Process Improvement Analyst
Resume:
Jill M. Pavlus
Garfield Hts OH *****
Cellphone: 216-***-****
*********@*****.***
Experienced Process Improvement Analyst with a demonstrated history of working in the Healthcare, Government and Information Technology industry. Focused on documenting and improving internal processes.
Key Qualifications
Unified Communications
Process Analysis
Time Management
Quality Assurance
Business Coaching
Solutions Delivery
Professional Experience
CGI Federal Inc. April 2005 – January 2019
Business Analyst – Project Management Team
Analyzed and reported recoupment to senior management using various platforms.
Obtained FBI clearance in order to view PHI and PII associated to Veterans.
Liaison between CGI and the client ensuring financial deliverables.
Analyzed and improved accuracy and efficiency for reports, payments and contingency fee reconciliations by composing and delivering documentation outlining requirements for building the solutions, demonstrated the solutions, tested the solutions were functioning as designed and issues were resolved prior to release or training end users. Team Leader/Analyst – Operations Department
Trained eight Project Coordinators permanent roles ensuring high volume of data for Medicare claims, records and appeals were processed with quality, timeliness and accuracy.
Analyzed and improved Medicare claims recovery letter language and appeals by composing and delivering documentation outlining requirements for building the solutions, tested the solutions were functioning as designed and issues were resolved.
Scheduled and facilitated client meetings to exchange operational deliverables. Administrative Assistant – Front Office
Supervised five interns. Assigned tasks according to priority, trained use of office equipment and Microsoft applications.
Oversaw vendors, deliveries, office and equipment maintenance.
Scheduled and assigned provider teleconference calls among the internal audit team and physicians.
Reconciled vendor invoices.
Skills
Microsoft Office: Outlook, Word, Excel, PowerPoint, Visio Page 2 of 2
CAS (Customized Audit System), ProperPay, Azure Cloud, OnBase, OnBase Unity, TestTrak, JIRA, Client Medicare Web Site (EUA), Analyzer (Data Analytics), Cube (Analytic processing), Active Batch (Secure File Transfers), SharePoint, Enterprise Portal, Medicare Appeal System
(MAS), Network Data Management (NDM), Safe Access File Exchange (SAFE), Citrix Education and Certifications
Associates Degree, Computer Science, MTI Business College, Cleveland, Ohio
Lean Six Sigma, Yellow Belt
Business Coaching: Getting Ready to Coach
Business Analysis Professional
Other Achievements
Created Claims Payment process associated to Veterans.
Demonstrated ability to identify and resolve issues independently and collaborate as a team.
Strong listening skills to determine course of action.
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