Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Julie Bauz

Summary

Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive success and contribute to organizational growth.

Overview

20
20
years of professional experience

Work History

Reimbursement Manager

UHS, Inc.
04.2019 - Current
  • Managed team of reimbursement analysts, providing guidance and support for optimal performance.
  • Compiled department-specific reports to help senior leadership across 11 hospitals identify trends and reduce audit related denials.
  • Mentored junior team members to develop skills and knowledge within the field of reimbursement management.
  • Developed strong relationships with insurance companies and healthcare providers, fostering collaboration and ensuring smooth communication for reimbursement matters.
  • Increased efficiency in the reimbursement process by implementing streamlined procedures and guidelines.
  • Developed comprehensive training materials for new hires, resulting in a more efficient onboarding process.
  • Analyzed data to identify patterns and opportunities for improvement within the reimbursement process.

Reimbursement Analyst Team Lead

UHS, Inc.
09.2018 - 04.2019
  • Created quick reference guides, job aids and training documents for the denial management reporting system.
  • Identified and escalated reporting issue within the denial management reporting system to leadership team with possible solutions to ensure tracking and reporting are consistent and accurate.
  • Working with Education/Compliance Coordinator to facilitate multi-departmental in-service training sessions for denial management.
  • Coached team members in techniques necessary to complete job tasks.
  • Collaborated with other department leads to streamline workflows, improve interdepartmental coordination, and achieve business goals collectively.

Appeals Team Lead

UHS, Inc.
09.2017 - 09.2018
  • Trained new team members by relaying information on company procedures and safety requirements.
  • Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
  • Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
  • Managed schedules, accepted time off requests and found coverage for short shifts.
  • Conducted regular progress reviews with individual team members to identify areas for improvement and provide guidance on career development opportunities.
  • Assisted in recruitment to build team of top performers.

Appeals Specialist

UHS, Inc.
08.2016 - 09.2017
  • Researching and appealing insurance denials.
  • Navigating multiple systems and payer websites to formulate effective arguments for appeals.
  • Following audit criteria exceeding department expectations monthly.
  • Routinely assisting with escalated high dollar denials.
  • Training new hires and peers.
  • Assisted in developing departmental training documents.
  • Testing new processes for appeals submission.
  • Assisting with Top Ten in December 2017.
  • Identifying trends in denials.
  • Exceeding monthly QA and productivity goals set forth by the department manager.

Customer Service Representative III

Anthem Inc.
09.2005 - 09.2016
  • Assist members and providers with questions regarding claims and benefits. Working with special groups to ensure their specific needs are met.
  • Navigate several systems on each call to ensure accurate information is given in a timely manner.
  • Performs research responding to inquiries and interpreting policy provisions to determine most effective response.
  • Revitalized and maintaining the Benefits Website used by call center representatives to ensure benefits are quoted accurately.
  • Routinely assists with escalated issues for providers and members.
  • Assists with training of peers and new hires.
  • Creating training and workflow document used in multiple lines of business.
  • Consistently meeting and exceeding departmental goals.
  • Trained to work with individual, small group as well as federal policies within the HMO, PPO as well as ACA lines of business.

Education

Bachelor of Interdisciplinary Studies - Business Administration

University of Virginia
Charlottesville, VA

Skills

  • Communication skills including writing clearly and concisely, speaking effectively, listening attentively and building relationships
  • Organizational Skills including multi-tasking, handling details, meeting deadlines and goal setting Effectively manage competing demands result in the achievement of challenging goals
  • Research and Planning Skills including identifying problems, gathering information and problem solving
  • Computer Skills including Word, Excel, Power Point and limited skills with Access

References

Stephanie Paredes, Education Coordinator, UHS Inc.  804-551-4113

Christopher Malerba, Senior IT Support Specialist, UHS Inc.  804-229-8504


Timeline

Reimbursement Manager

UHS, Inc.
04.2019 - Current

Reimbursement Analyst Team Lead

UHS, Inc.
09.2018 - 04.2019

Appeals Team Lead

UHS, Inc.
09.2017 - 09.2018

Appeals Specialist

UHS, Inc.
08.2016 - 09.2017

Customer Service Representative III

Anthem Inc.
09.2005 - 09.2016

Bachelor of Interdisciplinary Studies - Business Administration

University of Virginia

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