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Claims analyst, regulatory affairs

Location:
Johnson City, TN, 37604
Posted:
November 19, 2023

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Resume:

Whitney D.Davis

Johnson City, TN• ad1apr@r.postjobfree.com• 423-***-****

PROFESSIONAL EXPERIENCE

C2C/J29,INC Remote, Maryland

Dispute Resolution Analyst 2023-2023

● Researched, analyzed, and evaluated over 100 appeals related to the No Surprise Act, identified compliance gaps and assisted in reducing balance billing revealed a 25% reduction in three months REMEDY STAFFING/OPTUM SERVE Remote, Wisconsin

Associate Data Analyst 2023-2022

PROVIDER REIMBURSEMENT SPECIALIST 2022-2021

● Collaborated with healthcare professionals to simplify payment processing procedures minimizing errors 20%

● Surveyed patient records and entered extracted data into the EHR system, achieving a 100% accuracy rate for all submitted inquiries.

ADVANCED CALL TECHNOLOGY CENTER JOHNSON CITY, TN

CUSTOMER SERVICE REPRESENTATIVE 2021-2021

● Empathized and guided conflict resolution when possible for customer complaints.. Ensued a 20% decrease in escalated calls which improved customer satisfaction 25%

● Verified customer accounts and posted mortgage payments ensuring `100% accuracy

● Orchestrated seamless customer support by handling an average of 40 inbound calls daily, ensuring 90% customer needs were addressed

HSN FULFILLMENT CENTER PINEY FLATS, TN

PICKER/PACKER 2021-2018

RETURNS CLERK

● Overseen a team of 6 resolving weight discrepancies, ensuring 100% resolution and accurate inventory management, resulting in streamlined operations and improved customer satisfaction.

● Monitored and audited inventory, mailing, and database systems, while identifying and labeling non-compliance and logistic violations

QUALITY OF LIFE HEALTHCARE JOHNSON CITY, TN

PHYSICIAN ASSISTANT 2019-2018

● Conducted disability exams for service members in collaboration with the Department of Defense, Improved efficiency, leading to a 25% reduction in examination time

● Proposed an evidence-based curriculum on addiction and opiate abuse, resulting in a 25% decrease in opiate prescription rates among healthcare providers within 6 months GRACE INTERNAL MEDICINE, LLC JOHNSON CITY, TN

PHYSICIAN ASSISTANT/OWNER 2018-2016

● Adopted a patient-centered approach, averaging a 15% increase in patient engagement and adherence to treatment plans, improving overall health outcomes

● Enhanced operations by transitioning from manual record-keeping to EHR, conveying a 30% decline in labor costs and saving 20 hours per week on administrative tasks

● Increased revenue 20% after developing periodic audits for billing and coding errors TOTAL FAMILY MEDICINE Johnson City, TN

Physician Assistant 2016-2015

● Analyzed patient reports and interpreted x-rays for accurate diagnosis, contributing to a 20% reduction in misdiagnosis and ensuring effective treatment plans

● Evaluated documentation and procedures while rectifying pricing inconsistencies achieved a 10% increase in revenue after correcting billing and coding errors ROSS MEDICAL EDUCATION CENTER JOHNSON CITY, TN

MEDICAL ASSISTANT INSTRUCTOR 2015-2014

● Optimized grade tracking and analysis capabilities; achieved a 30% reduction in grading errors and empowered educators with instant access to student performance data for timely interventions and reporting

● Planned and presented over 100 presentations targeting medical assistant students, encompassing administrative and clinical aspects

FAIRBROOK MEDICAL CLINIC HICKORY, NC

PHYSICIAN ASSISTANT 2014-2013

2009-2006

● Assessed patient reports and conducted detailed analysis of x-rays and labs, producing a 15% improvement in diagnostic accuracy and targeted treatment plans

● Overseen coordination and monitoring of clinical trials resulting in 95% data accuracy and enhanced trial compliance

EXTENDED CARE PHYSICIAN HICKORY, NC

PHYSICIAN ASSISTANT 2013-2009

● Delivered quality medical care to 30-40 skilled patients residing in long-term care facilities

● Coordinated on-call services for 20 long-term care facilities, overseen care for approximately 200 patients per facility, ensuring prompt responses and maintaining quality standards throughout high-pressure situations

JEFFERSON COLLEGE OF HEALTH SCIENCE Roanoke, VA

Bachelors Science/Physician Assistant

● Awards: Magna Cum Laude, 3.8 GPA

● Graduated-2006

UDEMY ONLINE ACADEMY Remote

Certifications in Regulatory Affair Subjects

● Certificates in CMC, DRA, Medical Writing, Risk Management, Regulatory Submissions, GCP Audits, Quality Assurance, Medical Device Regulatory Affairs, Disputes, Data Analysis, ADDITIONAL INFORMATION

● Technical Skills: Medical Coding/Billing, Documentation Review, Project Management, Teamwork, Regulatory Requirements/Submissions, FDA, Medical Writing, Risk Management, Quality Assurance

● Languages: English (native)

● Certifications: Life Coach, GCP, Medical Coding-in progress,

● Awards: Who’s Who Medical Provider, Community Practitioner Award



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