Accomplished healthcare professional with in-depth knowledge of planning & coordinating projects for one of the largest healthcare organizations in the country. Dynamic professional who continually stays aware of laws & regulations affecting healthcare. Strong, award-winning leadership capabilities. Focused and dedicated to delivering high quality to patients & providers.
Las Vegas, NV
Verbal and Written Communication
Microsoft Office (Word, Excel, Outlook) Applications
Medical Coder Training Program
Code Breakers, LLC
Medical Billing Certificate Crockett Technical Center
HEDIS PROJECT COORDINATOR
UnitedHealth Group / Las Vegas, NV / January 2017 – May 2018
Member of the United Healthcare Clinical Services HEDIS CALIFORNIA STARCATCHERS 2017/2018 team.
Contributed to achieving an overall 4 Star rating for California Commercial plans.
Responsible for managing data used in HEDIS Data Collection.
OPTUM SENIOR CLIENT PROVIDER ANALYST UnitedHealth Group / Las Vegas, NV / May 2017 – January 2018
Negotiated lower chart retrieval rates resulting in savings of upwards of 20 percent for majority of charts.
Consistently resolved questions/issues on the initial call foregoing the need to escalate.
Developed and maintained productive relationships with doctor office & hospital staff.
REVENUE CYCLE MANANGEMENT SPECIALIST
R1 / Southfield, MI / January 2012 – July 2016
Improved company profits by reducing A/R for Medicare and Medicaid HMO from $5.5M to $400K.
Processed 500 accounts per week over a 90-day period, resulting in an increase of over $350K in revenue.
Implemented weekly revenue management office meetings with Medicare Team.