Rachelle Pedersen
East Wenatchee,WA
Summary
Highly organized and possessing strong communication skills. Demonstrated professional maturity and emotional resilience. Attention to detail and ability to maintain quality standards. Effective multitasking and adaptability to challenges. Proven ability to meet commitments, negotiate resolutions, and deliver high-quality results. Excel at working cohesively with others as a team. Successful experience as a Team Lead for Covid-19 investigators and the Community Outreach Team. Comfortable and efficient working from home, maintaining productivity while working independently.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Pend Specialist, Pend & Collection Operations
United Health Group
02.2023 - 05.2023
- Responsible for ongoing management of Collector pends to drive quality improvement
- 100% Remote work from home position
- Primary Responsibilities:
- Coordinate and perform medical record collection (fax or mail) to support HEDIS activities
- Outreach to provider offices to support timely and complete medical record retrieval during production season
- Educate providers on medical records review criteria, to drive quality improvement
- Exhibit creative problem-solving skills, adapting approach as needed for each engagement
- Demonstrate adaptability in a highly changing environment, quickly shifting focus as priorities change
- Perform member and provider level research to resolve pends in various applications and claims systems
- Succeeded in surpassing HEIDIS season 2023's goal in number of health charts acquired.
Lead Investigator
Maui District Department of Health
05.2020 - 10.2022
- Duties included: Lead a team of Covid-19 investigators in interviewing cases of Covid-19 and data collection for state dashboard
- Lead team of Community Outreach workers, providing up-to-date information regarding policy building and infectious disease education
- Created and presentations to community stakeholders regarding public health and policy building
- Conducted team evaluations and data quality checks
Office Assistant
Maui Economic Opportunity
01.2019 - 02.2020
- Duties include organizing and updating case files for early childhood education centers
- Delivered supplies to local childcare centers
- Created educational packets
- Succeeded in organizing all student files for the 10 different daycare locations.
- Reported inventory
Lead Trainer
Bubba Gump Shrimp Co.
01.2017 - 01.2020
- Developed and delivered up-to-date training information to boost employee efficiency
- Created training schedules for numerous trainees
- Monitored training effectiveness through observation and analysis
- Providing customer service by waitressing and demonstrating appreciation in all customer, team and manager interactions
- Accomplished all server duties, training duties, and creating new training program and Implementation
Education
Communtity Health Worker Certification - Public Health
Kapi'olani Community College
Kapiolani, HI01.2020
Associate Of Arts And Sciences -
Maui Community College
Kahului01.2009
Skills
- Documentation management
- Management collaboration
- Technical communication
- Team collaboration
- Stakeholder engagement
- Coaching and mentoring
- Self motivation
- Task prioritization
- Excellent communication
- Relationship building
- Team building
- Project planning
- Team leadership
Community
- Hawaii Public Health Institute, 2020
- Maui District Department of Health, 2020
- Medical Corp. Maui, 2020
- Maui Economic Opportunity Inc., 2019
Certification
Kapiolani Community College-
Community Health Worker Certificate
Timeline
Pend Specialist, Pend & Collection Operations
United Health Group
02.2023 - 05.2023
Lead Investigator
Maui District Department of Health
05.2020 - 10.2022
Office Assistant
Maui Economic Opportunity
01.2019 - 02.2020
Lead Trainer
Bubba Gump Shrimp Co.
01.2017 - 01.2020
Kapiolani Community College-
Community Health Worker Certificate
Communtity Health Worker Certification - Public Health
Kapi'olani Community College
Associate Of Arts And Sciences -
Maui Community College
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