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Customer Service Representative

Location:
Shamokin, PA, 17872
Posted:
December 01, 2016

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Resume:

Debra O’Hearn

**** ******** **. ******** ** *****

PHONE 570-***-**** E-MAIL acxp24@r.postjobfree.com

EDUCATION:

The Pennsylvania State University Graduate 5/1992

-Associates in Business Administration

Our Lady of Lourdes Regional High School Graduate 5/1990

-Major course of study was college prep/business

WORK EXPERIENCE:

Manager, Clinical Informatics, Geisinger Health Plan, Danville, PA 6/2011-Present

-Supervise a group of data analysts, intermediate analysts and senior analysts. Oversee reporting related to Quality Improvement initiatives, HEDIS, CMS Star, Marketplace, Case Management, Health Management, Grievances and Appeals and NCQA. Mentor new analysts as hired. Validate analytics produced by the analysts and present analysis to Senior Leadership, physicians and nurses. Business to Information Technology department liaison. Lead person for various system replacements currently being reviewed including: Core Claims replacement (AMISYS), Enterprise Data Warehouse, CM software (Essette), HEDIS software replacement (MedMeasures/GDIT).

Senior Data Analyst, Clinical Informatics, Geisinger Health Plan 11/2005-6/2011

-Project lead on various aspects of reporting to generate reports to completion including programming, analysis, error checks, documentation of problem resolution and application implementation. Strategically assist in developing new and enhanced reports that are industry relevant. Mentor analysts.

Intermediate Data Analyst, Clinical Informatics, Geisinger Health Plan 7/2001-11/2005

-Work independently on various aspects of reporting to generate reports to completion including programming, analysis, error checks, documentation of problem resolution and application implementation. Strategically assist in developing new and enhanced reports that are industry relevant.

Data Extractor, Clinical Informatics, Geisinger Health Plan 3/1998-7/2001

-Work closely with business personnel to validate data, enter data into various systems, complete Requests for Proposals (RFPs) and various other office duties. Worked with business to replace core claims processing system (CSC) with AMISYS.

Customer Service Representative/Compliance, Prudential Insurance Company 1/1993-2/1998

-Implemented system for entire office (40+ agents) to track compliance data for Class Action lawsuit. Direct data entry for life insurance applications into system used for underwriting. Accounts receivable duties as needed. General customer service answering telephone, processing death benefits and accepting payments.

VOLUNTEER WORK:

-Assisted with preparation and organization of fundraisers for the Kulpmont Fire Department and the Kulpmont Football-Baseball Association.

-Past president, secretary and treasurer of the Shamokin Emergency Squad.

SKILLS:

-Proficient in SQL, Crystal Reporting, Xcelsius and Microsoft Office suite of products.

-Attended various leadership courses offered by Geisinger Health System.

-Excellent organization skills.

-Project Management Principles 3 day course completed (2013).

-Bloomsburg University, LEEP Training (2013).

REFERENCES:

-Available upon request.



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