Results-driven professional specializing in data analysis and process automation. Strong ability to enhance project reporting and develop effective training programs. Committed to improving operational workflows and achieving measurable efficiencies.
Overview
11
11
years of professional experience
Work History
Operations Analyst
Community Health Systems, CHS
Franklin
02.2022 - Current
Performed data analysis to identify opportunities for streamlining processes through automation.
Generated regular reports summarizing the status of ongoing projects or initiatives.
Managed relationships with external vendors providing essential services or supplies.
Developed training materials for staff members on operational procedures.
Analyzed operational data to identify trends and improve process efficiency.
Revenue Cycle Specialist
Community Health Systems, CHS
Franklin
03.2018 - 02.2022
Analyzed patient accounts to ensure accurate billing and coding practices.
Processed medical claims in compliance with insurance guidelines and regulations.
Coordinated with healthcare providers to resolve claims disputes efficiently.
Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
Insurance Verification Specialist
Community Health Systems, CHS
Franklin
01.2017 - 03.2018
Verified patient insurance information for accurate billing processes.
Communicated with insurance providers to resolve verification issues.
Updated database entries with verified insurance details efficiently.
Trained new employees on insurance verification protocols and systems.
Eligibility Representative
Community Health Systems, CHS
Franklin
02.2016 - 01.2017
Evaluated client eligibility for various assistance programs and services.
Communicated effectively with clients to explain eligibility decisions clearly.
Verified applicant's income, assets and other information needed to establish eligibility.
Interpreted state guidelines for determining eligibility criteria for various programs.
Coding Apprentice
Vanderbilt Medical Center
Nashville
10.2014 - 05.2015
Reviewed medical records for accurate coding and compliance with regulations.
Assigned appropriate codes for diagnoses and procedures using coding manuals.
Utilized electronic health record systems to input and retrieve patient information.
Inpatient Insurance Verification Specialist at Community Health Systems, CHSInpatient Insurance Verification Specialist at Community Health Systems, CHS
Pharmacy Technician Supervisor at Community Health Systems, CHS-Laredo Medical CenterPharmacy Technician Supervisor at Community Health Systems, CHS-Laredo Medical Center