Facilitated and assisted in transitioning of commercial payor team lead role to different lead due to organizational restructure and merger.
Assumed responsibility for combined financial class 4, 9, 10, and 11 inventory.
Identified and recommended staff for key positions.
Supported productivity increase and business growth through new hire training and mentoring.
Team Lead- Medicaid and Commercial Payors
Parallon
Work From Home
11.2018 - 07.2023
Continued prior duties of Medicaid team lead role, while expanding scope to include both overpayment and underpayment inventory for financial classes 3, 4, 5, 7, 8, 9, 11, and 14
Improved efficiency and reduced uncoded inventory of monthly outpatient recurring claims by implementing steps to automate process, ultimately becoming official department process
Trained new team members by relaying information on company systems and departmental processes
Mentored and guided employees to foster proper completion of assigned duties.
Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards.
Worked with team to identify areas of improvement and devised solutions based on findings.
Conducted training and mentored team members to promote productivity, accuracy, and compliance with departmental procedures.
Team Lead- Medicaid
Parallon
Richmond, VA
05.2018 - 11.2018
Built strong relationships with subordinates through positive attitude and attentive response.
Held weekly team meetings to inform team members on company news and updates.
Coached team members in techniques necessary to complete job tasks.
Evaluated employee skills and knowledge regularly, training, and mentoring areas of potential opportunity.
Managed a team of two experienced analysts
Discrepancy Analyst- Medicare
Parallon
Richmond, VA
02.2018 - 05.2018
Reviewed contract and account data to identify trends and patterns.
Researched accounts and completed due diligence to resolve discrepant inventory.
<ul><li>Lead a high performing team of Case Managers, Injury Management Advisor and Technical Specialist. Acting as a Third Party Administrator and responsible for the management of the portfolio of Youi CTP Claims.</li><li>My role was to oversee and supervise the day to day operation of the claims team and to ensure that both our Statutory Benefits and Common Law claims portfolio are being managed at a high level and in line with the legislation.</li><li>I am responsible for design and implementation of framework for effective claims strategies to uplift Customer Experience including Business and Regulator deliverables.</li><li>Established and developed strong working relationships with our client Youi to ensure that regular business performance updates are provided, improve reporting and claims governance including risk oversight are being identified.</li><li>Develop new initiatives and ideas to assist with the continuous improvement of claims processes and procedure including the rolling out of such plan to the business.</li></ul> at Employers Mutual Limited<ul><li>Lead a high performing team of Case Managers, Injury Management Advisor and Technical Specialist. Acting as a Third Party Administrator and responsible for the management of the portfolio of Youi CTP Claims.</li><li>My role was to oversee and supervise the day to day operation of the claims team and to ensure that both our Statutory Benefits and Common Law claims portfolio are being managed at a high level and in line with the legislation.</li><li>I am responsible for design and implementation of framework for effective claims strategies to uplift Customer Experience including Business and Regulator deliverables.</li><li>Established and developed strong working relationships with our client Youi to ensure that regular business performance updates are provided, improve reporting and claims governance including risk oversight are being identified.</li><li>Develop new initiatives and ideas to assist with the continuous improvement of claims processes and procedure including the rolling out of such plan to the business.</li></ul> at Employers Mutual Limited