Highly organized and self-motivated professional experienced in project management, team development and process improvement. Skilled in developing and implementing strategies to increase efficiency and performance. Passionate about driving business growth and creating positive work environment.
Overview
16
16
years of professional experience
Work History
Associate Director Data Integrity
UnitedHealth Group
11.2018 - Current
Drove operational efficiency through data-driven decision-making processes, leveraging analytics tools for informed strategy development.
Spearheaded the development and launch of a new service, leading to increased region support and customer satisfaction.
Collaborated with Global Data Scientist team to develop reporting to improve provider data quality and audit efficiency
Established strong relationships with key partners, creating mutually beneficial opportunities for growth and collaboration.
Implemented data-driven decision-making strategies, leading to more informed business choices and positive outcomes.
Championed diversity and inclusion efforts within the workplace, resulting in an inclusive environment that fostered creativity and innovation among employees from various backgrounds.
Mentored junior staff members, providing guidance on professional development opportunities and career progression paths within the company.
Led teams of up to 50 remote personnel, supervising daily performance as well as training and improvement plans.
Manager Data Integrity
UnitedHealth Group
07.2015 - 11.2018
Instrumental in creating a value-based care data integrity process, serving Accountable Care Organizations across the nation.
Achieved departmental goals by developing and executing strategic plans and performance metrics.
Increased team productivity by implementing streamlined processes and effective communication strategies.
Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
Facilitated successful cross-functional collaborations for completion of key projects, fostering strong working relationships among team members.
Led change management initiatives to drive organizational transformation without compromising employee morale or productivity levels.
Streamlined workflows by identifying bottlenecks in existing systems and proactively addressing these challenges through appropriate solutions implementation.
Built high-performing teams through effective recruitment, onboarding, and talent development initiatives.
Served as department SME to develop new $3.2M business tool working with I.T. developers and multiple departments to ensure the tool met the needs of all users.
Physician & Hospital Claims Advocate
UnitedHealth Group
03.2010 - 07.2015
Identified, analyzed and researched systemic issues and made recommendations for resolution.
Trusted Advisor for multiple Tier 1 provider groups and hospitals.
Maintained accurate records of customer interactions, ensuring proper documentation within company database.
Managed difficult conversations with compassion and professionalism, helping deescalate tense situations while maintaining a focus on finding resolutions.
Investigated insurance claims denials and appeals.
Responded to customer requests, offering excellent support and tailored recommendations to address needs.
Educated customers about billing, payment processing and support policies and procedures.
Office Manager
Healthquest Chiropractic
11.2009 - 02.2010
Streamlined office operations by implementing efficient filing systems and organizational strategies.
Enhanced guest satisfaction by efficiently managing front office operations and addressing customer concerns promptly.
Revenue Cycle Director
Community Health Systems, CHS
01.2008 - 07.2009
Increased revenue by streamlining billing processes and implementing effective collection strategies.
Reduced outstanding accounts receivable balances by diligently monitoring aging reports and following up on claims.
Achieved top 5 hospital rating across organization in multiple key revenue measurements, including monthly cash goal and bad debt collections.
Improved overall financial performance with consistent evaluation and implementation of revenue cycle best practices.
Collaborated with cross-functional teams to identify areas for operational improvement within revenue cycle process.
Maintained high degree of accuracy in data reporting with regular reconciliation between general ledger accounts related to revenue cycle transactions.
Prepared cash flow projections, cost analysis and monthly, quarterly and annual reports.
Senior Provider Relations Advocate, Account Manage at UnitedHealth Care, UnitedHealth GroupSenior Provider Relations Advocate, Account Manage at UnitedHealth Care, UnitedHealth Group
Clinical Transformation Manager at UnitedHealth Group- UnitedHealth Care DivisionClinical Transformation Manager at UnitedHealth Group- UnitedHealth Care Division