Experienced with managing appeals and dispute resolution processes effectively. Utilizes analytical skills to assess and resolve complex cases while ensuring compliance with regulatory standards. Track record of collaborating with teams to deliver timely and accurate outcomes, adapting to changing needs and requirements.
Overview
19
19
years of professional experience
Work History
Enhanced Scheduler
Intermountain Healthcare McKay Dee Hospital- IV Therapy Clinicx
07.2025 - Current
Coordinated patient schedules to optimize clinic workflow and enhance service delivery.
Managed appointment confirmations and reminders to reduce no-show rates effectively.
Assisted in maintaining accurate patient records within electronic health record systems.
Collaborated with healthcare staff to ensure timely administration of IV therapy treatments.
Provided front desk support, addressing inquiries and ensuring a welcoming environment for patients.
Developed efficient scheduling processes that improved patient access to care services.
Monitored scheduling software for updates and resolved any discrepancies promptly.
Adapted quickly to changes in patient needs, demonstrating flexibility in managing schedules efficiently.
Maintained high levels of customer satisfaction through diligent scheduling coordination, ensuring all deliverables were met within agreed timeframes.
Worked with supervisors and team members to understand supply needs and bring levels within desired tolerances.
Identified best practices within the scheduling function, sharing these insights across teams to drive continuous improvement efforts.
Established and maintained strong working relationships with both internal and external stakeholders, facilitating open communication channels for improved collaboration.
Practice Administrator
Utah Orthopaedics
03.2022 - 02.2025
Coordinated daily operations to enhance practice workflow and patient care efficiency.
Implemented scheduling systems to optimize provider availability and reduce patient wait times.
Managed patient records and billing processes, ensuring accuracy and compliance with regulations.
Developed staff training programs to improve service delivery and operational consistency.
Analyzed practice performance metrics to identify areas for improvement in service delivery.
Facilitated communication between clinical staff and patients to enhance overall satisfaction.
Oversaw daily practice operations to guarantee seamless service delivery for patients and providers alike.
Coordinated facility maintenance to ensure a clean, comfortable environment for patients and staff members alike.
Managed financial aspects of the practice, including budgeting, billing, and insurance claims processing.
Ensured compliance with industry regulations and best practices to maintain a safe and efficient work environment.
Negotiated contracts with vendors for cost-effective procurement of medical supplies and equipment.
Supervisor, Contract Management
Western Governers University
02.2016 - 07.2024
Oversaw contract negotiations ensuring compliance with university policies and regulations.
Led a team in managing vendor relationships, enhancing collaboration and communication.
Developed and implemented training programs for staff on contract management best practices.
Streamlined contract review processes, reducing turnaround time and improving accuracy.
Coordinated cross-functional meetings to align contract management strategies with organizational goals.
Mentored junior staff, fostering professional growth and enhancing team capabilities.
Executed strategic initiatives to enhance operational efficiency within the contract management department.
Conducted post-implementation reviews to assess contract performance against goals and identify opportunities for further optimization.
Ensured compliance with legal regulations and industry standards by staying informed on changes and implementing necessary updates to policies and procedures.
Increased efficiency in contract administration by automating routine tasks and implementing electronic signature capabilities.
Mentored junior team members, sharing best practices and fostering a culture of teamwork and collaboration within the department.
Reduced discrepancies in contractual agreements by conducting thorough audits and resolving issues promptly.
Developed standardized templates for contracts, simplifying the creation process and ensuring consistency across all agreements.
Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
Completed bi-weekly payroll for 10+ employees.
Kept high average of performance evaluations.
Appeals Specialist II
Intermountain Healthcare -Centralized Appeals Unit
08.2007 - 04.2018
Analyzed appeals to determine compliance with regulatory standards and organizational policies.
Coordinated communication between departments to expedite resolution of complex appeal cases.
Reviewed case files for accuracy, ensuring thorough documentation and adherence to guidelines.
Developed training materials to enhance staff understanding of appeals processes and best practices.
Implemented process improvements that reduced turnaround times for appeals resolution by streamlining workflows.
Mentored junior specialists on effective case analysis techniques and dispute resolution strategies.
Achieved successful appeal outcomes by meticulously reviewing and analyzing claim denials, identifying errors, and presenting persuasive arguments.
Consistently met or exceeded performance metrics, demonstrating a strong understanding of the claims review process and an unwavering commitment to achieving positive results for clients.
Expedited resolution times for appeals cases by efficiently managing workload and prioritizing urgent matters.
Acted as a departmental resource on appeals matters.
Conducted comprehensive training sessions for new hires on proper procedures for processing claims denials and managing appeals caseloads.
Education
High School Diploma -
Bonneville High School
Ogden, UT
Skills
Computer skills
Attention to detail
Data entry
Strong work ethic
Customer service
Critical thinking
Teamwork and collaboration
Effective multitasking
Problem-solving
Telephone etiquette
Medical terminology
Call management
Microsoft Office Suite
Timeline
Enhanced Scheduler
Intermountain Healthcare McKay Dee Hospital- IV Therapy Clinicx
07.2025 - Current
Practice Administrator
Utah Orthopaedics
03.2022 - 02.2025
Supervisor, Contract Management
Western Governers University
02.2016 - 07.2024
Appeals Specialist II
Intermountain Healthcare -Centralized Appeals Unit
MRI Scheduler, Surgery Procedure Scheduler at Regenerative Orthopedics and Spine InstituteMRI Scheduler, Surgery Procedure Scheduler at Regenerative Orthopedics and Spine Institute