Miranda Joe
Glendale,AZ
Summary
Collaborative, strategic, and solutions-oriented consultative sales professional specializing in healthcare technology. Contributed to client's total revenue savings of over $3.5 million in just one year. Passionate about problem-solving and identifying products for increased revenue streams. Recognized as an expert in selling/upselling and delivering exceptional customer satisfaction. Self-motivated and outgoing team player who inspires others to perform at their best. Adaptable to change and embraces challenges in fast-paced environments.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Client policy specialist
zelis healthcare
06.2021 - Current
- Review data for potential savings revenue, claims data and product analytics to align with client’s portfolio and consumer base to drive revenue for both the client and overall internal business goals
- Identify product opportunities based on final data analysis and partner with internal stakeholders for client presentations for selling and upselling client meetings
- Proactively monitor edit trends, pre/post production volume, revenue savings, outliers while escalating product issues utilizing all tools and resources to document and resolve when necessary
- Support new client implementation projects with assisting in client 'go-live' process
Claims auditor consultant
optum healthcare
11.2015 - 08.2020
- Provided leadership in development, implementation, and oversight of systems and processes to achieve integrated strategic business initiatives, objectives, and outcomes
- Project team lead in process improvement based on discovered discrepancies, creating smoother, efficient business operations increasing the overall customer quality scores by 77% within 4 months
- Created feedback and action plans to coach partners and employees toward optimal savings and performance
- Collaborated with cross-functional quality teams to identify and manage common issues, trends, and patterns
Education
MBA - Business Administration And Management
University of Phoenix
Tempe, AZ05.2017
Bachelor of Science - Business Management
University of Phoenix
Tempe, AZ05.2015
Skills
- Selling and upselling products
- Review data and interpretation
- Root cause analysis
- Poised under pressure
- Excellent presentation and negotiation
- Active listener
- Teamwork and Collaboration
- Problem-Solving
- Process Improvement
- Analytical Skills
- Issue Research
- Excellent Communication
Certification
- Certified Professional Coder (CPC) [AAPC] - May, 2011
Certified Professional Coder - AAPC
The CPC credential have proven expertise in physician/non-physician provider documentation review, abstract professional provider encounters, coding proficiency with CPT, HCPCS Level II, ICD-10-CM, and compliance and regulatory requirements for physician services.
Timeline
Client policy specialist
zelis healthcare
06.2021 - Current
Claims auditor consultant
optum healthcare
11.2015 - 08.2020
MBA - Business Administration And Management
University of Phoenix
Bachelor of Science - Business Management
University of Phoenix
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