Shelly Langworthy
Jordan,MN
Summary
Encouraging leader and analytical problem-solver with talents for team building, leading and motivating, and excellent relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact success. Dedicated to applying training, monitoring, and morale-building abilities to enhance employee engagement and boost performance.
Overview
5
5
years of professional experience
Work History
Sr. Recovery Rep, Technical Appeal Writer
Mayo Clinic
10.2023 - Current
- Exceeded performance targets through diligent work ethic and focus on results-driven tasks.
- Optimized workflow processes, allowing for more efficient use of resources and reduced project turnaround times.
- Streamlined internal processes for improved efficiency, reducing overall costs for the organization.
- Helped meet changing demands by recommending improvements to business systems or procedures.
- Devised and implemented processes and procedures to streamline operations.
- Utilized exceptional writing, editing, and proofreading skills to produce engaging and error-free content.
Sr. Recovery Representative
Mayo Clinic
03.2023 - 10.2023
- Managed and distributed daily work to a team of six nurses.
- Created processes for the revenue cycle to move into automated processing.
- Collaborate with other teams’ members to resolve processing errors.
- Create, compose, and deliver quality written appeals.
- Cross-trained existing employees to maximize team agility and performance.
- Streamlined workflows by identifying bottlenecks in existing systems and implementing appropriate solutions.
- Oversaw work management
- Led cross-functional teams to achieve project goals, fostering collaboration and innovation.
Enterprise Appeals Specialist
Mayo Clinic
03.2021 - 03.2023
- Collaborated closely with other team members to resolve large volumes of appeals on a timely basis.
- Collaborated with providers and team members from other departments to facilitate strong appeals
- Acted as a departmental resource on appeals matters.
- Managed high-stress situations with professionalism, ensuring that appeals were handled promptly and accurately even under tight deadlines or heavy caseloads.
- Achieved successful appeal outcomes by meticulously reviewing and analyzing claim denials, identifying errors, and presenting persuasive arguments.
- Developed appeals functions, policies and procedures and documentation.
- Streamlined data management processes by maintaining organized records of all appeal cases, tracking progress, and updating relevant parties as needed.
- Created, composed and maintained appeal response templates.
Operations Analyst I
Mayo Clinic
01.2020 - 03.2021
- Optimized operational efficiency by analyzing and streamlining processes.
- Improved team productivity by implementing effective workflow strategies and time management techniques.
- Managed multiple projects simultaneously, delivering results within tight deadlines while maintaining high-quality standards.
- Assessed operational performance to identify areas for improvement.
- Supported supervisor and associated team members to maintain system functionality.
- Assisted in the development of operational policies and procedures that aligned with organizational goals and objectives.
- Identified inefficiencies in current systems, recommending adjustments that resulted in increased productivity levels.
Education
Associate of Arts - Dental Assisting
Mankato Technical College
North Mankato, MN08.2001
Associate of Applied Science - Health Information Technology
Rasmussen College
Mankato, MN09.2017
BBA - Business Administration And Management
Minnesota State University, Mankato
Mankato, MN05-2025
Skills
- Team leadership
- Decision-making
- Time management
- Verbal and written communication
- Complex Problem-solving
- Staff training and development
- Documentation and reporting
- Relationship building
- Cross-functional teamwork
- Staff development
Timeline
Sr. Recovery Rep, Technical Appeal Writer
Mayo Clinic
10.2023 - Current
Sr. Recovery Representative
Mayo Clinic
03.2023 - 10.2023
Enterprise Appeals Specialist
Mayo Clinic
03.2021 - 03.2023
Operations Analyst I
Mayo Clinic
01.2020 - 03.2021
Associate of Arts - Dental Assisting
Mankato Technical College
Associate of Applied Science - Health Information Technology
Rasmussen College
BBA - Business Administration And Management
Minnesota State University, Mankato
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