Lydia Bolin
San Angelo
Summary
Results-driven healthcare professional with 8+ years of experience in claims analysis, provider communications, and process improvement within the health insurance sector. Leverages data assessment, workflow optimization, and strong communication skills to improve member experience and operational efficiency. Seeking a remote data analytics position to advance value-based care and drive actionable insights for healthcare organizations.
Overview
1
1
Certification
Work History
Provider Appeal & Written Specialist
Health Care Services Corporation (Blue Cross Blue Shield of TX, IL, MT, NM, OK)
- Analyzed and resolved provider appeals, ensuring compliance and claims accuracy
- Designed templates and training materials to streamline workflows and documentation
- Trained and mentored new hires; recognized as a subject matter expert
Benefit Value Advisor
ERS Personal Health Assistant
- Provided claims, benefits, and provider support for members across five states
- Collaborated with clinical teams to enhance case management and member engagement
- Developed resources for onboarding and upskilling new staff
- Delivered comprehensive policy analyses, cost estimates, and specialty pharmacy guidance
- Utilized business intelligence tools to generate metrics and insights for process improvement
- Supported clinical engagement and member education initiatives
Education
No Degree - Nursing & Dentistry Pre Requisites
Howard College
VirtualSkills
- Healthcare Data Analysis & Reporting
- Claims & Appeals Research
- Process Optimization
- Provider & Member Communication
- Excel, PowerPoint, Data Visualization
- Regulatory Compliance (HIPAA)
- Cross-Functional Collaboration
Certification
- Advanced Microsoft Excel & PowerPoint
- Basic SQL, EMR navigation
Section name
Open to fully remote roles in the healthcare and insurance analytics space.
Timeline
Provider Appeal & Written Specialist
Health Care Services Corporation (Blue Cross Blue Shield of TX, IL, MT, NM, OK)
Benefit Value Advisor
ERS Personal Health Assistant
No Degree - Nursing & Dentistry Pre Requisites
Howard College
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