Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Jessica Brumbaugh

Buffalo,NY

Summary

Motivational leader and organizational problem-solver with advanced medical and facility claims knowledge. Experience stepping into roles and quickly making positive changes to drive company success.

Overview

19
19
years of professional experience
1
1
Certification

Work History

Manager Analytics

Cotiviti Healthcare
03.2023 - Current
  • Skilled at delivering detailed business analysis, outlining problems, identifying opportunities and solutions for the business.
  • Able to query, review and analyze large data sets.
  • Review overpayment identifications to look at conversion and positive trends by provider.
  • Highly accurate and ability to quality check deliverables before going to client.
  • Make decisions and resolve issues using critical thinking and analytical skills.
  • Organize team activities to build camaraderie and foster pleasant workplace culture.
  • Work with cross-functional teams to achieve goals.

Team Leader, Analytics

Cotiviti
11.2021 - 03.2023

Senior Analyst, Analytics

Cotiviti
05.2021 - 11.2021

Analyst, Analytics

Cotiviti
12.2017 - 05.2021

Claims Analyst

HealthNow
10.2004 - 10.2012
  • Reviewed insurance policy for coverage eligibility and benefit accuracy.
  • Reviewed customer claims, identified discrepancies and determined appropriate course of action.
  • Analyzed claim data to identify trends and recommend process improvements.
  • Achieved a high accuracy score consistently.

Education

Bachelor of Arts - Communications

SUNY Buffalo State
Buffalo, NY
08-2002

Skills

  • Medical and Facility Claim Processing experience
  • Benefit and Eligibility Review
  • Fee Schedule and Facility Contract Review
  • Commercial, Medicaid, Medicare Lines of Business knowledge
  • Understanding of Primacy Rules for Coordination of Benefits
  • CPT, HCPC, DRG, Diagnosis Coding awareness
  • Blue Card Home and Host Processing on Blues Plans knowledge
  • Facets Claim Processing System experience
  • Winstrat to price facility claims experience
  • Excel- Pivots, Formulas, Power Query
  • Business Intelligence Tools- Tableau, Power BI, Access
  • Training/ Mentorship

Certification

  • Six Sigma White Belt

Timeline

Manager Analytics

Cotiviti Healthcare
03.2023 - Current

Team Leader, Analytics

Cotiviti
11.2021 - 03.2023

Senior Analyst, Analytics

Cotiviti
05.2021 - 11.2021

Analyst, Analytics

Cotiviti
12.2017 - 05.2021

Claims Analyst

HealthNow
10.2004 - 10.2012

Bachelor of Arts - Communications

SUNY Buffalo State

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Jessica Brumbaugh