Summary
Work History
Education
Skills
Timeline
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Iris Gunn

Iris Gunn

Riverview,FL

Summary

Accomplished Reconsideration Analyst at Elevance Healthcare, adept in predictive analytics and enhancing team collaboration. Proven track record in improving efficiency and reducing patient wait times. Skilled in analytical thinking and proficient in Microsoft Office, with a focus on strategic process improvements and safeguarding confidential information.

Work History

Reconsideration Analyst 2

Elevance Healthcare
  • Improved internal knowledge sharing by developing comprehensive documentation outlining standard operating procedures for various tasks.
  • Enhanced team collaboration by providing clear communication of complex findings through visualizations and reports.
  • Implemented predictive analytics techniques that enabled proactive adjustments to business strategies based on emerging trends.
  • Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.

Precertification Specialist

University Community Hospital
  • Maintained strict adherence to HIPAA regulations by safeguarding confidential patient information during all aspects of the precertification process.
  • Minimized claim denials by accurately coding procedures according to CPT guidelines before submission for approval.
  • Continuously expanded personal knowledge of industry regulations and updates through ongoing professional development, ensuring accurate and up-to-date expertise in the precertification process.
  • Reduced patient wait times for approval by diligently reviewing medical records and obtaining necessary documentation.

Casemanager

Cooperation of Emplyment & Training
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
  • Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
  • Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.

Education

James J. Ferris High School
Jersey City, NJ
06.1982

Skills

  • Microsoft office
  • Analytical thinking
  • MS Excel
  • Time management

Timeline

Reconsideration Analyst 2

Elevance Healthcare

Precertification Specialist

University Community Hospital

Casemanager

Cooperation of Emplyment & Training

James J. Ferris High School

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Iris Gunn