Cerria Hunter
Memphis
Summary
Experienced Healthcare Administrator with 10 years in healthcare finance and operations. Skilled in financial reporting, revenue cycle management, and compliance (HIPAA, Medicare, Medicaid). Expertise in managed care contracts, claims processing, and data analysis to optimize financial performance. Proven leader in strategic planning and process improvement, dedicated to enhancing efficiency and patient care. Seeking to leverage healthcare administration expertise in a dynamic healthcare setting.
Overview
9
9
years of professional experience
Work History
Financial Analyst II
Methodist Le Bonheur Healthcare
08.2023 - Current
- Managed contract renewals and updates for Medicaid and Medicare managed care plans, ensuring compliance with financial regulations and reimbursement policies.
- Oversaw the timely and accurate submission of the Joint Annual Report, ensuring adherence to federal and state healthcare reporting requirements.
- Conducted detailed financial analysis of Medicaid and Medicare claims, identifying trends, operational changes, and areas for cost-saving improvements.
- Facilitated smooth month-end close processes by reconciling accounts related to Medicare and Medicaid reimbursements, resolving discrepancies to maintain compliance and financial accuracy.
Specialty Pharmacy Eligibility Representative
CIGNA
11.2021 - 12.2022
- Ensured timely resolution of discrepancies by conducting thorough research, maintaining accurate documentation, and coordinating with internal and external stakeholders.
- Managed competing priorities while delivering exceptional customer service, achieving high client satisfaction through clear communication and empathetic support.
- Reviewed and processed specialty pharmacy claims, ensuring accuracy in coding, authorization, and compliance with payer requirements while securing financial support through third-party co-pay assistance programs.
- Resolved drug coverage discrepancies through proactive research, collaboration with cross-functional teams, and streamlined coordination with payers and providers.
Patient Access Intake Specialist
St. Francis Hospital
11.2020 - 11.2021
- Coordinated patient intake, pre-admission testing, and specialty referrals, ensuring seamless communication with healthcare providers and accurate insurance verification.
- Resolved escalated access issues and patient concerns, improving overall satisfaction ratings through proactive problem-solving and effective communication.
- Verified insurance coverage, processed payments, and educated patients on financial expectations, ensuring transparency and compliance with billing procedures.
- Utilized ICD-10 and CPT coding to facilitate accurate insurance claims, reimbursement processes, and minimize denials.
Customer Service Representative
ALSAC/St. Jude Children’s Research Hospital
12.2015 - 12.2019
- Delivered exceptional customer service to patients, families, and visitors, ensuring a welcoming and supportive hospital experience.
- Managed retail and fundraising operations, processing phone orders, donations, and merchandise shipments while maintaining inventory accuracy.
- Handled escalated customer concerns and high-stress situations, resolving disputes with professionalism and empathy to improve satisfaction and retention.
- Responded to customer inquiries, providing accurate information on products, services, and company policies to enhance the customer experience.
Education
MBA - Healthcare Management
Freed-Hardeman University
Henderson, TN12-2023
Bachelor of Science - Health Sciences
Baptist College of Health Sciences
Memphis, TN05-2020
Skills
- Epic Hospital Billing
- Contract management
- Claims processing
- Healthcare reporting
- Cerner
- All scripts
- One source
- Epic Scheduling
- Schregistar
Skills
Timeline
Financial Analyst II
Methodist Le Bonheur Healthcare
08.2023 - Current
Specialty Pharmacy Eligibility Representative
CIGNA
11.2021 - 12.2022
Patient Access Intake Specialist
St. Francis Hospital
11.2020 - 11.2021
Customer Service Representative
ALSAC/St. Jude Children’s Research Hospital
12.2015 - 12.2019
MBA - Healthcare Management
Freed-Hardeman University
Bachelor of Science - Health Sciences
Baptist College of Health Sciences