To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management, and problem-solving skills. Dedicated analytical professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Hi, I’m
Krystle Curry
Houston,TX
Summary
Overview
13
years of professional experience
Work History
WELLCAREHOUSTON, TX
BUSINESS ANALYST/PRINT PRODUCTION COORDINATOR
09.2017 - 06.2020
Job overview
- Developing technical solutions to business problems
- Effectively communicating insights & plans to team members
- Works closely with outside vendors & clients
- Updating, maintaining, & implementing processes & procedures
- Ensuring requirements and solutions are met for business purposes
- Understanding business needs as they relate to potential change
- Supports business transition
- Simplifying requirements so that they are easily understood
Universal AmericanHouston , TX
Appeals and Grievances Coordinator
02.2014 - 09.2017
Job overview
- Provided outreach for additional information for appeals and grievances.
- Remained knowledgeable regarding company policies and procedures and current developments within operational departments.
- Submitted verbal and written notification to members and providers.
- Keeps record of appeals and grievances
- Entered appeal requests in appeals module.
- Handled mass quantities of documents and data entry
CARDINAL HEALTHHOUSTON, TX
SR. ANALYST
05.2013 - 01.2014
Job overview
- Loads approved cross reference data sets to signature savings tools
- Remove and replace cross reference data for existing categories in the tool
- Run analytics to validate the current state of all materials in the tool
- Loads consumers and map requests to account managers
- Build roadmaps for data management needs
- Performs packaging validation for materials loaded in a cross reference data set
- Maintained a 3 day or less turn around for completed cross referenced reports
- Formatted reports to ensure proper processing via Microsoft Excel and Access
- Ensured consumers data’s validity and currency
- Worked closely with hospitals to verify and confirm information for prospective proposals
- Researched and collected data for manufactures distributing through Cardinal Health.
UNIVERSAL AMERICANHOUSTON, TX
QUALITY FULFILLMENT AUDITOR
10.2012 - 03.2013
Job overview
- Interpret Center for Medicare/Medicaid Services (CMS) guidance for Member correspondence and determine steps Universal American (UAM) needs to take to be compliant
- Subject Matter Expert on Member Correspondence preparation and production (ID Cards, Welcome Kits, and Letters.)
- Responsible for quality review of member correspondence
- Providing research and resolution for all correspondence errors
- Responsible for End to End reconciliations of CMS required material and reporting
- Ensuring UAM members have required materials
- Responsible for identifying potential user errors and system related issues
- Responsible for user acceptance testing in Prism development and base upon CMS guidance
BAYLOR COLLEGE OF MEDICINEHOUSTON, TX
LABORATORY TECHNICIAN/DATA ENTRY CLERK
10.2007 - 09.2012
Job overview
- Ensures all labs have proper material
- Train doctors or other lab technician’s how to operate specialized machines for lab equipment/autoclave
- Stays in communication with outside vendors for laboratory equipment
- Provide in-services for those who need to be trained for lab equipment
- Organize research materials for specific protocols and procedures
- Reports monthly summaries for billing purposes
- Enters Patient information from tenable consents
- Confirms correct data before entered
- Evaluate internal and external correspondence
- Verifies pediatric patient along with their legal guardian
- Files customer service reports from work orders completed by company technicians
- Forwarding telephone calls appropriately and following up on return calls
- Filing medical records
- Filing patient and administrative files
- Retrieving medical records and delivering to appropriate providers or departments
- Copying and faxing duties.
Education
TEXAS SOUTHERN UNIVERSITY
BACHELOR OF SCIENCE from HUMAN SERVICE AND CONSUMER SCIENCES
2010
University Overview
Skills
- Microsoft Office Basic: Word, Excel, PowerPoint, Access, Internet Explorer
- Professional
- Effective Problem Solver
- Medicaid Management Information System
- Decision Making
- Remote Video Conferencing
- Multitasking and Prioritization
- Time Management
- Verbal and Written Communication
- Analytical and Critical Thinking
- Healthcare
- Customer Service
- Medical insurance claims
Timeline
BUSINESS ANALYST/PRINT PRODUCTION COORDINATOR
WELLCARE
09.2017 - 06.2020
Appeals and Grievances Coordinator
Universal American
02.2014 - 09.2017
SR. ANALYST
CARDINAL HEALTH
05.2013 - 01.2014
QUALITY FULFILLMENT AUDITOR
UNIVERSAL AMERICAN
10.2012 - 03.2013
LABORATORY TECHNICIAN/DATA ENTRY CLERK
BAYLOR COLLEGE OF MEDICINE
10.2007 - 09.2012
TEXAS SOUTHERN UNIVERSITY
BACHELOR OF SCIENCE from HUMAN SERVICE AND CONSUMER SCIENCES
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