Passionate, customer focused leader with a demonstrated 10+ year history of great job performance. Detail oriented, seeking the next career step with a highly respected organization dedicated to helping the world live healthier lives.
Overview
17
17
years of professional experience
Work History
Recovery Resolution Analyst
Optum
07.2021 - 05.2024
Investigate, recover and resolve all types of claims as well as recovery and resolution for health plans
Initiate communication with members, providers and other insurance companies to gather coordination of benefits information
Collaborate with clinical coding consultants for purposes of educating and communicating to provider.
Collections Rep
United Health Care
07.2020 - 07.2021
Perform research on various computer systems and document customer information regarding current status, payment expectations, notes of conversations and other relevant information
Use mail, email and phones to contact customers to discuss, negotiate payment and resolve outstanding medical bill accounts and balances
Obtain agreement on potential balance payoff and / or payment terms within stated level of authority and guideline limits.
Recovery Resolution Analyst
Optum
03.2016 - 09.2019
Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance
Project leadership
Use pertinent data and facts to identify and solve a range of problems within an area of expertise.
Claims Processor
Optum
05.2007 - 03.2016
Provide expertise or general claims support by reviewing, researching, investigating, processing and adjusting claims
Mentoring new team members
Consistently meet established productivity, schedule adherence and quality standards.
Education
Associate of Arts -
Wisconsin Indianhead Technical College
Shell Lake, WI
05.2006
Skills
10 years of Customer Service experience
8 years of data entry
5 claims processing on UNET system
Comprehensive knowledge of ancillary applications, such as Office and MacroExpress