Rene'e Knox
Taylorsville
Summary
Dynamic Process Improvement Analyst with a proven track record at Cambia Health Solutions, enhancing operational excellence through data-driven solutions and effective team collaboration. Expert in process optimization and quality management, successfully implementing initiatives that improved efficiency and resolved complex issues, while fostering a culture of continuous improvement and professionalism.
Overview
19
19
years of professional experience
Work History
Process Improvement Analyst
Cambia Health Solutions
04.2019 - 11.2024
- Collaborated with cross-functional teams to identify opportunities for process optimization, leading to more efficient systems and higher team performance.
- Implemented data-driven techniques to monitor processes, uncovering inefficiencies and areas requiring improvement.
- Conducted thorough assessments of existing processes using tools such as value stream mapping, process flow diagrams, and root cause analysis.
- Developed process improvement initiatives and analyzed problems to create corrective action strategy.
- Monitored implemented solutions, documented data and modeled trends.
- Conducted root cause analysis on recurring issues, developing corrective action plans that resulted in long-term problem resolution.
- Recommended improvements for cross-functional projects and processes.
- Improved process efficiency by analyzing workflows, identifying bottlenecks, and implementing solutions.
- Evaluated current processes to develop improvement plans.
- Produced detailed and relevant reports for use in making business decisions.
Team Leader
Cambia Health Solutions
03.2009 - 04.2019
- Empowered team members by delegating responsibilities according to individual strengths and areas of expertise.
- Developed team members'' skills through targeted coaching sessions, resulting in improved individual performance.
- Collaborated with other department leaders to establish shared goals and ensure alignment across teams.
- Enhanced team productivity by implementing efficient work processes and regularly reviewing performance metrics.
- Increased customer satisfaction ratings by closely monitoring service quality standards and addressing any issues promptly.
- Provided ongoing support to direct reports, addressing concerns or questions promptly so they could remain focused on their tasks.
- Facilitated decision-making processes within group through open dialogue and consensus-building techniques.
- Improved operational workflows, enabling team to handle increased workloads without compromising quality.
- Evaluated staff performance and provided coaching to address inefficiencies.
- Collected, arranged, and input information into database system.
- Generated reports detailing findings and recommendations.
Claims Processor
Cambia Health Solutions
03.2006 - 03.2009
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- Collaborated with cross-functional teams to resolve complex claims issues efficiently and effectively.
- Utilized specialized software to process incoming claims, enter data and generate reports.
- Maintained strict confidentiality when dealing with sensitive information about patients'' medical histories or personal details.
- Developed and implemented quality assurance processes to check accuracy of claims processing.
- Reduced backlog of pending claims, prioritizing tasks effectively and efficiently.
- Supported team members in achieving their personal and professional goals, fostering collaborative and supportive work environment.
- Checked documentation for accuracy and validity on updated systems.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Education
High School Diploma -
Elk Grove Highscool
Elk Grove, CA06.1988
Skills
- Customer experience
- Team collaboration
- Operational excellence
- Recordkeeping skills
- Quality controls
- Workflow improvements
- Process optimization
- Departmental collaboration
- Process improvement solutions
- Maintaining records
- Quality management systems
- Business process analysis
- Problem-solving
- Organizational skills
- Effective communication
- Task prioritization
- Interpersonal skills
- Professionalism
- Time management abilities
- Adaptability
- Process improvement
Timeline
Process Improvement Analyst
Cambia Health Solutions
04.2019 - 11.2024
Team Leader
Cambia Health Solutions
03.2009 - 04.2019
Claims Processor
Cambia Health Solutions
03.2006 - 03.2009
High School Diploma -
Elk Grove Highscool
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