentiality with all personal data as per company guidelines.
  • Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
  • Maintained compliance with industry regulations and company policies while managing sensitive client information and claims records.
  • Enhanced customer satisfaction by resolving complex claims issues in a timely manner.
  • Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
  • Interacted with clients and employees, which helped cultivate positive working relationships.

ADMINISTRATIVE ASSISTANT FOR CASE MANAGEMENT

Lancaster General Hospital
10.2007 - 05.2011
  • Answered multi-line phone system, routing calls, and delivering messages to staff.
  • Promoted a positive work environment through effective communication skills and fostering professional relationships among colleagues.
  • Improved document organization with thorough file maintenance, archiving outdated records as necessary for efficient retrieval when needed.
  • Supported executive staff through scheduling meetings, coordinating travel arrangements, and preparing crucial documents.
  • Optimized calendar management for executives by scheduling appointments strategically while considering priorities and minimizing conflicts.
  • Collaborated on special projects as assigned by leadership, contributing research findings or coordinating event logistics as needed for success.
  • Facilitated cross-departmental communication, organizing meetings to discuss project progress and align objectives.
  • Facilitated training sessions for new software tools, increasing team productivity and reducing learning curves.
  • Assisted in preparation of financial reports, gathering data that contributed to budgeting accuracy.
  • Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
  • Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
  • Ensured accurate record-keeping with diligent data entry and database management for vital company information.

Education

Healthcare Management

Harrisburg Area Community College
Lancaster, PA
05-2013

Skills

  • Staff development, training and mentoring
  • Goal oriented
  • Staff management
  • Customer service
  • Attention to detail
  • Employee motivation
  • Complex Problem-solving
  • Analytical thinking
  • Processes and procedures
  • Epic experience
  • Data analytics
  • Documentation and reporting

Timeline

SUPERVISOR & INSURANCE AUTHORIZATION SPECIALIST II

Lancaster General Hospital
04.2013 - Current

CLAIMS ANALYST

Coresource Insurance
05.2011 - 04.2013

ADMINISTRATIVE ASSISTANT FOR CASE MANAGEMENT

Lancaster General Hospital
10.2007 - 05.2011

Healthcare Management

Harrisburg Area Community College
Helen Pugliese