Paul Egwuonwu
Richmond,Texas
Summary
At United Health Care Global, I excelled as an Insurance Agent, enhancing HEDIS data accuracy and compliance, and leading improvements in healthcare documentation and processes. Skilled in CRM software and customer service, I spearheaded training for data validation, significantly boosting data quality and efficiency. My expertise in client assessment and proactive problem-solving underpins my track record of success.
Overview
1
1
year of professional experience
Work History
HEDIS Overreader
United Health Care Global
Houston, TX
01.2023 - 05.2023
- Verified the precision and comprehensiveness of HEDIS data elements, ensuring alignment with quality measures and regulations.
- Identified discrepancies, coding errors, and gaps in documentation, offering valuable recommendations for enhancement.
- Conducted thorough evaluations of HEDIS data, encompassing medical records, claims, and pertinent documentation.
- I have experience with various tools, like Cotiviti and Optum, for data analytics.
- Led regular training sessions for HEDIS abstractors, offering guidance on best practices for data collection and validation.
HEDIS Overreader
Molina Healthcare
Illinois, Chicago
02.2022 - 05.2022
- Assisted with the development and implementation of policies and procedures related to HEDIS compliance.
- Maintained up-to-date knowledge of all applicable regulations, guidelines, and accreditation requirements pertaining to HEDIS measures.
- Conducted outbound calls to providers in order to obtain additional information needed for accurate reporting of HEDIS measure results.
- I have experience with various tools, like Cotiviti and Optum, for data analytics.
Education
Bachelor of Science - Computer And Information Systems
East Tennessee State University
Johnson City, TN05-2024
Skills
- Customer follow-up
- Customer service
- Health insurance
- CRM software
- Familiarity with Optum tool
- Experience with Cotiviti
Timeline
HEDIS Overreader
United Health Care Global
01.2023 - 05.2023
HEDIS Overreader
Molina Healthcare
02.2022 - 05.2022
Bachelor of Science - Computer And Information Systems
East Tennessee State University
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