Jennifer Phillips
Antioch,TN
Summary
Experienced Supervisor leading team members on-time job completion. Assign tasks, train employees, provide feedback, mediate interpersonal conflicts and implement company procedures. Excellent communication and listening skills. Provide leadership and vision which drives teams to meet goals.
Overview
17
17
years of professional experience
Work History
Supervisor of Clinical Admin
Optum, UnitedHealth Group
Remote
10.2021 - Current
- Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
- Monitored workflow to improve employee time management and increase productivity.
- Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
- Evaluated employee performance and coached and trained to improve weak areas.
- Maintained compliance with company policies, objectives, and communication goals.
- Enhanced communication within the team by holding regular meetings and encouraging open dialogue among all members.
- Implementation and oversight of Process Execution for specific roles within Optum at Home department
- Design, develop and implementation of Job Aids, Standard Operating Procedures, and processes
- Solution and resolution of IT concerns
Clinical Admin Coordinator
Optum, UnitedHealth Group
Remote
10.2021 - 02.2023
- Management of DAE for daily hospitalization report
- Risk Queue, No Care Team Queue and Market Mailbox Management for Optum at Home
- Manage Referrals from OTTH, HouseCalls and Health Plan for OAH membership
- Review and analysis reports for DCOs
- Prepare Continuum Rounds reporting for CSMs and DCOs in OAH Markets
- Assist manager with day-to-day operations and special projects
- Work closely with multiple departments to maintain the highest level of accurate patient information and care
- Solve IT concerns
- Developed and coordinated successful new hire trainings, in collaboration with fellow team members, to help individuals learn company policies, procedures and job tasks
- Created, reviewed, and updated new employee onboarding workflows and procedures to drive improvements and create a successful onboarding experience
- Provided onboarding and coaching of new employees by hosting orientation sessions, providing access to company systems, and ordering of necessary equipment and supplies
Appeals Specialist
Parallon Business Solutions - HCA
Nashville, TN
01.2014 - 10.2021
- Triage incoming inventory for the Appeals team, validating appeal criteria is met
- Identify problem accounts/processes/trends and escalate as appropriate
- Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument
- Compose technical denial arguments for reconsideration, including both written and telephonically
- Utilized effective documentation standards that support a strong historical record of actions taken on the account
- Making sure appropriate payments are posted once account has been paid by responsibility parties, as a result of appeal department efforts
- Consistently exceeded QA and Productivity standards of the organization
- Communicated effectively with staff, including members of operations, finance and clinical departments
- Maintained confidentiality of patient finances, records and health statuses.
- Awarded Top Performer in November 2016 for the External Appeals Department.
Special Education Teaching Assistant
Erma Siegel Elementary School
Murfreesboro, TN
10.2011 - 12.2013
- Conducted small group and individual classroom activities with students based on differentiated learning needs
- Oversaw students in classroom and common areas to monitor, enforce rules and support lead teacher
- Maintained high level of professionalism and calmness with all personnel, even in high-stress situations
- Interacted, observed and responded to children's needs, emergencies and conflicts while supervising classroom activities
- Partnered with teacher to plan and implement lessons following school's curriculum, goals, objectives and philosophies
- Contributed to classroom learning by preparing and implementing daily lesson plans to meet individual needs
- Used behavior modeling and specialized teaching techniques to share and reinforce social skills.
Shift Manager and Team Member
Arby's Restaurant
Smyrna, TN
09.2007 - 02.2013
- Took necessary steps to meet customer needs and effectively resolve food or service issues
- Correctly received orders, processed payments and responded appropriately to guest concerns
- Communicated clearly and positively with co-workers and management
- Assisted management with monthly inventory control and weekly stock ordering
- Optimized profits by controlling food, beverage and labor costs on a daily basis
- Promoted from Team Member to Shift Manager at Arby's Restaurant in 2011
- Recognized by peers and management as the "Red Hat Hero" for the month of December for going above and beyond normal job functions
Education
Bachelor of Science - Elementary Education K-6
Middle Tennessee State University
Murfreesboro, TN05.2008
High School Diploma -
Donelson Christian Academy
Nashville, TN06.2002
Skills
Tennessee Teaching Certificate in Elementary Education K-6
Experience working with special needs students
Classroom management
Reliable and punctual
Excellent multi-tasker
Strong organizational skills
Active listening skills
Energetic work attitude
Team player
Adaptable to change
Microsoft Word, Excel, Powerpoint
Team Leadership
Coaching and Mentoring
New Hire Onboarding and Orientation
Recordkeeping skills
Accomplishments
Recognized by peers and management as the "Red Hat Hero" for the month of December 2009 for going above and beyond normal job functions Arby's Restaurant.
Promoted from Team Member to Shift Manager at Arby's Restaurant in 2011.
Awarded Top Performer in November 2016 for the External Appeals Department at Parallon.
Promoted to Clinical Admin Supervisor in February 2023.
Timeline
Supervisor of Clinical Admin
Optum, UnitedHealth Group
10.2021 - Current
Clinical Admin Coordinator
Optum, UnitedHealth Group
10.2021 - 02.2023
Appeals Specialist
Parallon Business Solutions - HCA
01.2014 - 10.2021
Special Education Teaching Assistant
Erma Siegel Elementary School
10.2011 - 12.2013
Shift Manager and Team Member
Arby's Restaurant
09.2007 - 02.2013
Bachelor of Science - Elementary Education K-6
Middle Tennessee State University
High School Diploma -
Donelson Christian Academy