Traci Douglas
Tampa,FL
Summary
To secure a position in a corporate world with my knowledge, skills, and experience to grow within the company desired. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
22
22
years of professional experience
Work History
Reconsideration Analyst Sr. II
Elevance Healthcare
Tampa, FL
02.2008 - Current
- Investigate and determine processing medical and hospital reconsiderations according to contractual agreements and processing guidelines
- Research and analyze determination for payment and/or denial claims to assist in the final determination on claim disposition
- Collaborated with cross-functional teams related projects, correspondence, or contact logs.
- Implement related necessary action for resolution.
- Analyzed large datasets with statistical methods and software programs.
Analyst Grievance
Coventry
Tampa, FL
05.2006 - 01.2008
- Identified opportunities for process improvements across the organization.
- Utilized document management system to organize company files, keeping up-to-date and easily accessible data.
- Analyzed key performance indicators to identify effective strategies.
- Implemented related projects, correspondence, or contact logs.
- Sent acknowledgement letters.
Billing
CCS Medical
Clearwater, Fl
03.2005 - 01.2006
- Communicated with insurance companies for billing purposes.
- Resolved customer inquiries regarding billing issues.
- Verified contractual agreement guidelines
- Identified patient's insurance coverage and researched EOB for payment or disputes.
- Provided customer service regarding billing inquiries.
Personal Assistant
Eric Campbell Corp. Engineers
Warner Robbins, GA
09.2002 - 10.2004
- Traveled to location of catastrophes that occurred.
- Organized travel arrangements, including flights, transportation, and accommodation.
- Processed invoices related to business expenses incurred by the executive team.
- Contributed to the overall success and attainment of the team goals by assisting with special projects as needed.
- Monitored deadlines for tasks assigned to staff members on behalf of the executive team.
Education
Certificate Google Data Analytics - Data Analytics
Google Coursea
Tampa, FL01-2024
Interior Designs
Rocky Mountain College of Art and Design
Denver, CO12.2015
Marketing/Merchandising in Fashion Designs
International Academy of Designs
Tampa, FL12.2004
Skills
- SQL and database
- Tableau
- R Programming
- Art of Visualization
- Spreadsheet
- Excel
- Analytical Thinking
- Root Cause Analysis
References
Reference Upon Request
Timeline
Reconsideration Analyst Sr. II
Elevance Healthcare
02.2008 - Current
Analyst Grievance
Coventry
05.2006 - 01.2008
Billing
CCS Medical
03.2005 - 01.2006
Personal Assistant
Eric Campbell Corp. Engineers
09.2002 - 10.2004
Certificate Google Data Analytics - Data Analytics
Google Coursea
Interior Designs
Rocky Mountain College of Art and Design
Marketing/Merchandising in Fashion Designs
International Academy of Designs
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