Summary
Overview
Work History
Education
Skills
Timeline
Generic

Sky Whisonant

Virginia Beach,VA

Summary

With a proven track record at Elevance Health, I excel in data analysis and financial recovery, enhancing operational efficiency by over 30%. My expertise in process improvement strategies and strong teamwork abilities have driven successful project outcomes and fostered effective collaborations.

Overview

8
8
years of professional experience

Work History

Senior Business Information Analyst

Elevance Health
05.2023 - Current
  • Database Management: Created and maintained databases to track business performance.
  • Data Analysis: Analyzed data and summarized performance using summary statistical procedures.
  • Report Development: Developed and analyzed business performance reports (e.g., claims data, provider data, utilization data), providing notations of performance deviations and anomalies.
  • Report Publishing: Created and published periodic reports, as well as any necessary ad hoc reports.
  • Business Support Tools: Devised diagnostics and tracking data to translate business requirements into usable decision support tools, making recommendations based on data analysis.
  • Roster Automation: Processed rosters via Roster Automation Tool and updated SPS with received provider and organization rosters.
  • System Maintenance: Handled large-scale terminations and reinstatements.
  • Collaboration: Collaborated on Business Rules for CT, CO, VA, MD, GA, IN, NJ, NY, WV.
  • System Enhancements: Submitted JIRA tickets for system enhancements and observations.

Financial Operations Recovery Lead

Elevance Health
08.2021 - 05.2023
  • Claims Auditing: Audited paid claims for overpayments using various techniques, including systems-based queries and specialized reporting.
  • Customer Interaction: Interacted with staff and management across various departments to ensure high-quality customer satisfaction.
  • Vendor and Data Management: Collaborated with external vendors and internal data mining teams to validate overpayments and vendor invoices, and provided feedback to modify queries as needed.
  • Contractual Issue Resolution: Worked closely with management to identify and correct contractual issues.
  • Complex Case Resolution: Handled complex case research and resolution.
  • Collection Activities: Performed collection activities to ensure recovery of overpayments and managed unprocessed cash and accounts receivables.
  • Special Projects: Assisted in special projects aimed at finding and preventing overpayments or identifying process improvements, completing them with minimal supervision.
  • Refund Research: Researched voluntary refunds for accuracy and accurately balanced all accounts.
  • Training and Development: Trained and provided ongoing training to new and current associates.
  • Quality Auditing: Assisted with collecting samples each month from Recovery Specialists to audit for quality.
  • Work Distribution: Distributed work to staff and supported management in maintaining inventory reports.
  • Inquiry Handling: Handled WGS Inquiry IQT inquiries.
  • Process Implementation: Created and implemented new team processes.
  • Time Tracking: Created reports to track associates’ exception time.
  • Recruitment and Mentoring: Recruited, interviewed, hired, and trained multiple employees, and implemented a mentoring program to promote positive feedback and engagement.
  • Escalation Management: Managed over 100 high-level escalations related to refund checks received from providers and vendors.
  • Operational Improvement: Improved operations through consistent hard work and dedication.
  • Relationship Building: Developed and maintained courteous and effective working relationships.
  • Daily Operations Management: Oversaw daily operations to ensure high levels of productivity.

Financial Ops Recovery Process Specialist

Elevance Health
11.2019 - 08.2021
  • Claims Auditing: Audited paid claims for overpayments using various techniques, including systems-based queries and specialized reporting.
  • Customer Interaction: Interacted with staff and management across various departments to ensure high-quality customer satisfaction.
  • Vendor and Data Management: Collaborated with external vendors and internal data mining teams to validate overpayments and vendor invoices, and provided feedback to modify queries as needed.
  • Contractual Issue Resolution: Worked closely with management to identify and correct contractual issues.
  • Complex Case Resolution: Handled complex case research and resolution.
  • Collection Activities: Performed collection activities to ensure recovery of overpayments and managed unprocessed cash and accounts receivables.
  • Special Projects: Assisted in special projects aimed at finding and preventing overpayments or identifying process improvements, completing them with minimal supervision.
  • Refund Research: Researched voluntary refunds for accuracy and accurately balanced all accounts.
  • Training and Development: Trained and provided ongoing training to new and current associates.
  • Quality Auditing: Assisted with collecting samples each month from Recovery Specialists to audit for quality.
  • Work Distribution: Distributed work to staff and supported management in maintaining inventory reports.
  • Inquiry Handling: Handled WGS Inquiry IQT inquiries.
  • Process Implementation: Created and implemented new team processes.
  • Time Tracking: Created reports to track associates’ exception time.
  • Recruitment and Mentoring: Recruited, interviewed, hired, and trained multiple employees, and implemented a mentoring program to promote positive feedback and engagement.
  • Escalation Management: Managed over 100 high-level escalations related to refund checks received from providers and vendors.
  • Operational Improvement: Improved operations through consistent hard work and dedication.
  • Relationship Building: Developed and maintained courteous and effective working relationships.
  • Daily Operations Management: Oversaw daily operations to ensure high levels of productivity.

