Committed operations specialist with a proven track record of effectively meeting company needs through consistent and organized practices. Experienced in thriving under pressure and quickly adapting to new situations and challenges to optimize the organizational brand.
Overview
8
8
years of professional experience
Work History
Operations Specialist
Mission Lane
Remote, VA
02.2024 - Current
Exercised sound judgment for case approval and denial.
Consistently surpassed targets in dispute resolution and customer satisfaction.
Ensured meticulous documentation of all disputes for future access.
Maintained superior performance ratings.
Conducted thorough analysis and research on claims.
Supported management in additional project tasks promptly.
Liability Data Processor
Elevate Patient Financial Soultions
The Woodlands, TX
02.2020 - Current
Generated detailed reports.
Reviewed claim forms to confirm data accuracy.
Examined laws, regulations and legal decisions to identify suitable actions.
Examined medical records for claim investigations.
Examined loss documentation including images, diagrams and evidence to pinpoint recovery sources.
Cultivated strong connections with attorneys, experts, and vendors.
Analyzed and modified claims to ensure equitable resolutions.
Lead Surgery Scheduling Coordinator
Tomball Regional Medical Center
Tomball, TX
04.2019 - 11.2020
Provided support to surgeons by preparing documents needed for surgeries, such as consent forms and discharge instructions.
Collaborated with hospital administrators on budgeting and cost containment initiatives related to surgeries.
Reviewed incoming requests from physicians regarding potential surgeries, confirming that it meets eligibility criteria.
Ensured compliance with HIPAA regulations during scheduling process.
Trained new team members on best practices for surgery coordination, fostering a supportive work environment.
Training Coordinator
US Legal Support - Litigation Resource Services
Houston, TX
08.2016 - 04.2019
Communicated with providers about missing documentation needed for claims adjudication.
Evaluated legal paperwork for thoroughness.
Established organized tracking system for case-related deadlines.
Conducted interviews with claimants, witnesses, and police officers.