Victoria Stewart
El Paso,TX
Summary
Accomplished Dispute Resolution Analyst and Team Lead at J29, recognized for exceptional analytical problem-solving and organizational skills. Expertise in data management and effective communication contributed to optimizing operational efficiency. Committed to leveraging experience to drive continuous improvement in dispute resolution processes, fostering a culture of excellence and innovation.
Overview
8
8
years of professional experience
Work History
Dispute Resolution Review
J29
03.2025 - Current
- Evaluate and resolve complex healthcare dispute cases (EOB, QPA, NSA submissions) with accuracy, speed, and compliance with federal guidelines.
- Perform thorough document analysis, verify claim data, and interpret remark codes to issue fair, well-supported documentation.
- Reviewed and adjudicated 20-30+ healthcare disputes daily, with 96-100% accuracy, ensuring compliance with federal No Surprises Act guidelines.
- Consistently rank among top performers for productivity, quality assurance scores, and deadline adherence.
- Utilize internal platforms (LawBase, SharePoint, Deltek, internal review tools) to manage caseloads, track metrics, and document findings.
Dispute Resolution Analyst - Team Lead
J29
11.2024 - 03.2025
- Reviewed completed work to verify consistency, quality, and conformance.
- Facilitated team meetings to discuss targets, strategies, and address any issues.
- Ensured compliance with industry standards and regulations.
- Oversaw training and development programs to enhance team skills and knowledge.
Dispute Resolution Analyst
J29
08.2024 - 11.2024
- Support the reconsideration and dispute resolution process by coordinating the delivery of necessary documentation and case files between external entities and internal teams
- Build comprehensive case files from submitted evidence, ensuring compliance with the requirements set by the Centers for Medicare and Medicaid Services (CMS) and other relevant customer entities
- Analyze each case to determine its validity based on medical and non-medical criteria, categorizing appeals and assessing the adequacy of dispute resolution documentation
- Input and maintain accurate data regarding reconsideration and dispute resolution cases in required systems, facilitating efficient case management
- Respond to inquiries and requests from appellants, patients, and providers, delivering clear and timely communication regarding the status and outcomes of their appeals
- Consistently exceed required productivity metrics, demonstrating a commitment to efficiency and excellence in all aspects of case management
Account Manager
Careworks
01.2024 - 08.2024
- Managed a diverse portfolio of clients, focusing on relationship building and providing tailored solutions
- Collaborated with internal teams to enhance service delivery and ensure efficient operations
- Delivered exceptional customer service by promptly addressing inquiries and issues
- Developed strategies to improve client satisfaction and retention, aligning with a hospitality mindset
Recruiting Assistant
Careworks
01.2024 - 06.2024
- Posted job ads and maintained accurate job listings, ensuring high visibility to attract qualified candidates
- Conducted initial screenings and coordinated interviews, demonstrating strong organizational skills
- Managed sensitive candidate information with discretion and confidentiality
Legal Advocate
Kingman Aid to Abused People
01.2022 - 10.2022
- Provided comprehensive support and advocacy for victims of crime, ensuring they understood their legal rights and options throughout the legal process
- Accompanied clients during court proceedings, offering emotional support and guidance to help them navigate the complexities of the legal system
- Assisted clients in filing protective orders and seeking restitution, ensuring that their needs were effectively communicated to legal authorities
- Collaborated with local law enforcement and legal professionals to facilitate forensic interviews and SANE (Sexual Assault Nurse Examiner) exams, prioritizing client safety and well-being
- Developed and maintained trusting relationships with clients, fostering a supportive environment to encourage open communication and healing
Behavioral Health Technician
Talas Harbor
06.2021 - 12.2021
- Monitored and documented patient behavior, maintaining confidentiality and adherence to treatment guidelines
- Collaborated with mental health professionals to ensure comprehensive care and support
Detention Officer/Assistant
Mohave County Adult Detention Facility
08.2018 - 06.2021
- Maintained accurate records and logs of inmate activities, emphasizing attention to detail
- Managed sensitive information and documentation while ensuring compliance with legal standards
Court Services Clerk
Mohave County Superior Court
08.2017 - 04.2018
- Managed case files and legal documents with precision, ensuring timely processing and adherence to court procedures and regulations
- Assisted in maintaining and updating court calendars, facilitating the scheduling of hearings, trials, and arraignments
- Conducted thorough reviews of legal documents for accuracy and completeness, contributing to the efficiency of court operations
- Served as a point of contact for attorneys, litigants, and the public, providing clear and courteous assistance regarding court processes and requirements
- Processed payments for fines, fees, and bonds, ensuring accurate record-keeping and financial accountability
- Supported the court's administrative functions by compiling statistical reports and maintaining organized legal files
Education
Associate - Liberal Arts
Mohave Community College
Kingman, AZ08.2018
Skills
- Strong Organizational Abilities
- Thoroughness in Review
- Communication Skills
- Data Management Expertise
- Advanced Technical Skills
- Analytical Problem-Solving
- Strong Task Management
- Critical thinking
Timeline
Dispute Resolution Review
J29
03.2025 - Current
Dispute Resolution Analyst - Team Lead
J29
11.2024 - 03.2025
Dispute Resolution Analyst
J29
08.2024 - 11.2024
Account Manager
Careworks
01.2024 - 08.2024
Recruiting Assistant
Careworks
01.2024 - 06.2024
Legal Advocate
Kingman Aid to Abused People
01.2022 - 10.2022
Behavioral Health Technician
Talas Harbor
06.2021 - 12.2021
Detention Officer/Assistant
Mohave County Adult Detention Facility
08.2018 - 06.2021
Court Services Clerk
Mohave County Superior Court
08.2017 - 04.2018
Associate - Liberal Arts
Mohave Community College