SAIRA KARIM
Cincinnati,OH
Summary
Financial professional with strong analytical skills, experienced in driving business growth and supporting organizational stability through effective financial analysis. Expertise in data interpretation, financial modeling, and risk assessment, ensuring informed decision-making and strategic planning. Proficient in utilizing financial software and tools to streamline processes and enhance accuracy, now seeking a challenging role where I can leverage my diverse background and skill set, including an MBA and medical degree with ECFMG certification, coupled with extensive experience in hospital settings. Proficient in history taking, diagnosis, clinical documentation, and interpretation, I aim to apply these skills in Medical residency. I bring a strong understanding of patient needs, urgency, and effective task prioritization to the table.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Financial Analyst
Elevance
06.2021 - 12.2023
- Conducting financial analysis utilizing Excel, including 'What If' analysis and VLOOKUP, and advanced statistical software like SSRS and Tableau reporting
- Managing Financial concepts, payment processing, account balancing, delinquent account management, and client education on administrative fees
- Coordinating with sales and underwriting teams for rate setups and ensured accuracy in Financial products and associated processes.
- Supporting external audit processes, providing accurate documentation and addressing inquiries in a timely manner.
Grievance Analyst
Anthem Blue Cross Blue Shield
02.2021 - 05.2021
- Able to review, analyze and process grievance requests by the member related to Part C and D in a timely manner
- Proficient working with Facets to find out the claims/ denials and providers network status search to resolve the grievance issues
- Confident using HIPAA tools like CIRS to maintain the HIPAA confidentiality.
- Identifying and resolving problems through root cause analysis and research.
Member Service Representative II
Anthem
12.2018 - 01.2021
- Demonstrating customer service skills, such as using strong listening skills, memory retention abilities, and being able to relay information accurately, completely, and sufficiently with excellent communication skills
- Help problem solving with my colleagues, in claim handling or premium payments issues to efficiently supply to customer's needs
- Simplifying plan benefits to new members to understand copayments and coinsurance
- Exhibiting good skills in provider relations during the authorization process before inpatient service.
- Promoting a positive work environment by fostering open communication between colleagues and supervisors.
Medical Interpreter
Cincinnati Children's Hospital
05.2017 - 12.2018
- Delivering real-time, accurate oral translations and interpretations for clients
- Bridging the communication barrier between the patients and medical staff and simplifying the complex medical terminologies
- Assisting the management team to follow compliance for the best outcome for the patients
- Reducing the patient hospital stay from 12 days to average 6-7 days during my job with CCH.
- Educating healthcare providers about the importance of interpreter services and how to effectively utilize them during patient interactions.
Volunteer
Mercy Hospital
04.2024 - Current
- Streamlining patient registration processes by implementing efficient, data collection methods and reducing wait times.
- Improving patient satisfaction scores by actively addressing concerns and providing prompt assistance during the check-in process.
- Enhancing overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
- Maintaining accurate patient records, contributing to a well-organized database for seamless information access across departments.
Education
MBA - Health Care Administration
University of Cincinnati, Lindner College of Business
Cincinnati, OH08.2018
Doctor of Medicine (MD) -
ECFMG
10.2012
Skills
- Ability to using Regression Tools with What-If analysis
- Ability to effectively comprehend graphic interpretation of the data
- Analytics: IBM Watson
- Palisade Risk 75
- Global DNA: Capstone, Business Development Simulation
- Citrix, Facets, Maces
- Appeal Processing: Next Gen
- Payment & Invoice tools: Transcentra
- E portal
- SSRS
- Tableau
- Variance Analysis
- Data Interpretation
Certification
University of Cincinnati Healthcare Administration, 08/01/19
Affiliations
- UC Organizations: Women in Tech Initiative
- University of Cincinnati's Graduate Student Association
Courses Completed
- Managerial Accounting
- Finance for Managers
- Health Care Economics
- Data Analytics
- Decision Modeling
- IT management
- Leadership and MGMT
- Health Information Technology
- Operation Management
- Six Sigma Lean Operations MBA - Capstone Project
- Global DNA Simulation Capstone
References
- Sierra Ciers (Financial Operations Lead), Anthem Blue Cross Blue Shield, 513 400 1378, Ciers123@yahoo.com
- Caroline McLaurin (Financial analyst), Anthem Blue Cross Blue Shield, 513 400 1378, mclaurinca@gmail.com
- Melissa Pieper (Manager Customer Service), Anthem Blue Cross Blue Shield, 920 602 1793, melissa.pieper@anthem.com
MBA - CAPSTONE
- During My Capstone project I lowered company costs 13 % through accurate financial modeling, budgeting, process improvement. I focused on market segments and advertising to attain highest market share.
- Applied all accounting and finance concepts to achieve maximum market share from forecasting sales, marketing strategies and inventory management. Attained maximum Profit margin by managing accounts receivable, in a timely manner that lowered the cost and contributed to the total revenues.
- Understood ledgers, Accounts payable, Balance sheet and financial statements for the company, I received the highest Return On Assets [ROA]among other competitors. My finance courses on Market capitalization and investments helped to eliminate long term loans to build more cash on hands
Timeline
Volunteer
Mercy Hospital
04.2024 - Current
Financial Analyst
Elevance
06.2021 - 12.2023
Grievance Analyst
Anthem Blue Cross Blue Shield
02.2021 - 05.2021
Member Service Representative II
Anthem
12.2018 - 01.2021
Medical Interpreter
Cincinnati Children's Hospital
05.2017 - 12.2018
Doctor of Medicine (MD) -
ECFMG
MBA - Health Care Administration
University of Cincinnati, Lindner College of Business
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