Laurie Vanderbilt
Schenectady,NY
Summary
Driven and self - motivated Medical Analyst with 21 years of experience with the company. I collaborate well with team members, can multi-task and learn different aspects of the company as a quick pace. I have experience in benefits, claims, medical review, prior authorization, and National and Commercial accounts. I am eager to apply my knowledge and skill set to learn a different area of the company while making a positive impact for future growth and advancement.
Overview
21
21
years of professional experience
Work History
Medical Analyst II
Elevance Health
05.2009 - Current
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Verified accuracy of patient information in medical records.
- Reviewed medical records for completeness.
- Communicate effectively with co-workers and management.
- Maintained accuracy, completeness, and security for medical records and health information.
- MRA script case reviews
- Handle case closures
- Lead Analyst on NYSHIP work / Trained staff & resource for RN's
- Mail Merge / Pend Report & Closures
- Presenter in staff meetings
- Multitask / Embrace change and demonstrate flexibility, agility and positivity
- Consistently exceeded production metrics and quality standards
Customer Service Representative
Empire Blue Cross Blue Shield
12.2002 - 05.2009
- Handled customer inquiries and suggestions courteously and professionally.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Answered constant flow of customer calls with minimal wait times.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Met customer call guidelines for service levels, handle time and productivity.
- Investigated and resolved customer inquiries and complaints quickly.
- Promoted to Senior
Education
Licensed Massage Therapist - Massage Therapy
Center For Natural Wellness School
Albany, NY01.2010
Associate of Arts - Business
Hudson Valley Community College
Troy, NY05.1999
Skills
- HIPAA Guidelines
- Adverse in ACMP, CIW, WGS, CS90, WCF Imaging
- Microsoft Word, Excel & PowerPoint
- Confidential Records Management
- Case Analysis
- Mentoring Proficiency
References
Laurie Germano (Manager - PSCCR Commercial) 518-421-6448
Melissa Baker ( Senior - PSCCR Commercial) 607-267-0476
Timeline
Medical Analyst II
Elevance Health
05.2009 - Current
Customer Service Representative
Empire Blue Cross Blue Shield
12.2002 - 05.2009
Licensed Massage Therapist - Massage Therapy
Center For Natural Wellness School
Associate of Arts - Business
Hudson Valley Community College
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