Stacee Outen
Sharon Hill,PA
Summary
I have had over 12 years of experience in the healthcare industry, specifically the corporate side of it. My area of expertise is within data and business analysis. I have extensive knowledge in Microsoft Word, Excel, Access, PowerPoint, Windows Operating Systems, Typing, and Keystroke. I have knowledge of medical terminology and systems including diagnosis codes, procedure codes and CPT codes.
Overview
23
23
years of professional experience
Work History
Direct Care Worker
Lincoln Healthcare
Conshohocken, Pa
12.2015 - 03.2023
- Responsible for assisting consumer with daily activities
- Preparing meals for consumer
- Remind consumer to take medication and any appointments
- Accompany to appointments.
Business Analyst
Hewlett Packard
Newark, DE
01.2013 - 10.2013
- Define system changes based on both user needs and understanding current functionality obtained through research
- Act as a liaison between client and technical solutions/support groups, using advanced communication skills to gather, document, analyze and validate client requirements
- Create and validate test plans and user/system documentation
- Consider the business implications of the application of technology to the current and future business environment
- Work with Medicaid Management Information Systems and other lines of businesses.
Executive Assistant
System 4
Exton, PA
01.2009 - 04.2013
- Responsible for overseeing all daily functions of the business
- Duties include but are not limited to review of facility contracts, tracking of employee hours and days off
- Processing of payroll
- Maintaining company expenses
- Supply ordering and client follow up.
Documentation Specialist / Business Analyst
Personel Support Medical
Philadelphia, PA
07.2011 - 07.2012
- Responsibilities included but not limited to obtaining all documentation needed for billing purposes for all health insures for DME supplies
- Made sure all guide lines were followed for Medicare customers
- Resolved high dollar accounts for various providers
- Worked on Audits for HMO line of business
- Provided Customer services to clients
- Resolved billing issues.
Business Systems Analyst
Independence Blue Cross
Philadelphia, PA
01.2007 - 01.2009
- Work on the Medicare Advantage and Fee for Service Products
- Write business requirements for implementation
- Review data that is set up for provider files
- Work with other areas to develop and load fee schedules
- Support provider implementations
- Support ongoing pricing changes
- Monitor CMS website for changes in pricing and/or policy
- Work with external clients to resolve issues.
Hospital Analyst
Independence Blue Cross
Philadelphia, PA
01.2005 - 01.2007
- Responsibilities of this position include but not limited serving as a liaison between the contracting provider and IBC for financial provisions of individual facility agreements
- Accurate implementation of contract information in all payment systems
- Provide professional and technical assistance to providers on financial provisions
- Analyze financial data
- Support other departments
- Resolve all pricing suspends for claims area.
Claims Payment Adjuster
Independence Blue Cross
Wayne, PA
01.2002 - 01.2005
- Investigate and verify claim charges by utilizing IBC systems
- Research provider benefits and member benefits
- Determine if claim paid correctly per the fee schedule and perform adjustments if necessary
- Handled the interest file for Keystone line of business.
Claims Process Analyst
Independence Blue Cross
Wayne, PA
01.2000 - 01.2002
- Entered provider and facility claims into the system for payment
- Clear any suspends that would not allow the claim to pay
- Verified member benefits and provider benefits
- Handled claims for HMO, PPO, and Medicare lines of business.
Education
Associates Degree - Computer Applications And Network Administration
Computer Learning Center
Philadelphia, PASkills
- Network Administration
- Data Validation
- Business Needs Analysis
- Data Entry Background
- Data Entry Experience
- Organizational Abilities
- Microsoft Office Expertise
- Claims Processing
- Multitasking and Organization
- Computer Skills
- Understanding of Medical Terminology
References
References available upon request.
Timeline
Direct Care Worker
Lincoln Healthcare
12.2015 - 03.2023
Business Analyst
Hewlett Packard
01.2013 - 10.2013
Documentation Specialist / Business Analyst
Personel Support Medical
07.2011 - 07.2012
Executive Assistant
System 4
01.2009 - 04.2013
Business Systems Analyst
Independence Blue Cross
01.2007 - 01.2009
Hospital Analyst
Independence Blue Cross
01.2005 - 01.2007
Claims Payment Adjuster
Independence Blue Cross
01.2002 - 01.2005
Claims Process Analyst
Independence Blue Cross
01.2000 - 01.2002
Associates Degree - Computer Applications And Network Administration
Computer Learning Center
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