Summary
Overview
Work History
Education
Skills
Websites
Accomplishments
References
Timeline
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NATALIE FISHER, MBA

Harvest,United States

Summary

Experienced Project Management Specialist with a track record of successfully collaborating with teams to achieve short- and long-term project objectives. Skilled at managing budgets and closely monitoring project costs for optimal resource allocation. With 12+ years of healthcare corporate experience, highly dedicated and consistently exceeds company goals in a team-oriented setting. Recognized for performing under pressure and adapting quickly to new situations and unexpected changes.

Overview

10
10
years of professional experience

Work History

Senior Business Project Specialist III

Optum
Eden Prairie, MN
10.2023 - Current
  • Managed multiple projects simultaneously, ensuring timely completion and high-quality output.
  • Established clear lines of communication between all parties involved in projects, preventing misunderstandings or miscommunications from jeopardizing outcomes.
  • Improved project efficiency by streamlining communication and collaboration among team members.
  • Maintained detailed documentation of project progress, facilitating smooth handovers and seamless transitions between phases.
  • Presented regular status updates to 45 stakeholders bi-weekly, keeping them informed of progress toward established milestones.
  • Collaborated with stakeholders to define project scope, goals, and deliverables, ensuring alignment with business objectives.
  • Coordinated cross-functional teams to achieve project objectives and meet deadlines.
  • Streamlined document management processes, ensuring easy access to critical project information.
  • Enhanced team collaboration by implementing weekly status meetings and open communication channels.
  • Optimized resource allocation, resulting in cost savings and more efficient project execution.
  • Led stakeholder meetings to align project goals with business objectives, fostering stronger stakeholder relationships.

INSURANCE MANAGER

The Riley Center
Huntsville, Alabama
07.2022 - 10.2023
  • Leads projects as a manager while preparing cash ow projections, cost analysis and monthly, quarterly, and annual financial reports
  • Produce financial reports, balance sheets and income statements to internal and external stakeholders
  • Ensure program nances are tracked and remain on budget throughout the process
  • Responsible for performing data analytics in support of trend identification, program development, appropriate use of analytic tools, and validation through collaboration with other teams/departments within the facility
  • Help track projects and their timelines, including relevant data and records
  • Help assist Public Relations Specialist with grant identifications, preparations, and tracking
  • Facilitated in-person and online meetings and workshops
  • Create well written and spoken discussions for various presentations, emails, and live meetings
  • Provide client claims, review historical records and operational data to predict forecasting to capitalize on enhancements
  • Responsible for recruiting, interviewing, hiring, and training 8 employees
  • Responsible for task management and deliverables
  • Provide positive feedback and encourage positive engagement with each individual team member
  • Daily use of tools to analyze and audit accounts to ensure compliance within the organization for the financial data and to draw conclusions from data received form reports.
  • Collaborated with cross-functional teams to develop new insurance products tailored to specific target markets.

PRECERTIFICATION SPECIALIST

Huntsville Hospital
Huntsville, Alabama
07.2021 - 07.2022
  • Analyzed trends in denials or authorization delays to identify opportunities for improvement within the precertification department.
  • Maintained strict adherence to HIPAA regulations by safeguarding confidential patient information during all aspects of the precertification process.
  • Ensures claims are led in proper timing to insurance payors
  • Once claims are verified of no issues, payments are reconciled and sent to clients for their review and payment
  • Responsible for obtaining prior authorizations for inpatient, outpatient, diagnostic procedures, and elective procedures for 6 physician offices
  • (Including St Jude Affiliate Clinic in Huntsville, AL) Proficient with EPIC, CERNER, Central Reach, and Tableau
  • Received payments from patients for services upfront and collection on the back end
  • Coordinated referrals for insurances, and medical specialist and placed in patient's EMR's
  • Including: data entry skills, copy and fax machine, telephone, speaking with patients with various cultures and backgrounds

INSURANCE VALIDATION

CRESTWOOD MEDICAL CENTER
Huntsville, Alabama
02.2020 - 08.2020

Responsible for obtaining prior authorizations for inpatient, outpatient, diagnostic procedures, and elective procedures for 6 physician offices

  • (Including St Jude Affiliate Clinic in Huntsville, AL) Proficient with EPIC, CERNER, Central Reach, and Tableau
  • Received payments from patients for services upfront and collection on the back end
  • Coordinated referrals for insurances, and medical specialist and placed in patient's EMR's
  • Ensured office duties were performed correctly
  • Including: data entry skills, copy and fax machine, telephone, speaking with patients with various cultures and backgrounds
  • Proficient with written and verbal communication skills.

PRE REGISTRATION SPECIALIST

Baptist Memorial Health Care
Columbus
05.2014 - 01.2020
  • Worked with clinical staff, coding coordinators, and billing department to resolve patient inquiries, billing, and coding questions
  • Spoke with 100+ people a day to pre-register them for inpatient and outpatient services
  • Reported compliance issues regarding coding, transcription, and patient confidentiality
  • Verified insurance benefits and obtained prior authorizations for upcoming procedures for patients
  • Safeguarded patient records while following document protocols set forth
  • HIPAA Certified, ICD-9 certification, 60+ wpm typing, and administrative duties carried out
  • Communicated openly with patients and various departments within the organization
  • Applied administrative knowledge to everyday tasks
  • Created, organized, stored, and retrieved patient's medical records
  • Paid extreme attention to detail
  • Recommend service improvements based on complaints and issues that arose

Education

MBA - Business Administration And Management

Mississippi University For Women
Columbus, MS
07.2023

BBA - Business Administration

Mississippi University For Women
Columbus, MS
05.2022

Skills

  • Business Administration
  • Project Management
  • Work Planning and Prioritization
  • Scope Definition
  • Documentation Management
  • Business Relationship Management
  • Compliance Specialist
  • Auditing and Claims Management
  • A/P and A/R
  • Microsoft Office, Microsoft SharePoint, Microsoft Outlook Calendar tools, Microsoft Word, Excel, PowerPoint, and QuickBooks
  • Excellent Attention to Detail

Accomplishments

  • May 2023 OVERALL OUTSTANDING STUDENT Mississippi University for Women
  • May 2023 MBA SCHOLAR Mississippi University for Women

References

  • JOMARIA SMITH, Supervisor, (256)797-2768
  • SANDRA HILL, Supervisor, (662)361-8110
  • ELIZABETH LEACH, Former Classmate, (601)214-9972
  • ROBBYE REYNOLDS, Coworker, (256)426-2520

Timeline

Senior Business Project Specialist III

Optum
10.2023 - Current

INSURANCE MANAGER

The Riley Center
07.2022 - 10.2023

PRECERTIFICATION SPECIALIST

Huntsville Hospital
07.2021 - 07.2022

INSURANCE VALIDATION

CRESTWOOD MEDICAL CENTER
02.2020 - 08.2020

PRE REGISTRATION SPECIALIST

Baptist Memorial Health Care
05.2014 - 01.2020

MBA - Business Administration And Management

Mississippi University For Women

BBA - Business Administration

Mississippi University For Women
NATALIE FISHER, MBA