Sharmell Karikari
Fort Worth
Summary
Dependable professional with track record of success in field, attention to detail and proactive mindset. Seeks opportunities to improve processes and workflows for team benefit. Conscientious, hardworking and excels at multitasking in fast-paced environments.
Overview
12
12
years of professional experience
4
4
years of post-secondary education
Work History
Business Operations Specialist
The Judge Group
Fort Worth
07.2025 - 04.2026
- Collected Medical records for Health Insurance Chart Review.
- Contacted providers, hospitals and/or clinical staff to schedule Medical records retrieval, set commitments for information return, and explained options for completing and transmitting information.
- Responsible for provider outreach and Quality Assurance (QA) which functioned in support of Provider Claim Review (PCR), RADV, HEDIS and/or Provider Not Participating (PNP) team.
- Interfaced with provider offices to deliver results based off a chart review that was conducted: included outbound calling and educating providers on the reasons for the project.
- Developed and managed on-going relationships with providers to reduce provider abrasion and drive program participation.
- Facilitated meetings with customers and internal team members to communicate project updates.
Senior Business Analyst
Optum
07.2021 - 12.2024
- Oversees the breakdown of complex business requirements into manageable solutions, solved complex technical problems, interface with multiple teams and supported the delivery of solutions in a successful and timely manner.
- Facilitated the capturing and prioritization of project requirements.
- Worked closely within requirement gathering, testing, training and support.
- Managed project scope and the change control process as appropriate.
- Evaluated issues, trends, areas for improvement and opportunities, reports findings to management.
- Conducted gap analysis and data validation, identifying potential issues in data submission.
- Experience in MSSQL; Coordinate with team to manage multi-instance SQL Server environment, drive improvement to database systems and processes.
- Assisted in implementing quality measure reporting and analytic solutions.
- Documented and supported best practices in data product development and adhere to HIPPA, Privacy and security guidelines.
Revenue Cycle Supervisor - Pre Reg Department
Northwell
New Hyde Park
10.2018 - 07.2021
- Supervised 27 employees that directly report to me. Supervisor duties included: hiring, training, disciplining and evaluating staff; proactively reviewing productivity, staff time and attendance, payroll records, and processing time-off requests; and informing staff of changes in policies, procedures, processes, systems and regulatory laws and requirements.
- Liaised between Patient Accounts, Patient Financial Services, financial counselors, Information Systems regarding various issues that arise in the Consolidated Business Office.
- Advised senior leadership of potential systemic issues and high risk/high exposure situations and recommend solutions for resolving such issues.
- Recommended changes to departmental procedures, i.e., job aides, training resources, and workflow to promote process improvement.
- Responsible for interacting with six different hospital facilities.
- Responsible for providing self-pay rates for uninsured patients to staff, hospital facilities, and physicians' offices.
- Analyzed patient accounts to identify discrepancies and resolve issues promptly.
Patient Access Service Rep - Elective Department
Northwell
New Hyde Park
01.2015 - 10.2018
- Acted as a Liaison between doctors' offices and hospital to ensure patient billing is accurate for collections.
- Successfully completed 90-100 accounts daily for various facilities.
- Formed various relationships with physician offices, management, and departments to ensure patient excellence and care.
- Performed financial assessment and sliding fee scale assessment of patients who are uninsured and/or unable to meet their financial obligations to the hospital.
- Multitasked between six different hospitals daily to obtain vital information needed for a patient to have a successful procedure.
- Assisted in sorting of patients and different facilities according to urgency of their needs for care.
Patient Access Service Rep - Urgent Department
Northwell
New Hyde Park
07.2014 - 01.2015
- Maintained confidentiality of patient records.
- Re-verified patient's demographics, coordination of benefits and insurance information.
- Contacts insurance to obtain information necessary for billing such as benefits and authorization for urgent admissions.
- Communicated facilities collection policy and collected deductibles and co-pay obligation.
- Supported staff by representing physicians; screening and sorting mail, documents and telephone calls; arranging referrals; reporting medical reports, patient histories, operative notes and correspondences; maintained office files and patient records.
Education
Bachelor of Arts - Sociology, Pharmacy
LIU POST
Greenvale, NY 09.2009 - 05.2013
Skills
- High Proficiency in Microsoft Office - Microsoft Word, Excel, Project and PowerPoint
- EMR Systems - EPIC, Cerner, Mede Analytics, Huron and HDX
Timeline
Business Operations Specialist
The Judge Group
07.2025 - 04.2026
Senior Business Analyst
Optum
07.2021 - 12.2024
Revenue Cycle Supervisor - Pre Reg Department
Northwell
10.2018 - 07.2021
Patient Access Service Rep - Elective Department
Northwell
01.2015 - 10.2018
Patient Access Service Rep - Urgent Department
Northwell
07.2014 - 01.2015
Bachelor of Arts - Sociology, Pharmacy
LIU POST
09.2009 - 05.2013