Sumaya Abdulahi
Minneapolis,MN
Summary
Adept at navigating healthcare systems and enhancing patient experiences, I leveraged my fluency in Somali and 50 WPM typing speed to improve billing processes and patient care at Optum, UnitedHealth Group. My dedication to quality assurance and conflict resolution drove significant improvements in efficiency and customer satisfaction, showcasing my ability to meet and exceed employer expectations.
Overview
6
6
years of professional experience
Work History
Patient Access Representative
Optum, UnitedHealth Group
02.2022 - Current
- Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Ensured seamless operation of front office, efficiently handling multiple administrative tasks simultaneously.
- Optimized resource allocation by effectively managing staff call in's, and scheduling.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Enhanced departmental collaboration by regularly liaising with medical, nursing, and administrative staff on pertinent patient matters.
- Trained new hires on department procedures, policies, and software systems, ensuring consistent quality service delivery from all team members.
- Increased efficiency in managing high call volumes by developing effective phone triage techniques for prioritizing urgent matters.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
Facilities Management Assistant
University of Minnesota
01.2021 - 02.2022
- Provided administrative support during key projects, ensuring timely completion and adherence to defined budgets or resource constraints.
- Prepared and charted data and metrics for detailed status reports.
- Fostered strong relationships with clients by providing exceptional customer service during interactions both in-person and via phone or email correspondence.
- Supported executive staff by managing schedules, arranging travel accommodations, and preparing materials for presentations or meetings as needed.
- Oversaw training and onboarding process for all newly hired employees.
- Prepared and distributed team-based communications to foster collaboration and enhance team morale.
- Optimized administrative processes by adopting new software tools, significantly reducing time spent on routine tasks.
Claims Arbitration Specialist
Bankers Financial
05.2018 - 11.2021
- Monitored industry trends and regulatory changes to ensure compliance with all applicable laws, guidelines, and best practices in arbitration management.
- Provided onboarding and training to staff members, coordinating IT system access and conducting training specific to individual roles.
- Collaborated with cross-functional teams to develop comprehensive case strategies that resulted in favorable resolutions for clients.
- Analyzed sales data to identify trends and adjust marketing strategies accordingly.
- Designed employee recognition program that improved morale and reduced turnover.
- Maintained database systems to track and analyze operational data.
- Helped meet changing demands by recommending improvements to business systems or procedures.
- Gathered, organized and input information into digital database.
- Optimized customer experience by delivering superior services and effectively troubleshooting issues.
- Conducted regular reviews of operations and identified areas for improvement.
Education
High School Diploma -
Southwest High School
Edina, MN06-2014
Skills
- Fluent in Somali
- Healthcare Systems Navigation
- Insurance Billing and Verification
- Registration and Admissions
- Quality Assurance
- 50 WPM Typing Speed
- Conflict Resolution
- Reliability and Dedication
Timeline
Patient Access Representative
Optum, UnitedHealth Group
02.2022 - Current
Facilities Management Assistant
University of Minnesota
01.2021 - 02.2022
Claims Arbitration Specialist
Bankers Financial
05.2018 - 11.2021
High School Diploma -
Southwest High School
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