Yanaisi Schrapp
Fort Worth,TX
Summary
Dynamic professional with extensive experience at United Health Group, excelling in document management and quality assurance. Proven track record in workflow optimization and process improvement, enhancing efficiency and productivity. Strong problem-solving abilities complemented by effective communication skills, consistently delivering exceptional results in fast-paced environments.
Overview
11
11
years of professional experience
Work History
Document Processor
United Health Group, Optum
Fort Worth, TX
04.2024 - 11.2024
- Retrieved archived documents from off-site storage upon request.
- Organized documents according to established protocols and procedures.
- Assisted in developing new processes to enhance efficiency.
- Utilized various software tools to streamline workflows and optimize performance.
- Converted forms from Microsoft .doc to .docx format.
- Inserted variable tags and signatures within documents.
- Conducted testing and reviewing of output for quality assurance.
- Created a workflow in COM360 to improve productivity.
Systems Configuration Manager
Aliviar Health
Miami, FL
11.2022 - 12.2023
- Collaborated across departments to resolve configuration management process issues.
- Managed development and maintenance of system baselines for current configurations.
- Investigated user-reported system performance problems and implemented best practice solutions.
- Provided guidance on managing complexities in large-scale deployments.
- Ensured authorization levels were granted prior to changes in system configurations.
- Created reports on configuration item status, noting deviations from established baselines.
- Monitored change requests to ensure timely completion of configuration management activities.
- Developed test plans to evaluate effectiveness of proposed configuration changes.
Configuration Supervisor /Claims Team Leader
Integrated HomeCare Services
Miramar, FL
11.2018 - 11.2023
- Supervised department personnel, including interviewing, hiring, and training employees.
- Directed work assignments and appraised employee performance, recommending rewards or discipline.
- Resolved complaints and problems while coordinating with internal departments and subject matter experts.
- Mentored team members to enhance skills and improve overall performance.
- Monitored production status to ensure achievement of quality and output goals.
- Managed multiple stakeholders in complex claims management.
- Updated credentialing variables, demographic data, and benefit plan configurations accurately.
- Maintained high standards in customer service by responding promptly to inquiries.
Claims /Customer Service Representative
Bupa
Palmetto, FL
01.2014 - 01.2018
- Delivered exceptional customer service for all international and domestic calls from providers, facilities, members, and brokers.
- Responded promptly to emails and calls to ensure timely communication with all stakeholders.
- Maintained medical discretion for all members, prioritizing confidentiality for high-profile cases.
- Facilitated pre-certification processes and issued payment guarantees for international members seeking medical services in the USA.
- Conducted benefit verifications and eligibility assessments for international members efficiently.
- Demonstrated knowledge of CPT codes and ICD10 for accurate processing of medical records.
- Assisted medical team with authorization processes to streamline member services.
- Documented all complaints in compliance with UK and USA regulations, maintaining a 100% quality control score.
Education
High School Diploma -
Braddock
Miami, FLSkills
- Document management
- Quality assurance
- Workflow optimization
- Data entry
- Document formatting
- Systems configuration
- Process improvement
- Customer service
- Effective communication
- Problem solving
- Time management
- Training and mentoring
- Performance monitoring
- Standard operating procedures
Languages
English
Native/ Bilingual
Spanish
Native/ Bilingual
References
References available upon request.
Timeline
Document Processor
United Health Group, Optum
04.2024 - 11.2024
Systems Configuration Manager
Aliviar Health
11.2022 - 12.2023
Configuration Supervisor /Claims Team Leader
Integrated HomeCare Services
11.2018 - 11.2023
Claims /Customer Service Representative
Bupa
01.2014 - 01.2018
High School Diploma -
Braddock
Similar Profiles
Monica C. ChappellMonica C. Chappell
Manager Case Management, Care & Disease Management Ops External Channel at United Health Group/Optum HealthManager Case Management, Care & Disease Management Ops External Channel at United Health Group/Optum Health
Susan GabbardSusan Gabbard
Family Nurse Practitioner at United Health Group - Optum HealthFamily Nurse Practitioner at United Health Group - Optum Health
Celina AitonCelina Aiton
Assoc Tech Support Analyst at United Health Group - Optum HealthAssoc Tech Support Analyst at United Health Group - Optum Health
Daniel SuttonDaniel Sutton
Senior Sonographer at United Health Group/ Optum HealthSenior Sonographer at United Health Group/ Optum Health
Lillian KnothLillian Knoth
Shift Supervisor at StarbucksShift Supervisor at Starbucks