Jeanette Christen
Point Pleasant,NJ
Summary
As a remote employee for over 10 years, I have developed Strong organizational skills that reflect my ability to perform and prioritize multiple tasks seamlessly with excellent attention to detail across multiple departments. I handle sensitive information and PHI daily and do so with discretion and integrity. I have solid communicational skills that allow the ability to build relationships with senior-level management, staff, and external partners. I have the ability to achieve goals and meet deadlines in a fast-paced environment as a forward-looking thinker
Overview
23
23
years of professional experience
Work History
Senior Client Account Specialist
Optum/UHC
09.2011 - Current
- Verified that insurance audits contained the correct documentation needed to complete
- Track client trends and discovered ways to streamline the recovery process
- Upstarted a client automation project across departments, saving 160 hours of work per week
- Facilitate/manage pre/post invoice claims for review
- client and provider research and appeal resolution
- Respond to all client inquiries and ask appropriate question to facilitate a resolution
- Posted payments to resolve and balance claims
- Work independently in most functions and collaborate seamlessly
- Navigate through an extensive number of applications and databases simultaneously
- Identified and coordinated internal resources across business units to address escalated client situations - performed necessary research/analysis to drive resolution of sensitive client issues
- Proven track record of maintaining and protecting confidential data in high-stakes environments with discretion and integrity
- Earned Team lead and trusted to fill in for the manager when they were on leave.
Regional Account Manager
Optum/UHC
09.2008 - 10.2011
- Served as an on-site vendor at several NJ Hospitals reviewing medical claim payments for accuracy
- Handled sensitive information and PHI professionally
- Reviewed/prepared accounts for auditing and assisted in contract discrepancy resolution
- Compiled weekly reports on findings for upper management
- Adjudication of provider contracts/credit balance claims
- Reviewed, analyzed and recovered overpayments to maintain accuracy in the provider's revenue cycles
- Audited commercial and government contracts to maintain payment compliance within state/federal statutes
- Solid understanding of State regulations and contractual requirements
- Acted as the liaison between the medical provider and the insurance companies
Customer Service/Auditing
Comcast Cable
01.2002 - 01.2008
- Handled escalated customer calls with ease.
- Equipment auditing
Education
Bachelor of Arts - Film And Video Production
Montclair State University
Montclair, NJ12-2001
Skills
- Ability to handle protected, confidential information using industry best practices
- MS Office/Google Apps
- Strong written and oral communication skills
- Excellent ability to multitask, prioritize, and make informed decisions
- Strong computer/technical skill
- Adaptability
- Problem Solving experience
- Solid Auditing and research ability
- Administrative Experience
Timeline
Senior Client Account Specialist
Optum/UHC
09.2011 - Current
Regional Account Manager
Optum/UHC
09.2008 - 10.2011
Customer Service/Auditing
Comcast Cable
01.2002 - 01.2008
Bachelor of Arts - Film And Video Production
Montclair State University
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