S. Michelle Minor-Petermann
Pflugerville,TX
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
9
9
years of professional experience
Work History
Team Lead
Walmart SuperCenter
07.2021 - Current
- Maintain the sales floor and merchandise presentation by meticulously zoning the area, ensuring all merchandise is stocked, arranged, and organized in a way that is both visually appealing and functional.
- Detect signs of shrinkage or damage and take appropriate measures to address them, while also ensuring that fragile and high-shrink items are handled and displayed securely to reduce further loss.
- Complete work assignments effectively by leveraging a mix of policies, data, and resources. Prioritize tasks from most to least important, manage inventory, meet deadlines, and tackle unexpected duties.
- Report progress to leadership and address performance indicators and opportunities for improvement. Coach team members in techniques necessary to complete job tasks.
- Serve as a role model for the team by demonstrating commitment to excellence, professionalism, and adherence to company values at all times.
- Collaborate with other department leads to streamline workflows, improve interdepartmental coordination, and achieve business goals collectively.
Electronic Visit Verification ANALYST
Texas Medicaid & HealthCare Partnership
01.2020 - 01.2022
- Aimed to deliver comprehensive support and be a point of contact if additional questions, concerns, or issues arise.
- During system updates and policy changes, outreach was conducted for affected providers to train, educate, discuss, and compare current compliance and state regulatory policies with previous standards and policies.
- Assisted with system walk-throughs, including submitting electronic claims and access requests, navigating the providers through colorful guides and how-to wikis, and locating valuable contacts and additional literature
- Streamlined the verification process for improved efficiency and reduced turnaround times.
- Enhanced data accuracy by diligently reviewing and verifying financial documents.
- Addressed concerns, answered questions, and encouraged clients to contact our team for additional assistance during the transition.
Sr. Customer Service & Helpdesk analyst
Texas Medicaid & HealthCare Partnership
04.2015 - 10.2020
- Assisted healthcare providers by streamlining their access to the Texas Medicaid Healthcare Partnership portal. This included navigating the new claims entry process, managing claim voids and appeals, resetting passwords, and offering support for online guides, explanations of benefits, Electronic Data Interchange (EDI) handbooks, rejection codes, and agreement forms.
- Verified procedure codes and conducted thorough dental, vision, and medical history checks to ensure patients were eligible for specific procedures.
- Supplied our vendors and providers with the details for Electronic Funds Transfer (EFT), clarifying the payment amounts and the rationale for any payment recoupments.
- Assisted providers with approved, denied, and pending authorizations and paperwork required for continued authorization review.
- Used analytical skills to predict, identify, and evaluate complicated and multifaceted issues and examined potential areas for enhancement in our team's processes.
- Comprehensively understood day-to-day business objectives and was proficient in using various systems and procedures to carry out responsibilities effectively.
Education
Bachelor of Science - Business Management And Leadership
Bellevue University
Bellevue, NE06.2024
Associate of Science - Graphic Design
Southeast College & Technology
New Orleans, LA10.1999
Skills
- Resourceful and organized
- Adaptable and determined in acquiring new skills
- Patient, though expedient
- Attentive to details while understanding the broader context
- Effective communication encompasses written, verbal, and non-verbal forms
- Skilled in software systems
- Thrives in a dynamic, fast-paced setting
- Relatable, understands peripheral motivations
- Attention to Detail
- Problem-Solving
- 20 years of customer service skills
- Coaching and Mentoring
Timeline
Team Lead
Walmart SuperCenter
07.2021 - Current
Electronic Visit Verification ANALYST
Texas Medicaid & HealthCare Partnership
01.2020 - 01.2022
Sr. Customer Service & Helpdesk analyst
Texas Medicaid & HealthCare Partnership
04.2015 - 10.2020
Bachelor of Science - Business Management And Leadership
Bellevue University
Associate of Science - Graphic Design
Southeast College & Technology