Columbus, Ohio, *****
Molina Healthcare, Columbus Ohio
Associate Analyst, September 2019- Present
Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases
Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database.
Analyze and interpret data to determine appropriate configuration changes
Accurately interprets specific state and/or federal benefits, contracts as well as additional business requirements and converting these terms to configuration parameters
Handles coding, updating and maintaining benefit plans, provider contracts, fee schedules and various system tables through the user interface
Mount Carmel Behavioral Health Columbus Ohio
Admission Assistant/Trainer, Feb 2019 – December 2019
Strong organizational and time management skills with the ability to set priorities to achieve short- and long-term goals.
Worked closely with customer service representatives and clients to determine project scope and developed innovative, customized solutions that best fit their insurance underwriting needs
Coordinated and collaborated with client representatives, IT analysts and other teams to ensure a successful database implementation for new clients
Provided prompt, courteous service in troubleshooting various application and system issues by asking pertinent questions and gathering relevant information from the client.
Teach classes or assist other Patient Care Liaisons in a classroom and work setting.
Delivers training to new and existing employees across the enterprise.
Supervise a team of new hires and provide direct feedback on performance and behaviors
LA QUINTA INN AND SUITES, Columbus, Ohio
Business office Manger Feb 2015 - Jan 2019
Set goals for performance and deadlines in ways that comply with company’s plans and vision and communicate them to subordinates
Organize workflow and ensure that employees understand their duties or delegated tasks
Monitor employee productivity and provide constructive feedback and coaching
Receive complaints and resolve problems
Prepare and submit performance reports
Hire and train new employees
Ensure adherence to legal and company policies and procedures and undertake disciplinary actions if the need arises
PREMIER HOME CARE LLC, Columbus, Ohio
HR Generalist/HHA, Oct 2016 – Nov 2018
Manage Staff Schedule
Check and approve daily shift audits
Approve timecards and make payroll for the employees
Prepared new employee files
Assisted with new employee background checks/benefit enrollment
Performed customer service functions by answering employee requests/questions
NATIONAL CHURCH RESIDENCES, Hilliard, Ohio
Universal Worke/Lead Management, May 2015 – Apr 2017
Mentored and guided employees ensuring all were trained in product knowledge and capable of performing assigned duties.
Communicates professionally and effectively, verbally and in writing. Follows written and verbal directions. Reports any changes in physical or mental conditions on a timely basis.
Assumed the criteria and responsibility of a team leader by creating more production in the department to grow and exceed all sales, plans, and goals.
Documents resident information timely, accurately and confidentially according to the procedures set forth in the electronic medical record system.
Practices universal precautions. Uses protective equipment, follows infection control protocol standards, policies and procedures.
Franklin University, Columbus, Ohio
Master in Healthcare of Administration, 2020
Franklin University, Columbus, Ohio
Bachelors in healthcare Management, 2019
Felbry College of Nursing, Columbus, Ohio
LPN, Jun 2017
Hilliard Davidson High School, Hilliard, Ohio
High School Diploma, May 2013
●Proficient in Microsoft Word, Excel, Outlook and PowerPoint
●Inter-personal, phone, and digital communication skills
●Ability to work with several operating systems, including Windows, Mac OSX
●Good mechanical and practical problem-solving skills
●Strong organizational skills.
●Collaborative and Organized.
●General knowledge and proficiency in Tutoring for 2 years.
AWARDS AND HONORS
●Certified Phlebotomy Technician (2016)
●Certified Home Health Aide (2015)
●Certification of Volunteering at Riverside Methodist Hospital (2013)