TRESSIE BRANSCUMB
Lee's Summit,MO
Summary
Dedicated healthcare management professional with a focus on patient access and revenue cycle optimization. Enhanced authorization workflows and service delivery through effective collaboration with payers and providers, ensuring compliance and fostering staff development in fast-paced environments.
Overview
7
7
years of professional experience
Work History
Patient Access Analyst II
University Health
Kansas City, Missouri
2025.09 - Current
- Facilitated Missouri Medicaid and commercial payer authorization workflows, enhancing response times and accuracy.
- Partnered with providers to boost access and reduce delays in authorizations.
- Improved efficiency by standardizing authorization workflows.
- Minimized delays through proactive engagement with payers.
- Directed insurance verification, prior authorizations, patient registration, and scheduling to streamline patient access.
- Employed Epic Prelude and Cadence to optimize patient access processes.
- Guided peers in workflow education initiatives to improve team competency and service delivery.
- Ensured compliance through precise patient registration and documentation.
Dental Claims Analyst
Avesis
Remote
2024.05 - 2025.09
- Utilized claims management software to enhance submission tracking and processing accuracy.
- Conducted thorough analysis of claims data for accurate coverage and liability assessments.
- Collaborated on policy updates reflecting necessary regulatory changes.
- Managed workload to ensure timely claims processing within established deadlines.
- Conducted claims audits to ensure compliance with internal and external standards.
Dental Claims Processor
Total Medical Staffing
Remote
2023.03 - 2024.05
- Verified eligibility and benefit coverage by reviewing patient documentation, ensuring accurate claims processing.
- Utilized claims management software to track and update claim statuses, enhancing workflow visibility.
- Analyzed submissions to identify trends and address potential issues.
- Trained new hires on system navigation and claims processing, facilitating smoother onboarding and integration.
Referral Coordinator Manager
At Home Care
Kansas City, Missouri
2022.09 - 2023.02
- Managed communication between patients and medical staff to streamline processes.
- Scheduled appointments and maintained accurate patient records in electronic systems.
- Trained new staff on referral processes and system usage for efficiency improvement.
- Updated referral tracking systems to enhance data accuracy and accessibility.
- Ensured compliance with healthcare regulations during referral coordination activities.
- Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
Team Lead Non Clinical UM
Bright Health
Lee's Summit, Missouri
2021.09 - 2022.06
- Managed project timelines to ensure timely completion of deliverables.
- Analyzed performance data to identify areas for improvement and enhance efficiency.
- Streamlined workflows through coordination of cross-departmental collaboration.
- Facilitated effective conflict resolution among team members.
- Developed training materials to enhance team skills and knowledge.
Utilization Management Non Clinical
EXL Service
Lee's Summit, Missouri
2019.09 - 2021.09
- Collaborated with diverse coworkers to achieve goals and resolve product and service issues.
- Prioritized and organized tasks to meet service goals effectively.
- Maintained updated knowledge through continuing education and advanced training.
Education
Bachelor of Arts - Healthcare Management
Avila University
Kansas City, MO2026-08
High School Diploma -
Blue Springs High Scholl
Blue Springs, MO2007-05
Skills
- Patient access coordination
- Epic software
- Professional billing processes
- Medicare/Medicaid expertise
- Commercial insurance insights
- Process implementation
- Process optimization
- Operational efficiency
- Workflow training
- Onboarding training
- Training delivery
- Change facilitation
- HIPAA regulations adherence
- Healthcare compliance
- Patient communication
- Admissions processes
- Strategic planning
Timeline
Patient Access Analyst II
University Health
2025.09 - Current
Dental Claims Analyst
Avesis
2024.05 - 2025.09
Dental Claims Processor
Total Medical Staffing
2023.03 - 2024.05
Referral Coordinator Manager
At Home Care
2022.09 - 2023.02
Team Lead Non Clinical UM
Bright Health
2021.09 - 2022.06
Utilization Management Non Clinical
EXL Service
2019.09 - 2021.09
Bachelor of Arts - Healthcare Management
Avila University
High School Diploma -
Blue Springs High Scholl