Kalia Yang
Sperry,OK
Summary
Detail-oriented, organized and dependable candidate successful at managing multiple priorities with a positive attitude and with a high degree of accuracy. Willingness to take on added responsibilities to meet team goals. Collaborative with excellent interpersonal and communication skills across diverse groups.
Overview
14
14
years of professional experience
Work History
Project Analyst
Ascension St. John Hospital
02.2020 - Current
- Supports Quality Operations Director in successful implementation of provider engagement initiatives or programs at practice or clinic level.
- Contributes to improved provider experience with transition to value-based care and population health management through practice-based support.
- Participates in coaching and management on pre-visit planning techniques and closure of gaps in care at practice or clinic level.
- Participates in workflows to support gap closure and other targeted provider engagement initiatives.
- Establishes strong personal relationships with Accountable Care Teams (providers, clinical staff, administrative staff and management).
- Advocated for ways to streamline ongoing projects, prioritizing shorter turnaround times and consistent development quality.
- Create in-depth reports regarding important project data that was distributed to client on weekly basis.
- Determined root cause of problems and issues to implement courses of action required to implement solutions.
Market Development Analyst
OptumCare
04.2017 - 04.2019
- Responsible for conducting research and analyzing data on new and existing market, industry trends and development
- Responsible for compiling data and creating presentation on potential growth in targeted markets to help managers and clients make strategic decisions.
- Collaborated on stages of systems development lifecycle from requirement gathering to production releases.
Contract Revenue Specialist
Saint Francis Healthcare System
10.2016 - 04.2017
- Reviewed payer contracts by performing financial analysis through use of claims system and managed care reimbursement methodologies.
- Research and resolve issues with claims department, vendor payroll and accounts payable team.
- Participate in establishing, preparing and implementing new business procedures and providing feedback.
- Meet regularly with health payer to effectively communicate and coordinate payer contracting activity.
Physician Billing Specialist
Saint Francis Healthcare System
10.2014 - 10.2016
- Responsible for creating and documenting requirements including communication, standardized training and procedures.
- Train internal staff to use process.
- Provide leadership and training on standard process to primary care clinics
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Liaised between patients, insurance companies, and billing office.
- Audits of new hires
Senior Project Coordinator
CommunityCare Of Oklahoma
09.2009 - 10.2014
- Responsible for reviewing new rules regulations and ensuring health plans guidelines were met
- Organized meetings and gathered support materials.
- Followed up on change orders to ongoing projects, confirming necessary alternation completions occurred on time.
Education
Master of Science - Healthcare Administration
University of Phoenix
Tulsa, OK02.2014
Bachelor of Science - Healthcare Administration And Management
University of Phoenix
Tulsa, OK02.2012
Skills
- Project Analysis
- Project Management
- Knowledgeable in Google Suites
- Knowledgeable in Primary Care First
- Data Collection
Timeline
Project Analyst
Ascension St. John Hospital
02.2020 - Current
Market Development Analyst
OptumCare
04.2017 - 04.2019
Contract Revenue Specialist
Saint Francis Healthcare System
10.2016 - 04.2017
Physician Billing Specialist
Saint Francis Healthcare System
10.2014 - 10.2016
Senior Project Coordinator
CommunityCare Of Oklahoma
09.2009 - 10.2014
Master of Science - Healthcare Administration
University of Phoenix
Bachelor of Science - Healthcare Administration And Management
University of Phoenix
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