Julianne Yang
Maplewood,MN
Summary
Detail-oriented professional with a proven background in claims investigation and documentation review within the health industry. Experienced in analyzing medical and insurance records, identifying discrepancies, and ensuring compliance with regulations. Adept at managing high-volume caseloads with accuracy and efficiency.
Overview
19
19
years of professional experience
Work History
Intake Processor
Katch
06.2023 - Current
- Evaluated member health claims for appropriate review
- Reviewed, revised, and indexed claims for accidents involving members
- Investigating all types of claims and update member claims to ensure proper filing
- Aided in performing multiple tasks to handle the high-volume queue
- Achieving schedule adherence and productivity
Store Manager
Golden Stars Garden Shop
12.2020 - 07.2023
- Monitored sales transactions and ensured sales procedures were followed properly
- Prepared daily work schedules for the team, scheduled deliveries, and enforced company policies
- Executed store sales promotions and effectively communicated new promotions to associates and customers
- Evaluated and managed store sales, payroll, loss prevention, and building maintenance on a daily basis
- Trained new hires and actively coached employees to take action in achieving operational goals
Quality Assurance Specialist II
Great Lakes Educational Loan Services
12.2018 - 12.2020
- Reviewed all quality control findings for accuracy, consistency and correct responsible party in order to report to the appropriate departments
- Compiled and strategically analyzed outcomes, identifying deviations from standards and highlight operational risk, communicating information to the department supervisor in the prescribed manner (charts, graphs, spreadsheets)
- Demonstrated leadership skills through active compliance and support for all corporate goals, objectives and guidelines
Credit and Data Analysis
Great Lakes Educational Loan Services
12.2017 - 12.2018
- Reviewed consumer credit reporting disputes and accurately updated changes to disputes, if necessary
- Investigated consumer credit reports in a timely manner
- Worked closely with Supervisor to resolve accounts in need of further investigation
- Completed special projects assigned by upper management
Call Center Representative
Great Lakes Educational Loan Services
01.2010 - 12.2017
- Resolved loan account issues independently and efficiently while meeting compliance
- Researched on payment discrepancies, account delinquency, and submitted service requests to review accounts as needed
- Educated student loan borrowers by providing repayment options, account information, payment application, and pre-qualify applicants
- Met yearly performance reviews by exceeding in schedule adherence, call evaluations, and wrap up time
Patient Care Assistant
United Home Healthcare, Inc.
01.2007 - 12.2009
- Assisted clients with care such as grooming, washing and maintaining personal hygiene standards
- Prepared and served healthy, nutritious meals, taking into account any special dietary needs and personal preferences
- Contributed to a clean, well-organized and pleasant environment for all patients
- Ensured clients take their prescribed medication on time
- Escorted clients to and from appointments
Education
Medical Coding Diploma & Medical Office Support Certificate -
Century College
Oakdale, MN05.2017
Skills
- Proficient in Windows, Microsoft Word, Spreadsheets, Excel, PowerPoint, Outlook, Quick learner, Effective communicator, 65 wpm, excellent organizational skills, ability to work independently or on a team
Languages
English
Hmong
Timeline
Intake Processor
Katch
06.2023 - Current
Store Manager
Golden Stars Garden Shop
12.2020 - 07.2023
Quality Assurance Specialist II
Great Lakes Educational Loan Services
12.2018 - 12.2020
Credit and Data Analysis
Great Lakes Educational Loan Services
12.2017 - 12.2018
Call Center Representative
Great Lakes Educational Loan Services
01.2010 - 12.2017
Patient Care Assistant
United Home Healthcare, Inc.
01.2007 - 12.2009
Medical Coding Diploma & Medical Office Support Certificate -
Century College
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