Financial Recovery Specialist III

Elevance Health
06.2018 - 11.2019
  • Claims Auditing: Audited paid claims for overpayments using various techniques, including systems-based queries and specialized reporting.
  • Customer Interaction: Interacted with staff and management across various departments to ensure high-quality customer satisfaction.
  • Vendor and Data Management: Collaborated with external vendors and internal data mining teams to validate overpayments and vendor invoices, and provided feedback to modify queries as needed.
  • Contractual Issue Resolution: Worked closely with management to identify and correct contractual issues.
  • Complex Case Resolution: Handled complex case research and resolution.
  • Collection Activities: Performed collection activities to ensure recovery of overpayments and managed unprocessed cash and accounts receivables.
  • Special Projects: Assisted in special projects aimed at finding and preventing overpayments or identifying process improvements, completing them with minimal supervision.
  • Refund Research: Researched voluntary refunds for accuracy and accurately balanced all accounts.
  • Training and Development: Trained and provided ongoing training to new and current associates.
  • Quality Auditing: Assisted with collecting samples each month from Recovery Specialists to audit for quality.
  • Work Distribution: Distributed work to staff and supported management in maintaining inventory reports.
  • Inquiry Handling: Handled WGS Inquiry IQT inquiries.
  • Process Implementation: Created and implemented new team processes.
  • Time Tracking: Created reports to track associates’ exception time.
  • Recruitment and Mentoring: Recruited, interviewed, hired, and trained multiple employees, and implemented a mentoring program to promote positive feedback and engagement.
  • Escalation Management: Managed over 100 high-level escalations related to refund checks received from providers and vendors.
  • Operational Improvement: Improved operations through consistent hard work and dedication.
  • Relationship Building: Developed and maintained courteous and effective working relationships.
  • Daily Operations Management: Oversaw daily operations to ensure high levels of productivity.

Financial Recovery Specialist I

Elevance Health
03.2017 - 06.2018
  • Claims Auditing: Audited paid claims for overpayments using various techniques, including systems-based queries and specialized reporting.
  • Customer Interaction: Interacted with staff and management across various departments to ensure high-quality customer satisfaction.
  • Vendor and Data Management: Collaborated with external vendors and internal data mining teams to validate overpayments and vendor invoices, and provided feedback to modify queries as needed.
  • Contractual Issue Resolution: Worked closely with management to identify and correct contractual issues.
  • Complex Case Resolution: Handled complex case research and resolution.
  • Collection Activities: Performed collection activities to ensure recovery of overpayments and managed unprocessed cash and accounts receivables.
  • Special Projects: Assisted in special projects aimed at finding and preventing overpayments or identifying process improvements, completing them with minimal supervision.
  • Refund Research: Researched voluntary refunds for accuracy and accurately balanced all accounts.
  • Training and Development: Trained and provided ongoing training to new and current associates.
  • Quality Auditing: Assisted with collecting samples each month from Recovery Specialists to audit for quality.
  • Work Distribution: Distributed work to staff and supported management in maintaining inventory reports.
  • Inquiry Handling: Handled WGS Inquiry IQT inquiries.
  • Process Implementation: Created and implemented new team processes.
  • Time Tracking: Created reports to track associates’ exception time.
  • Recruitment and Mentoring: Recruited, interviewed, hired, and trained multiple employees, and implemented a mentoring program to promote positive feedback and engagement.
  • Escalation Management: Managed over 100 high-level escalations related to refund checks received from providers and vendors.
  • Operational Improvement: Improved operations through consistent hard work and dedication.
  • Relationship Building: Developed and maintained courteous and effective working relationships.
  • Daily Operations Management: Oversaw daily operations to ensure high levels of productivity.

Education

MBA - Business Administration

Liberty University
Lynchburg, VA
12-2015

Skills

  • Decision-making support
  • Time Management Capabilities
  • Process improvement strategies
  • Financial Analysis Competence
  • Data Quality Management
  • Data Analysis Expertise
  • Project management abilities
  • Effective communication abilities
  • Teamwork and Collaboration
  • Problem-solving abilities
  • Attention to Detail

Timeline

Senior Business Information Analyst

Elevance Health
05.2023 - Current

Financial Operations Recovery Lead

Elevance Health
08.2021 - 05.2023

Financial Ops Recovery Process Specialist

Elevance Health
11.2019 - 08.2021

Financial Recovery Specialist III

Elevance Health
06.2018 - 11.2019

Financial Recovery Specialist I

Elevance Health
03.2017 - 06.2018

MBA - Business Administration

Liberty University

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Sky Whisonant