LaQuadra Cooper
Forney,TX
Summary
Highly-motivated and focused project management specialist with desire to take on new challenges and help others. Flexible, detail-oriented, strong work ethic, adaptability, compassion and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
1
1
Certification
16
16
years of professional experience
Work History
Project Manager
United Healthcare Group
Remote/Telecommute, TX
08.2022 - Current
- Build and establish strong partnerships with teams, vendors and contractors.
- Create project plans with established timelines, assign to appropriate teams and manage workflow throughout construction.
- Review Medicaid and Medicare RFPs and state contracts to identify provider directory and loading requirements
- Lead meetings with internal team members, consultants and contractors.
- Forecast, schedule and monitor project timelines, personnel performance and cost efficiency.
- Review project risks and devise proactive strategies to avoid potential roadblocks.
- Develop solutions to project risks and issues, meeting quality and timeline goals and objectives.
- Manage contracts with vendors and suppliers by assigning tasks and communicating expected deliverables.
- Create team objectives and roles with specific goals outlined for each individual.
- Communicated effectively with stakeholders to ensure project goals are met on time and within budget.
- Implemented effective communication protocols between internal teams working on different aspects of a given project.
Snr. Recovery/Resolutions Analyst
Optum
Remote/Telecommute
07.2016 - 08.2022
- Identify payment errors. Track data problems and analyze information to find root causes.
- Investigate billing discrepancies for hospital, facility and medical claims.
- Assist with implementing effective solutions to resolve concerns and prevent future problems.
- Investigate and pursue recoveries and payables on subrogation claims and file management.
- Process recovery on claims
- Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance
- Perform other duties as assigned to ensure payment is correct on claims
- Analyzes and investigates Medicare and Medicaid claim types for multiple states.
- Provides explanations and interpretations within area of expertise
- perform coaching for analysts who are not meeting metrics or struggle in different areas
- complete second review to ensure claims are processed accurately
- process ATA (audit the analyst) for analysts on the team including ATA rebuttals
- review, prepare and complete reporting needs and handle escalated claim requests/issues
- answer claim questions from Q/A share point, emails and host huddle meetings for claim questions
- lead trainings in addition to communicate trends/issues to managers for coaching opportunities
- Open & follow-up on tickets as well communicate SOP changes/updates
Snr. Claims Quality Analyst
United Healthcare
Remote/Telecommute
07.2015 - 07.2016
- Served as subject matter expert as Team Lead to team members, supervisors and management staff
- Offered one-on-one support for team members and managers to drive continuous improvement.
- Monitored completed work and provided feedback to improve team member performance.
- Identified quality trends to investigate system flaws, process inefficiencies and training needs.
- Created and revised SOPs and training materials.
- Audited training and production processes, enforcing adherence to SOPs.
- Provided claims support by reviewing, researching, investigating, and auditing claims
- Provided feedback to team members on audit results
- Responsible for all aspects of quality assurance
- Analyzed information to build recommendations to reduce errors and improve process performance
Claims Representative Associate, Telecommute
UnitedHealthcare
Remote/Telecommute
04.2013 - 07.2015
- Handled incoming medical and hospital claims
- Worked independently, demonstrated the ability to multi-task, and Mentored others
- Ensured a high level of customer service while maximizing productivity.
- Responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims
- Authorized the appropriate payment or refered claims to investigators for further review
- Conducted data entry and re-work; analyzed and identified trends and provided reports as necessary
- Constantly met established productivity, schedule adherence, and quality standards
- intermediate experience with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
Supervisor
Advance America
Davenport, Iowa
07.2011 - 03.2013
- Provided exceptional service and support to customers
- Completed transactions accurately and in a timely manner on both new and existing accounts.
- Ensured all required documentation is included in each customer’s file
- Reviewed business operating results of the center daily, weekly and monthly to identify areas of opportunity for increased profits and decreased expenses
- Ensured procedures outlining opening, closing, banking, collections, audits, local store marketing (LSM), all Loss Prevention (LP) procedures, and other company policies were followed daily
- Ensured compliance with Federal, State, and local laws. Controled cash flow, balancing and audits while maintaining LP standards.
- Maintained company standards as related to staffing, operations, marketing, collections and customer service
- Also Performed administrative duties such as preparing correspondence, maintaining a filing system, and keeping an appointment calendar.
Collections Specialist
Wells Fargo Home Mortgage
Columbia, MD
09.2010 - 02.2011
- Notified customers of delinquent accounts with attempt to collect outstanding amounts.
- Remained calm, stayed professional and provided exceptional service on calls, even when interacting with difficult individuals.
- Processed payments over phone and set up recurring drafts.
- Arranged for debt repayment and established repayment schedule based on customer finances.
- Recorded and updated customer personal accounts with accurate contact information.
- Met demands of busy collections group by performing high volume of daily calls.
- Overcame objections by applying advanced training and persuasion techniques.
- Completed skip traces on customers failing respond to collection efforts.
- Negotiated credit extensions to assist customers in paying overdue accounts.
- Ensured all required documentation is included in each customer’s file -Information should be accurate and complete
Education
High School Diploma - Business Management, Accounting
Moline High School
06.2005
Some College (No Degree) - Nursing, Medical
Blackhawk College
Some College (No Degree) - Nursing
Austin Peay State University
Skills
- Great communication skills
- Attention to Detail
- Problem Identification
- Conflict Resolution
- Updating Customer Accounts
- Skip Tracing
- Debt Repayment Negotiation
- Credit and Collections
- Negotiation and Resolution
- Knowledge of Healthcare insurance and reimbursement methodologies
- Presentations and Demonstrations
- Experience in Leadership
- Reliable and Trustworthy
- People Skills
- Data Management
- Proficiency in all MS Office Applications - Excel, PowerPoint, OneNote, Word
- Active Listening
- Customer Service
- Team Management
- Relationship and Team Building
- Systems implementation
- Project tracking
- Project Planning
Certification
- Coaching Certification - 2021
- Leadership Training - 2021
Timeline
Project Manager
United Healthcare Group
08.2022 - Current
Snr. Recovery/Resolutions Analyst
Optum
07.2016 - 08.2022
Snr. Claims Quality Analyst
United Healthcare
07.2015 - 07.2016
Claims Representative Associate, Telecommute
UnitedHealthcare
04.2013 - 07.2015
Supervisor
Advance America
07.2011 - 03.2013
Collections Specialist
Wells Fargo Home Mortgage
09.2010 - 02.2011
Some College (No Degree) - Nursing
Austin Peay State University
Some College (No Degree) - Nursing, Medical
Blackhawk College
High School Diploma - Business Management, Accounting
Moline High School