Results-oriented Analyst skillful in managing and breaking down large volumes of information. Proactive at heading off issues in operations, workflow and production by uncovering trends affecting business success.
Overview
2
2
years of professional experience
Work History
Client Reporting Manager
Blue Cross Blue Shield of South Carolina
02.2024 - Current
Produce and distribute standard reports at varying frequencies on utilization, clinical, high dollar forecast/notifications, billing, and purchased products to external parties.
Facilitate additional ad hoc reporting requests as needed.
Serve as a backup to Client Relationship Manager and Account Advocates to address routine issues, including benefits, claims, membership, billing, reporting, and stop loss, coordinating with the appropriate internal resource, whether that be a SME or the group's assigned Account Advocate, as directed by Account Executive or Client Relationship Manager.
Coordinate and/or resolve any account level benefits, membership, or financial problems during implementation, and on an ongoing basis.
Coordinate system access (My Health Toolkit, Blue e-Bill, BlueDataConnect, etc.) for groups, brokers, and Partner Plan Reps and facilitate copies of member ID cards as needed.
Conduct account enrollment meetings or problem sessions when necessary.
Assist in the coordination of National Alliance sales meetings and benefit summary meetings.
Coordinate ordering and distributing communication materials for National Alliance accounts through local suppliers.
Enhanced client satisfaction by addressing concerns and providing timely solutions.
Patient Access Specialist
Prisma Richland Hospital
09.2023 - 02.2024
Led patient registration processes, ensuring the accurate collection of demographic and insurance data aligned with data integrity standards
Utilized medical terminology and EHR systems, including Epic, to update patient information and generate reports
Resolved patient inquiries effectively, ensuring high satisfaction levels within a dynamic healthcare system
Patient Access Representative
Spartanburg Regional Healthcare
05.2022 - 04.2023
Orchestrated the collection and verification of demographic and insurance details with precision, fostering the creation and maintenance of meticulously accurate records pivotal for data-driven clinical analysis
Delivered expedited resolution to patient concerns, upholding a high standard of service delivery to cultivate positive patient experiences within the healthcare continuum
Efficiently scheduled appointments and leveraged electronic health records systems for streamlined reporting procedures
Lead Pharmacy Operations Analyst at Blue Cross & Blue Shield of South CarolinaLead Pharmacy Operations Analyst at Blue Cross & Blue Shield of South Carolina
Project Administrator for Change Order Management at Blue Cross And Blue Shield Of South CarolinaProject Administrator for Change Order Management at Blue Cross And Blue Shield Of South Carolina