Successful customer/claims consultant business professional with a demonstrated track record in consulting. Exceptional program, team, and project manager. Skilled at mentoring staff, integrating ideas, and customizing approaches to support specific means and goals.
Overview
11
11
years of professional experience
Work History
Contract Consultant
Progressive Insurance
03.2017 - Current
Prepared annual budgets with controls to prevent overages.
Led restructuring of organization internal processes, resulting in improved performance.
Devised processes to boost long-term business success and increase profit levels.
Established and maintained relationships with key stakeholders for growth opportunities and successful partnerships.
Evaluated suppliers to maintain cost controls and improve operations.
Developed complete business plans and operational strategies for new and existing business.
Evaluated situations and delivered targeted solutions using various tools and resources.
Designed and implemented risk management system to identify and mitigate potential risks.
Maintained overall safe work environment with employee training programs and enforcement of safety procedures.
Evaluated staff performance and provided coaching to address inefficiencies.
Educated staff on organizational mission and goals to help employees achieve success.
Gathered, organized and input information into digital database.
Helped meet changing demands by recommending improvements to business systems or procedures.
Cultivated positive relationships with vendors to deliver timely and cost-effective supply of services and materials.
Observed packing operations to verify conformance to specifications.
Devised and implemented processes and procedures to streamline operations.
Provided reporting for forecast analysis and ad-hoc reporting in support of decision-making.
Supported creation of detailed, technical financial models to value potential acquisition targets.
Maintained database systems to track and analyze operational data.
Created and managed project plans, timelines and budgets.
Developed and updated tracking spreadsheets for process monitoring and reporting.
Generated reports detailing findings and recommendations.
Patient Care Services Consultant
Athens Regional Medical Center - Armc
01.2013 - 01.2016
Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
Maintained confidentiality of patient data and condition to safeguard health information.
Upheld confidentiality requirements and regulatory compliance guidelines.
Delivered excellent patient experiences and direct care.
Monitored patient health records for accuracy to meet compliance with healthcare guidelines.
Provided support and guidance to patients and families to navigate healthcare systems.
Coordinated transportation to get patients to and from medical appointments.
Assisted patients with coordinating long-term care for chronic conditions to support and manage illnesses.
Worked with patients to schedule tests and procedures.
Acted as main point of contact for patients, doctors, and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
Assisted patients with completing necessary paperwork and forms to provide healthcare facilities with essential information to bill for services.
Supported patients with necessary care during end-of-life phases by coordinating hospice care.
Performed as subject matter expert for case management processes.
Verified patient insurance eligibility and entered patient information into system.
Organized discharge planning for home care and rehabilitation care stays to ease patients' transition from hospital.
Answered incoming calls, scheduled appointments and filed medical records.
Utilized data visualization tools to effectively communicate business insights.
Upheld security and confidentiality of documents and data within area of responsibility.
Used statistical methods to analyze data and generate useful business reports.
Documented effective and replicable methods for extracting data and organizing data sources.
Developed required policies and procedures that reflected actual goals, tasks and workflows, while meeting all regulatory compliance requirements.
Worked with business intelligence software and various reports to glean insights into trends and prospects.
Designed and implemented tools to support strategic value chain optimization initiatives.
Created various Excel documents to assist with pulling metrics data and presenting information to stakeholders for concise explanations of best placement for needed resources.
Education
Bachelor of Arts - Data Science
University of Georgia
Athens, GA
05.2011
High School Diploma -
North Atlanta High School
Atlanta, GA
05.2005
Skills
Staff Mentoring
Customer Service Management
Strategy Realignment
Business Analysis
Strategic Planning
Training Proficiency
Process Improvement
Report Preparation
Usability Testing
Process Mapping
Data Formatting
Computational Design
Timeline
Contract Consultant
Progressive Insurance
03.2017 - Current
Patient Care Services Consultant
Athens Regional Medical Center - Armc
01.2013 - 01.2016
Bachelor of Arts - Data Science
University of Georgia
High School Diploma -
North Atlanta High School
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