Monique Bronson

Camden, New Jersey *****

856-***-**** ● ad5aw1@r.postjobfree.com

Claims Analyst / Projects & Escalations Specialist / HEDIS® Medical Records Collections Specialist / Patient Service Representative / Assistant Store Manager / Director

Performance driven leader bringing over 32 years of comprehensive achievements in the retail, childcare, and health care industries. Recognized for ability to incorporate innovative management techniques which enhanced business practices, increased revenues, and increased profits.

Leadership Competencies

Lead cross-functional teams that collaborated as a focused unit to achieve aggressive business goals and drove the evolution of concepts into achievable business strategies.

Effectively managed retail establishments with close attention to budgets, training, decreasing costs and expenses, while increasing revenues and net profits.

Identified and capitalized on new growth opportunities through market analysis, business trends and keen business instincts.

Developed and implemented strategies that increased employee and customer awareness and profitability.

Career Background

UnitedHealthcare/Optum - Remote

Claims Analyst / Projects and Escalations Specialist 2021 – Current

Developed a comprehensive project plan that outlined the key tasks and milestones for a major consulting project, resulting in the successful completion of the project; on-time and within budget. Identified and resolved issues quickly and efficiently, minimizing their impact on project progress. Implemented project life cycle management processes to ensure project requirements were documented and tracked throughout the project. Created and implemented a database for tracking and monitoring project progress and milestones, resulting in timely completion of projects. Collaborated with a cross-functional team to develop a new research project. Utilized platforms and work tools including, but not limited to: Cerner, Citrix, Doc360, Enterprise Now, Epic, Facets, ISET, UMR’s Claims processing System (UMR CPS / Jacada).

UnitedHealthcare/Optum - Remote

Clinical Quality Analyst (Specialized Collection Operations Team) 2021 – 2021

Contracted position for the HEDIS® 2021 season. Conducted claims research to determine records needed for chart collection. Utilized knowledge of ICD-10, CPT codes and HCPCS to assist with quick identification of records needed for the HEDIS® audit. Conducted outreach to providers as needed, to obtain the required medical records. Utilized platforms and work tools including, but not limited to Citrix, Doc360, Facets ISET, Laboratory Portals (Bio Reference, Quest and LabCorp) Pega CM (MIIM/iLEAD), OnBase, rateLIFT, Vaccine Registry Portals (several states). Created, edited, copied, sent, and saved documents, correspondence, and spreadsheets in Microsoft Excel, Microsoft Word, Microsoft Outlook and Microsoft Teams.

Children’s Hospital - Philadelphia, PA

Patient Service Representative 2015 – 2022

Developed and implemented policies and procedures for patient service representatives that improved compliance with HIPAA regulations. Streamlined the scheduling process by implementing a new software system that reduced wait times by 10%. Developed a document management system that reduced paperwork filing time by 25%. Conducted Urgent Care Support Representative on-site training in security protocol, to protect staff and patients.

Wawa – Media, PA

Assistant Store Manager 2005 – 2010

Managed store staff members, completed weekly work schedules, conducted all hiring, performance reviews, coaching and employee training and development. Analyzed sales and inventory data to identify areas of improvement and maximize profitability. Managed store operations ensuring compliance with all applicable laws and regulations. Created and managed a reward system that increased employee motivation and morale by 45%. Conducted regular inventory audits to ensure accuracy and reduce shrinkage.

Ages & Stages Child Care Services – Yeadon, PA

Director 1992 – 2004

Established a set of performance metrics to measure and track departmental performance, child development metrics. Developed and maintained solid working relationships with key government entities, resulting in increased visibility and funding. Led a cross-functional team to create a new educational system, resulting in a 20% increase in enrollment. Wrote and presented compelling proposals that resulted in new business opportunities. Coordinated with cross-functional teams to ensure successful execution of client projects. Analyzed customer data to identify trends and insights, resulting in a 30% increase in client services.

Education / Certification Background

Certified Electronic Health Record Specialist – National Healthcareer Association® - 2019

Certified Medical Administrative Assistant – National Healthcareer Association® - 2019

Medical Office Manager Certificate – Bloomsburg University – 2019

Master’s degree in Early Childhood Education – Columbus University - 2007

Bachelor’s degree in Early Childhood Education – Columbus University – 2006

Advanced Certificate in Early Childhood Education Director Credential – Delaware Community College – 2006

Associate’s degree in Early Childhood Education – Delaware County Community College - 2003

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