Organized Payment Integrity Analyst with two years of comprehensive experience. Committed to maintaining 100% accuracy in processing invoices. Proactive and self-motivated with high degree of professionalism and strong problem-solving capabilities.
Overview
17
17
years of professional experience
Work History
Team Manager
The Rawlings Group
La Grange, KY
01.2022 - Current
Reported on updates to project specifications and progress.
Managed schedules, accepted time off requests.
Directed and supervised team of seven, engaged in payment integrity, with 17% growth month to month.
Minimized resource and time losses by addressing employee or production issue directly and implementing timely solutions.
Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.
Payment Integrity Analyst
The Rawlings Group
La Grange, KY
08.2020 - 12.2021
Reviews and audits healthcare claims to ensure claims payments coordinated properly, utilizing Medicare and Commercial primacy rules.
Resolves issues in timely fashion.
Utilizes available resources to maximize identification and recovery of overpayments.
Actively seeks to identify process improvements to increase workflow efficiency.
Increased invoicing by 14%, month to month.
Lead Analyst
Signature HealthCARE
Louisville, KY
01.2019 - 07.2020
Evaluated current processes to develop improvement plans.
Reviewed internal systems and organized training plans to address areas in need of improvement.
Gathered employee data to develop work schedules, enabling proper staffing for departments for each shift.
Managed over 60 customer calls per day.
Desktop Support Technician
Signature HealthCARE
Louisville, KY
10.2018 - 01.2019
Responded to over 50 support requests from end users and patiently walked individuals through basic troubleshooting tasks
Assessed system hardware and software and suggested modifications to reduce lag time and improve overall speed
Created support documentation that empowered and enabled user community to extend skills, leverage system features and find resolutions to questions without intervention from support team
Configured hardware, devices and software to set up work stations for employees
Help Desk Support Technician
CompuCom
Louisville, KY
07.2017 - 10.2018
Learned and maintained in-depth understanding of product information, providing knowledgeable responses to diverse questions
Resolved over 50 customer issues per shift by researching and exploring answers, implementing solutions and escalating unresolved problems next level support
Achieved customer satisfaction rating of 98%
Trained 10 new hires to process calls, creating tickets in ServiceNow, and how to follow escalation path
Military Police
United States Army
Louisville, KY
11.2003 - 11.2015
Implemented established protocols, upholding all safety standards through project completion.
Managed logbooks and controlled building entrances and exits for 50 events, providing security presence for over 5,000 people.
Education
Bachelor of Science - Organizational Leadership And Learning
University of Louisville
Louisville, KY
2024
High School Diploma -
Shelby County High School
Shelbyville, KY
06.2003
Skills
Confident
Communicative
Attention to detail
Problem-solver
Innovative
Team player
Organized
Resilient and self-disciplined
Timeline
Team Manager
The Rawlings Group
01.2022 - Current
Payment Integrity Analyst
The Rawlings Group
08.2020 - 12.2021
Lead Analyst
Signature HealthCARE
01.2019 - 07.2020
Desktop Support Technician
Signature HealthCARE
10.2018 - 01.2019
Help Desk Support Technician
CompuCom
07.2017 - 10.2018
Military Police
United States Army
11.2003 - 11.2015
Bachelor of Science - Organizational Leadership And Learning
Asst Vice President (Manager) – Financial Reporting Team at Apex Fund Service LtdAsst Vice President (Manager) – Financial Reporting Team at Apex Fund Service Ltd