Kiesha Mitchell
Mesquite,USA
Summary
Results-driven professional prepared for claims management roles, bringing in-depth experience in claims processing and risk evaluation. Noted for collaborative team leadership and achieving exceptional results under tight deadlines. Valued for precision in claims analysis and adaptability to changing industry standards.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Revenue Cycle Analyst
Amplify
01.2023 - Current
- Research
- Effective communication payors ,team, and leadership
- Project management
- Provided valuable insights to leadership by analyzing key performance indicators related to the revenue cycle process.
- Collaborated with other business analysts to streamline tasks and duties in effort to improve overall efficiency.
- Trained new hires in medical collections protocols, promoting consistency across the team.
- Assisted patients with understanding by easing concerns about complex medical bills.
- Implemented process improvements that reduced denial rates and increased overall reimbursement levels.
- Developed strong working relationships with payers, promoting collaboration in resolving complex reimbursement challenges.
- Monitored account receivables to identify trends and proactively address potential issues.
Business Analyst
MW Partners
08.2021 - 12.2022
- Actively participated in team meetings to share knowledge, exchange ideas, address challenges, and collaborate on potential solutions.
- Developed high-quality documentation to support training efforts, helping employees fully understand new systems and procedures.
- Performed gap analysis between existing systems or processes identifying areas for improvement or enhancement.
- Improved business processes by analyzing current practices and recommending optimization strategies.
- Provided evaluative judgment based on analysis of information in complicated
- Collaborated with cross-functional teams to identify key metrics for tracking business performance.
- Identified data discrepancies and inconsistencies through rigorous data audits, ensuring the highest level of data integrity for business-critical decisions.
- Integrated new products and entities into business structure.
- Identified patterns and trends in large data sets and provided actionable insights.
Compensation Analyst
RB Logistic
10.2017 - 08.2021
- Validating FSLA classification
- EEOC coding job classification
- Familiar with WC coding values
- Strong organization and analytical skills
- Benchmarking
- Problem solve and decision making
- Prepared and updated job description
- Assisted with design and implementation of various employee benefits programs
- Researched and analyzed wage, salary and other industry trends
- Analyzed /evaluated existing compensation and benefits programs
- Recommended improvements
- Conducted wage and salary surveys to build competitive compensation plans
Medical Claims Supervisor
ABS
04.2016 - 05.2020
- Oral and Written communications skills
- Medical Terminology
- Direct assistance with appeal letters and training reform
- Ability to appeal denied and deficient WC claims, BCBS, UHC and other commercial carriers
- Adjust with business needs
- Ability to effectively coach and develop employees
- Handle complaints/escalated calls
- Assist staff with system issues
- Knowledge of insurance rules and regulations
- Negotiate payments for all Commercial Insurance and WC claims
- Daily/weekly interaction with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claim’s management process
- Maintained up-to-date knowledge of industry trends and regulations, ensuring adherence to all relevant guidelines.
Education
Bachelor of Science in Business Administration -
Texas College
Tyler, TX05-2003
Skills
- Process improvement
- SharePoint
- Computer networking
- Human resources
- Compliance management
- Healthcare reimbursement
- Verbal and written communication
- HIPAA compliance
- Claim submission
- Claims processing
- Insurance verification
- Medical Claims
- Customer service
- Business Analysis
- Denial management
- Risk identification
Certification
- Certified Notary Public
- Medical Terminology l/ll
Timeline
Revenue Cycle Analyst
Amplify
01.2023 - Current
Business Analyst
MW Partners
08.2021 - 12.2022
Compensation Analyst
RB Logistic
10.2017 - 08.2021
Medical Claims Supervisor
ABS
04.2016 - 05.2020
Bachelor of Science in Business Administration -
Texas College
Similar Profiles
Charlie WhiteCharlie White
Remote Sales at AmplifyRemote Sales at Amplify
Jennifer KaufmanJennifer Kaufman
Reading Tutor at AmplifyReading Tutor at Amplify
Michael BobenhausenMichael Bobenhausen
Professional Learning and Product Specialist at AmplifyProfessional Learning and Product Specialist at Amplify
Cindy WesleyCindy Wesley
Premium Analyst at TIAAPremium Analyst at TIAA
SWARUPA MARY OFFERSWARUPA MARY OFFER
Civilian Security Officer at Department Of Public SafetyCivilian Security Officer at Department Of Public Safety