Summary
Overview
Work History
Education
Skills
Language
Timeline
Generic

Broderick Sally

Houston,TX

Summary

Possess my ability to make independent decisions while exercising good judgement. A strong sense of customer service Traditional Medicare and Medicaid enrollment/re-enrollment experience. Familiar with NPPES, PECOS, CMS and TMHP standards and application process. Highly Experience with databases.


Professional, experienced problem-solver prepared for role. Expertise in conflict resolution, claims processing, and healthcare regulations. Strong focus on team collaboration and achieving results. Reliable, adaptable, and effective in dynamic environments. Exceptional communication, analytical, and customer service skills.

Overview

11
11
years of professional experience

Work History

Provider Resolution Specialist

United Healthcare Group
12.2016 - 08.2025
  • Assisting Providers Offices verifying eligibility/benefits.
  • Initiate and verifying Prior Authorization.
  • Providing expertise in general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims.
  • Consistently meeting established productivity, schedule adherence, and quality standards.
  • Increased provider satisfaction scores 100% by collecting and credentialing demographic updates, investigating claims and inquiries and overseeing network integrity.

Billing Support Representative

Conduent Inc
Houston, TX
06.2014 - 07.2017
  • Applied experience in company's customer service.
  • Making Outbound & Inbound calls and sales.
  • Process payments, making sales goal & incentives.
  • Providing excellent customer service.
  • Verified accuracy of accounts payable payments, resulting in 100% reduction in payment errors and check reissues.
  • Reviewed full history of past due accounts and contacted client or attorney regarding collection, implementation of payment plan or pursuit of legal remedies on unpaid accounts.
  • Conducted monthly pre-billing review and data quality analysis to verify complete accuracy of invoices delivered to customers and providers.
  • Evaluated aging reports to identify members to be included in monthly outbound collection calls.

Education

High School Diploma -

Tara High School
Baton Rouge, LA
05.2008

Associate of Science - Engineering

Texas Southern University
Houston, TX
05.2010

Skills

  • Proficiency in Windows, MS Office applications, and the Internet
  • Excellent at verbal/written communication skills
  • Manage multiple tasks and deadlines using organizational skills
  • Member enrollment
  • Provider relationship management
  • Teamwork and collaboration
  • Problem-solving skills
  • Computer skills
  • Excellent communication
  • Verbal and written communication
  • Data entry
  • Medical terminology
  • Administrative and office support
  • De-escalation techniques

Language

English Full professional proficiency

Timeline

Provider Resolution Specialist

United Healthcare Group
12.2016 - 08.2025

Billing Support Representative

Conduent Inc
06.2014 - 07.2017

High School Diploma -

Tara High School

Associate of Science - Engineering

Texas Southern University

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