Data analytics
Resume:
Christina Keith
864-***-**** Greenville, South Carolina **********@*******.***
Summary
Current college undergrade student seeking to leverage data analytical skills to improve corporate performance as an entry level data analyst. Presently a Detailed-oriented Denials Representative and with 30 years in healthcare revenue cycle recovery in hospitals, provider practices, Insurance companies and third party. Highly organized, self-motivated, and proficient with computers. Looking for career change in crossing over to Data Analytics. Deep understanding of business change needs, assessing the impact of change, and creating solutions to meet those needs.
Education
Purdue University Global
Bachelor of Science in Analytics Degree Expected Spring 2023
Southern Wesleyan College, Greenville, SC
Associates Degree in General Studies Graduated November 2020
Technical Skills
Microsoft Office
Python, Java, and R implement data expressions, decisions, and Iteration in each language.
Using excel spreadsheet applications, formulas, and functions.
Data Literacy Collection processes, data sources, data quality and quantity. Database Management concepts, languages, and manipulation of languages. Data governance roles and plans.
Microsoft Access using effective design, relational databases, database forms, structure Query Language, and database reports.
SQL creating relational databases and maximizing ability to retrieve data, foreign keys, joins, subqueries, and union statements to retrieve data from one or more tables, create roles, assign roles, and grant and revoke privileges on database tables.
Work as team player, interacting with employees of all levels of the organization. Self-Starter able to pick up ways of working quickly. Ability to present findings and technical details to executives and a non-technical audience. Very strong eye to detail. Ability to understand the business need and execute it.
In the past I have worked in Manufacturing environments.
Healthcare - Medical Coding, Basic Medical Coding, Advanced Medical Coding, and Medical Terminology experience.
Professional Experience
RSource Boca Raton, FL(Work Remote) April 2019 – Present
Denial Representative
$4,000,000.00 in revenue recovered.
Research and identify payment discrepancies from various sources
Compile and analyze data to make corrections
Review contract validation, updates and interpretation
Review payer policies for impact on reimbursement
Resolve underpaid claims
Identify trends in underpayment/overpayments, denials, revenue opportunities and revenue leakage
Evaluate trends and work towards resolution and improvement of revenue process
Oaktree Medical February 29, 2016 – April 1, 2019
AR Specialist
Research and identify payment discrepancies from various sources
Compile and analyze data to make corrections
Review contract validation, updates, and interpretation
Review payer policies for impact on reimbursement
Resolve underpaid claims
Identify trends in underpayment/overpayments, denials, revenue opportunities and revenue leakage
Evaluate trends and work towards resolution and improvement of revenue process
BonSecour St Francis CBO April 4, 2012 – February 29, 2016
Denials Management Representative/Biller
Research contracts and claims for correct contractual payments and adjustments
Research and resolve underpayments and overpayments
Work with clinical staff to get clinical information and appeals in timely manor
Research and resolve trends in underpayment, overpayment, and denials
Manage the appeals, payment issues until resolved in timely manner
Knowledge of payor policies
Worked as Biller for Medicare and Non-Medicare Plans
Systems: EPIC, Revenue Recovery, Parathon JDA Classic & Webtool, Multi screen
denials for New York, Kentucky, Virginia, Maryland, South Carolina
Previous with St Francis: Front office, AR, Collections, Insurance/Billing
Manufacturing
1995-1996 Allied Signal Aerospace, Greer – merged with Honeywell
Worked Temp
1992-1995 Amp-Akzo Co., Carolina Circuits (Temp-Hired)
Former: Digital Corp. – 200 Fairforest Way, Greenville SC 29607
Worked in electrical test, Quality Assurance, inner layer (clean room), impedance, outer layer,
LinkedIn URL: linkedin.com/in/christina-kristi-keith-8b18134a
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