Trenda A. Dewberry

acqnaw@r.postjobfree.com

Phone: 832-***-****

ORGANIZATIONAL EXPANSION ~ OPERATIONS IMPROVEMENT ~ RELATIONS MANAGEMENT

Understand complex platforms and excel in knowing my audience. A background to develop processes and structure to strengthen individual and team performance. The level of knowledge obtained over a long tenure allows me to offer detailed experience. Always striving in development roles and resources that add to an advocate, consumer, and member experience. My passion is to empower and develop individuals, add to their individual knowledge and understanding of United Healthcare and Optum Organization goals and objectives.

CORE COMPETENCIES

Organizational Needs Assessment

Culture of Ownership

Relationship Development

Quality Review

Problem Identification/Resolution

Research and Analysis

Training/ Motivating Personnel

Time Management/Multi-tasking

Practice Core Values

PROFESSIONAL HIGHLIGHTS

August 2022 to Redeployment

Specialty Operational Trainer

Virtual Operational Trainer for Specialty Pharmacy Claims

Review Pharmacy Claims for multiple States

Claim Rejection and Hold Resolution

Peer Observation and recommendation

Production support for New Hire

Enterprise Workforce Optimization skilling for Patient Care Coordinator and Clerk

Facilitate training classes numbered up to 25 in a virtual setting

Recognized 5-year employment anniversary

Conduct learning environment with multiple systems for a 6-week period

Provide an environment of support and encouragement for Learners and Peers

Observe comprehension styles and develop tools using 1:1 and group sessions

Complete daily summary of class progression

Excellent employee relation and customer service skills

Maintain skillset working with patients/consumers/family by assisting with Pharmacy accounts

Successfully demonstrated and applied Quality guidelines

June 2018 to 2022

Advocate4me Sr./SME/United HealthCare

Cooperated with various reporting applications on quality and systemic measurements to provide improvement

Collaboration with Business Analyst to Revise IFP policy and procedures.

Subject Matter Expert Trainer for IFP Refresher and New Hire SME IFP Trainer

Supervisor Escalation Lead for IFP plan

Application development and testing functional and non-functional requirements

2021 Service Hero Finalist

Training Resource development and revisions

Chat support Exchange Training Class

Selected for NC Pre-Effective-Enrolment Calls

New Hire Training Support 2020 and 2021

New Hire coaching, quality call audits and review with TX Medicaid Instructor

Standard Operating Procedure Updates

August Employee of the Month 2020

MID-Member in Distress Team for multiple plans

Next Best Action Development Tool and Pilot

Maestro system and application Logic Pilot Committee

Selected for Exchange plan Calls

Exchange UES Count Highest NPS Challenge Winner and Luncheon with Bob Whitman and Adam Young

MD UES Challenge week of 04/19/20 and 04/23/20

UES Champ for two Supervisor Teams

Utilize Policies and Procedures

Assist Team with Texas Plans and Processes to include Standard

Cultivate the member experience with Health Plan understanding and plan navigation

Communicate member needs across multiple business units to provide member care

Maintain Provider listing for multiple Specialties

Develop instructional tools utilized with NBA tool and NPS scoring quality measurement

Recognized with Bravo from New Hire classes and colleagues

PROFESSIONAL EXPERIENCE

Payment Compliance/Underpayment Analyst

Parallon Business Solutions- Houston, TX – September 2017 to June 2018

Review Payer Contracts for accuracy, rate schedules

Customer Service with clients, patients and consumers and multiple departments

Review and discuss facility charges and work with Concuity, Meditech, Etran, Erequest, Insurance Maintenance

Meet productivity and quality measurement

Review UB claim forms, statements, correspondence, refunds

Courier/Independent Contractor

Lone Star Delivery and Process - Houston, TX - July 2015 to June 2017

Uphold strict timelines and instructions when delivering client information.

Delivery consists of medical supplies, patient collected specimens, legal and financial documents, building and permit plans.

Driving to multiple city and state locations and was substitute courier for 10 additional routes.

District Volunteer ALIEF School

Holub Middle School - Houston, TX - August 2014 to 2018

Student Mentor, field trip chaperone, administrative assistant to CISD project manager

Corporate Compliance Officer Oversight

Houston Pain Associates - Houston, TX - January 2014 to August 2014

Completed compliance education, updates for all staff.

Reviewed and updated physician credentialing and CEU file for 10 physicians.

Conducted Annual and continued training on government and state regulations.

Conducted audits and medical record analysis to ensure quality and accuracy.

Completed Meaningful Use, Patient Portal, PQRS measurements and Medicare credentialing

Created Patient Portal by working with FollowMyHealth tool

Implemented the OIG exclusions checklist into Human Resource hiring process

Education

Guthrie High School - Guthrie, OK Langston University - Langston, OK

American Intercontinental University Online Oklahoma University - Norman, OK

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