LitDrena Broussard
Tomball,TX
Summary
A dedicated and detail-oriented professional with extensive experience in medical claims, provider scheduling, and benefits administration. Demonstrated ability to lead teams, streamline processes, and resolve complex issues in high-pressure environments. Known for exceptional communication skills, client-focused approach, and proficiency in data analysis and project management. Seeking a challenging role in medical claims where I can leverage my skills to enhance operational efficiency and contribute to organizational success.
Overview
6
6
years of professional experience
Work History
PUC Support Case Specialist
Ledios/ QTC Management
04.2024 - Current
- Maintained strict confidentiality of sensitive information, adhering to legal regulations and company policies.
- Established strong relationships with clients, understanding their needs and advocating on their behalf.
- Assisted in training new Case Specialists to ensure consistent quality of work across the team.
- Collaborated with multiple departments for efficient coordination and optimal case outcomes.
- Assisted in maintaining accurate medical records, ensuring confidentiality and compliance with HIPAA regulations.
- Streamlined patient appointment scheduling by implementing efficient processes and utilizing scheduling software.
- Proactively identified scheduling issues and developed quick solutions to promote efficiency and profitability.
Team Support Specialist
Veterans Evaluation Services/Maximus
02.2022 - 04.2024
- Provided ongoing support to team members through regular check-ins and coaching sessions, promoting personal growth and professional development.
- Reviewed internal processes regularly, identifying areas for improvement and implementing necessary changes to optimize efficiency within the team.
- Served as a liaison between management and staff, helping to address concerns and provide solutions in a timely manner.
- Played a key role in the development of the team''s strategic plan, ensuring that goals were aligned with overall company objectives.
- Researched and identified solutions to technical problems.
Federal Government Scheduler
Veterans Evaluation Services/Maximus
07.2019 - 01.2022
- Optimized scheduling processes by implementing efficient software tools and organizational systems.
- Consistently met deadlines by effectively allocating resources, tracking progress, and making necessary adjustments to schedules as needed.
- Maximized efficiency in project delivery through strategic prioritization of tasks based on urgency, complexity, and available resources.
- Reduced scheduling conflicts and ensured timely execution of tasks through proactive rescheduling and resource allocation adjustments.
- Identified best practices within scheduling function, sharing these insights across teams to drive continuous improvement efforts.
Client Service Representative (Temporary)
Empyrean Benefits
09.2018 - 04.2019
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
- Expanded knowledge on medical terminology and insurance policies through continuous learning initiatives, enhancing accuracy in communication with clients.
- Facilitated smooth communication between patients, insurance companies, and medical staff for seamless coordination of care.
- Managed incoming calls, providing enhanced patient satisfaction by efficiently addressing and resolving healthcare-related inquiries.
- Followed up with customers about resolved issues to maintain high standards of customer service.
Sr. Benefits Analyst/Medical Claims Analyst
Aon Hewitt
09.2018 - 04.2019
- Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.
- Increased efficiency by streamlining data analysis processes and implementing automation tools.
- Managed the claims processing cycle, ensuring accurate reimbursement.
- Examined claims forms and other records to determine insurance coverage.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Education
Bachelor of Business Management - Human Resources
University of Phoenix Online
06.2026
Skills
- Case Planning
- Ethical Practice
- Policy Knowledge
- CRM software proficiency
- Process Improvements
- Microsoft Office
- Appointment Scheduling
- Claims Processing
- Training and mentoring
- Insurance Verification
- Medical Billing Expertise
- Project Management
Accomplishments
- Trained and developed teams on new processes, improving overall efficiency
- Documented new and existing processes for smoother workflow.
- Recognized for quickly learning and adapting to new processes.
- Led multiple departmental initiatives and managed escalated issues effectively.
Timeline
PUC Support Case Specialist
Ledios/ QTC Management
04.2024 - Current
Team Support Specialist
Veterans Evaluation Services/Maximus
02.2022 - 04.2024
Federal Government Scheduler
Veterans Evaluation Services/Maximus
07.2019 - 01.2022
Client Service Representative (Temporary)
Empyrean Benefits
09.2018 - 04.2019
Sr. Benefits Analyst/Medical Claims Analyst
Aon Hewitt
09.2018 - 04.2019
Bachelor of Business Management - Human Resources
University of Phoenix Online
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