Vanessa Cannon
Ballwin ,MO
Summary
Dynamic professional with a proven track record at Centene Corporation, excelling in relationship building and analytical thinking. Leveraged problem-solving and effective communication to enhance process efficiencies and customer satisfaction. Demonstrated adaptability and project planning skills, achieving significant operational improvements.
Overview
11
11
years of professional experience
Work History
Member Relationship Liaison
Centene Corporation
05.2024 - Current
- Collaborated closely with department heads to identify opportunities for process improvement initiatives.
- Maintained a high degree of professionalism at all times, representing the organization with integrity in both internal and external interactions.
- Served as the primary point of contact, fostering strong relationships between internal teams and external partners.
- Coordinated multiple projects simultaneously, ensuring timely completion and alignment with organizational objectives.
- Solved conflicts and addressed issues that occurred between other entities and business.
Business Analyst
Centene Corporation
04.2022 - 04.2024
- Supported software development projects by defining clear requirements and effectively communicating them to technical teams.
- Interacted with internal customers to understand business needs and translate into requirements and project scope.
- Optimized workflow processes to enhance overall productivity and achieve operational excellence.
- Collaborated with stakeholders to define project objectives and criteria.
- Performed gap analysis to identify areas of improvement.
Senior Member Relationship Liaison
Centene Corporation
07.2019 - 04.2022
- Collaborated closely with department heads to identify opportunities for process improvement initiatives.
- Maintained a high degree of professionalism at all times, representing the organization with integrity in both internal and external interactions.
- Served as the primary point of contact, fostering strong relationships between internal teams and external partners.
- Coordinated multiple projects simultaneously, ensuring timely completion and alignment with organizational objectives.
- Enhanced customer satisfaction by swiftly addressing concerns and providing solutions to various issues.
- Maintained up-to-date knowledge of industry trends, sharing insights with colleagues to drive continuous improvement efforts.
- Supported organizational growth through active participation in networking events, conferences, and professional associations.
Insurance Specialist
Center of Diagnostic Imaging
08.2017 - 07.2019
- Maintained confidentiality of patient finances, records, and health statuses.
- Maintained high standards of customer service by building relationships with clients.
- Developed strong rapport with providers/vendors which led to better negotiating power on behalf of clients when needed.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Ensured regulatory compliance through diligent monitoring of company practices and adherence to guidelines.
- Expedited resolution of disputed claims through effective negotiation with claimants, attorneys, or third-party carriers.
Medical Front Office Coordinator
Center of Diagnostic Imaging
05.2017 - 08.2017
- Assisted in the development of office policies and procedures for improved efficiency and compliance with industry standards.
- Managed patient records with strict adherence to HIPAA regulations, ensuring confidentiality and security of sensitive information.
- Coordinated referrals and authorizations for specialist consultations or treatment plans as needed.
- Contributed to revenue growth by identifying opportunities for additional services during patient interactions.
- Developed and maintained positive relationships with patients, providers, and other healthcare professionals to promote a collaborative work environment.
Patient Access Representative
Barnes Jewish Hospital Emergency Department
04.2016 - 05.2017
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
Call Center Representative
Macy's Credit And Customer Service
10.2015 - 03.2016
- Managed high call volumes while providing exceptional customer support and maintaining professional composure.
- Established trust with clients by accurately addressing their concerns and offering appropriate resolutions based on their needs.
- Learned and maintained in-depth understanding of product and service information to offer knowledgeable and educated responses to diverse customer questions.
- Responded to customer calls and emails to answer questions about products and services.
Direct Support Professional
Emmaus Home Health
04.2015 - 11.2015
- Assisted with crisis intervention to de-escalate challenging behavior and maintain peaceful encounters.
- Facilitated social outings and community integration activities, promoting inclusion and positive experiences for clients.
- Encouraged and supported clients to participate in recreational and leisure activities to promote social interactions and reduce loneliness.
- Administered medication as directed by physician.
Pharmacy Technician
Express Scripts
08.2014 - 01.2015
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Streamlined prescription processing with accurate data entry and verification of patient information.
- Improved patient satisfaction by efficiently processing prescriptions and managing inventory in a timely manner.
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
Patient Advocate
Express Scripts
01.2014 - 08.2014
- Entered details into computer systems and managed database of information.
- Assisted patients in navigating complex insurance processes, leading to successful claim resolutions and reduced financial burdens.
- Assisted patients in understanding individual rights and responsibilities in regards to care, coverage, and payment.
- Conducted regular follow-up with discharged patients to ensure successful transition into their home environment and address any concerns that may arise.
Education
MBA - Project Management, United States
Southern Illinois University Edwardsville
Edwardsville, IL05.2026
Bachelor of Science - Healthcare Management
Missouri Baptist University, United States
Town And Country, MO04.2019
Skills
- Influencing skills
- Problem-Solving
- Time Management
- Adaptability and Flexibility
- Self Motivation
- Decision-Making
- Project Planning and Managing
- Effective Communication
- Analytical Thinking & Skills
- Relationship Building
- Policies and procedures implementation
- Complex problems analysis
Timeline
Member Relationship Liaison
Centene Corporation
05.2024 - Current
Business Analyst
Centene Corporation
04.2022 - 04.2024
Senior Member Relationship Liaison
Centene Corporation
07.2019 - 04.2022
Insurance Specialist
Center of Diagnostic Imaging
08.2017 - 07.2019
Medical Front Office Coordinator
Center of Diagnostic Imaging
05.2017 - 08.2017
Patient Access Representative
Barnes Jewish Hospital Emergency Department
04.2016 - 05.2017
Call Center Representative
Macy's Credit And Customer Service
10.2015 - 03.2016
Direct Support Professional
Emmaus Home Health
04.2015 - 11.2015
Pharmacy Technician
Express Scripts
08.2014 - 01.2015
Patient Advocate
Express Scripts
01.2014 - 08.2014
MBA - Project Management, United States
Southern Illinois University Edwardsville
Bachelor of Science - Healthcare Management
Missouri Baptist University, United States
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